scholarly journals A time–motion observation study to measure and analyse clinical nursing workload in an acute care hospital in Singapore

2019 ◽  
Vol 28 (2) ◽  
pp. 124-128 ◽  
Author(s):  
Mei Ling Lim ◽  
Shin Yuh Ang
Keyword(s):  
Acute Care Hospital ◽  
Recruitment Rate ◽  
Nursing Workload ◽  
Care Hospital ◽  
Work Processes ◽  
Observation Study ◽  
Staff Members ◽  
Time Motion ◽  
Motion Study ◽  
Working Shift

Internationally, there are concerns about rising nursing workforce shortages, which could be attributed to both recruitment and retention issues. As the population rapidly ages in Singapore, there is an increase in demand for more trained nurses to staff new facilities. Given the problem that Singapore is facing, there is a need for other solutions besides increasing recruitment rate. A time-motion study of nurses’ workload can assist us in determining how and what nurses spend their time on during their working shift. Work processes can then be studied to allow for improvements and implementation of strategies to ease nurses’ workload. Results of the current study demonstrated four main processes (preparing and clearing requisites, documentation, care coordination, transportation) that can be improved upon. Some of these processes do not require dedicated nursing skills; and can potentially be performed for other staff members. Results also demonstrated that nurses spent significantly less time on patient care activities as compared to nurses in United States; with as much as 31% of the nurses’ time being spent on documentation. Future studies can target on the effectiveness of strategies to improve the efficiency and quality of nursing care.

scholarly journals Factors associated with the decision to prescribe and administer antipsychotics for older people with delirium: a qualitative descriptive study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047247
Author(s):  
Emily J Tomlinson ◽  
Helen Rawson ◽  
Elizabeth Manias ◽  
Nicole (Nikki) M Phillips ◽  
Peteris Darzins ◽  
...  
Keyword(s):  
Decision Making ◽  
Older People ◽  
Health Professionals ◽  
Acute Care Hospital ◽  
Nursing Workload ◽  
Care Hospital ◽  
Antipsychotic Medications ◽  
Factors Associated ◽  
Multiple Factors ◽  
Qualitative Descriptive

ObjectivesTo explore factors associated with decision-making of nurses and doctors in prescribing and administering as required antipsychotic medications to older people with delirium.DesignQualitative descriptive.SettingTwo acute care hospital organisations in Melbourne, Australia.ParticipantsNurses and doctors were invited to participate. Semi-structured focus groups and individual interviews were conducted between May 2019 and March 2020. Interviews were audio-recorded and transcribed verbatim. Data were analysed using thematic analysis.ResultsParticipants were 42 health professionals; n=25 nurses and n=17 doctors. Themes relating to decisions to use antipsychotic medication were: safety; a last resort; nursing workload; a dilemma to medicate; and anticipating worsening behaviours. Nurses and doctors described experiencing pressures when trying to manage hyperactive behaviours. Safety was a major concern leading to the decision to use antipsychotics. Antipsychotics were often used as chemical restraints to ‘sedate’ a patient with delirium because nurses ‘can’t do their job’. Results also indicated that nurses had influence over doctors’ decisions despite nurses being unaware of this influence. Health professionals’ descriptions are illustrated in a decision-making flowchart that identifies how nurses and doctors navigated decisions regarding prescription and administration of antipsychotic medications.ConclusionsThe decision to prescribe and administer antipsychotic medications for people with delirium is complex as nurses and doctors must navigate multiple factors before making the decision. Collaborative support and multidisciplinary teamwork are required by both nurses and doctors to optimally care for people with delirium. Decision-making support for nurses and doctors may also help to navigate the multiple factors that influence the decision to prescribe antipsychotics.

OPERATING ROOM TIME ANALYSIS IN A TERTIARY CARE HOSPITAL : TO FIND BOTTLENECKS FOR IMPROVEMENT

2021 ◽  
pp. 66-67
Author(s):  
Mede Charan Raj ◽  
Mohd. Aamir Osmani ◽  
N. Lakshmi Bhaskar
Keyword(s):  
Operating Room ◽  
Tertiary Care ◽  
Anesthesia Induction ◽  
Care Hospital ◽  
Or Efficiency ◽  
Time Motion ◽  
Motion Study ◽  
Major Operation ◽  
Room Time ◽  
Operating Room Time

BACKGROUND: rd Operating rooms (ORs) cost constitute a major investment of healthcare resources, approximating 1/3 of the total hospital budget and are among the most important areas of the hospital, contributing to both the workload and the revenue. OR efficiency is dened functionally in terms of underutilized and overutilized hours of ORtime. METHOD: A two p art study containing a prospective analysis time motion study of the operating room (OR) database to retrieve only the cases involving ve major operation theatres followed by a dichotomous open formal questionnaire with yes or no options to take the opinion of the operating room staff i.e., consultants, residents (both surgeons and anesthetists) and nurses RESULTS: Based on the time motion study the delays were mostly identied in T1-Wheel in time, T2- Anesthesia induction T6-cleaning of OR. In part 2 of the study it was evident that 65 % of the staff were of an opinion that OR is currently underutilized, 45% of the staff opined that signicant time is wasted between two surgeries and 75 % opined that they couldn't complete the scheduled list. CONCLUSIONS : Proper scheduling of regular cases and clarity in preparation of OT list, augmenting the man power, establishment good supply chain by providing sub stores in operation operating room, arrangement of sterile supplies and other equipment for the OR adequately by nursing staff could possibly lead in effective utilization of the Operating room time

A Time Motion Study in The Immunization Clinic of A Tertiary Care Hospital, BJGMC Pune

2017 ◽  
Vol 8 (4) ◽  
pp. 892
Author(s):  
Sakore Deepika ◽  
A Malangori Parande ◽  
Jitendra Surwade ◽  
Vinay Tapare ◽  
Muralidhar Tambe ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Time Motion ◽  
Motion Study

The Effectiveness of Peer Recognition on Motivation

AAOHN Journal ◽  
1986 ◽  
Vol 34 (12) ◽  
pp. 596-598 ◽  
Author(s):  
Sue Broughton
Keyword(s):  
Needs Assessment ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Staff Members ◽  
Implementation Evaluation ◽  
Difficult Question ◽  
Question Today

The value of recognition as a motivator has been well documented. The difficult question today is how to establish an ongoing peer recognition program that will involve most staff members. The process that one acute care hospital used to accomplish this goal is analyzed. The author discusses needs assessment, plan, resources, implementation, evaluation and program maintenance.

scholarly journals A time motion study in the immunization clinic of a tertiary care hospital of Kolkata, West Bengal

2012 ◽  
Vol 37 (1) ◽  
pp. 30 ◽  
Author(s):  
Amitabha Chattopadhyay ◽  
Ritu Ghosh ◽  
Sucharita Maji ◽  
TapobrotoGuha Ray ◽  
SaibenduKumar Lahiri
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Time Motion ◽  
Motion Study

scholarly journals PERBANDINGAN PENERAPAN METODE WAKTU BAKU DENGAN PENDEKATAN TIME STOP PADA SISTEM SWIFT SAP ENTERPRISES PADA WORKSHOP PERAWATAN PASSENGER SEAT BOEING 747-400 DI PT. GMF AEROASIA TBK

Jurnal Teknik ◽  
2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Tina Hernawati Suryatman ◽  
Mukhammad Yusuf Hakim ◽  
Hartono Hartono
Keyword(s):  
Work Processes ◽  
Work Related ◽  
Advantages And Disadvantages ◽  
Actual Time ◽  
Passenger Seat ◽  
Time Motion ◽  
Motion Study ◽  
Before And After ◽  
General Aspects ◽  
New System

PT. GMF Aero Asia is Maintenance, Repair and Overhaul (MRO). The Cabin Maintenance Unit (Furnishing Service and Uphostery) is responsible for work related to the interior area of the aircraft. Included in the component is the Passenger Seat. Cabin Maintenance Office at GMF in performing maintenance services which have several different types of problems, namely in terms of billing to customers there are two indicators, including material, manpower and man hours. The company has an old system, the SAP 2010 series, where all work processes cannot be covered so it requires several additional applications. In response to this, the company provides a new system that can make all data analysis in one application. The system has been used by several airlines throughout the world. Namely the latest SAP with the name SWIFT SAP Enterprise, but the new system is not running without problems. Because basically the use of SWIFT SAP Enterprises which refers to the applicable maintenance manual is very inflexible as well as a lot of actual time in the field that is not counted in billing. In this case, improvements will be made by comparing the application of one of the principles of Time Motion Study to the system used by PT. GMF Aero Asia recently. All aspects will be examined so that the best results can be known. The questionnaire will also be distributed before and after the application of the method. So that it can be seen from all aspects related not only production but all supporting staff who are in the Maintenance area. The research will also solve the problem of both the general aspects of the unit's production and finance as a whole for one year. So that it can be known with certainty the advantages and disadvantages that occur during the treatment process. After all the analysis was done, it was found that there were some deficiencies that occurred in the SAP Enterprises system, where a lot of profit was lost from the maintenance process that occurred. So there are several alternatives that can be taken by Cabin Base Maintenance shop units. Alternatives taken include making rearranging work hours based on actual time with the draft that has been made. Arranging training schedules for employees regarding the Swift system in accordance with their work area. And counseling about financial issues related to the flow of work in the Workshop Seat Cabin maintenance area. Keywords: SWIFT SAP Enterprise, Passenger Seats, Time Movement Study, Stop Time, Normal Time, Cycle Time, Overtime, Calculator

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