Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease

Aim Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background Few studies have investigated how clinical staf...

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Bibliographic Details
Published in:Journal of nursing management 2019-01, Vol.27 (1), p.179-189
Main Authors: Iosa, Marco, Grasso, Maria Grazia, Dandi, Roberto, Carusi, Duilio, Bacci, Alessandro, Marra, Roberto, Ancona, Cristina, Tramontano, Marco, Vecellio Reane, Lucia, Salvia, Antonino, Ceccarelli, Beniamino, Troisi, Elio, Casillo, Paolo, Catani, Sheila, Pace, Luca, Pompa, Alessandra, Rizzi, Francesco, Mucci, Roberta, Sicardi, Immacolata, Perfili, Cesare, Francazi, Mascia, Hernandez, Rachele, Baldinelli, Diana, Di Nardo, Patrizia, Misenga, Teresa, Biccheri, Chiara, Garoppo, Mario, Crincoli, Linda, Marinotti, Renata, Vomiero, Martina, Saporiti, Alessio, Quagliozzi, Pierluigi, D'Angelo, Debora, Di Santo, Martina, Durante, Maria Elena, Petrangeli, Esther, Aouane, Kautar EI, Salvemini, Stefania, Leva, Mirko, Matteucci, Simone, Mori, Alessandro, Aragni, Claudio, Navarria, Antonio, Pignatelli, Stefano, Maggio, Arianna, Masella, Ciro, Mercuro, Antonio, Antinori, Mauro, Dabbag, Shirin, Romanello, Paola, Tagliaferri, Daniela, Volpi, Stefania, Gasparotto, Stefano, Rocchi, Catia, Frezza, Annamaria, Uleri, Monica, Casagrande, Laura, Regali, Francesco, Calderone, Cristina
Format: Article
Language:English
Subjects:
Disability
Hospitals
Neurological disorders
Nurses
Nursing
Nursing administration
Original
Patient care planning
Physical therapists
Physicians
Rehabilitation
Sampling
Severity
Therapists
Time
Time use
work organisation
workforce issues
Working hours
Workloads
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Summary:Aim Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design Self‐reported observational study. Method Work Sampling Technique was used to record direct, indirect, unit‐related and personal activities every 5 min for 2 days. Results Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2% and 54.8% of their time in direct activities and medical doctors only 25.4%. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients’ disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion Type of work differed among professionals. Workload greatly depended on degree of patients’ disability. Implications for Nursing Management Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity.
ISSN:0966-0429
1365-2834
DOI:10.1111/jonm.12663