Abstract：
BACKGROUND:Calls for improved conditions in nursing homes have pointed to the importance of optimizing the levels and skills of care providers. Understanding the work of care providers will help to determine if staff are being used to their full potential and if opportunities exist for improved efficiencies. OBJECTIVES:To explore the activities of care providers in different nursing homes and to identify if variations exist within and across homes and shifts. METHODS:A multi-centre cross-sectional observational work flow study was conducted in seven different nursing homes sites in one Canadian province. Data were collected by a research assistant who conducted 368 h of observation. The research assistant collected data by following an identical route in each site and recording observations on staff activities. RESULTS:Findings indicate staff activities vary across roles, sites and shifts. Licensed practical nurses (nursing assistants) have the greatest variation in their role while registered nurses have the least amount of variability. In some sites both registered nurses and licensed practical nurses perform activities that may be safely delegated to others. Care providers spend as much as 53.7% of their time engaged in non-value added activities. CONCLUSIONS:There may be opportunities for registered nurses and licensed practical nurses to delegate some of their activities to non-regulated workers. The time care providers spend in non-value activities suggest there may be opportunities to improve efficiencies within the nursing home setting.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
McCloskey R,Donovan C,Stewart C,Donovan Adoi
10.1016/j.ijnurstu.2015.05.007subject
Has Abstractpub_date
2015-09-01 00:00:00pages
1475-83issue
9eissn
0020-7489issn
1873-491Xpii
S0020-7489(15)00184-4journal_volume
52pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To determine the effect of interventions that could be performed by nurses to improve the sleep quality of hospitalized patients in acute and semi-acute units. DESIGN:A systematic review of randomized controlled trials and narrative synthesis. DATA SOURCES:Seven electronic databases (PubMed, CINAHL Plus, Sc...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2020.103855
更新日期：2020-12-14 00:00:00
abstract：BACKGROUND:Implicit rationing of nursing care refers to the withdrawal of or failure to carry out necessary nursing care activities due to lack of resources, in the literature also described as missed care, omitted care, or nursing care left undone. Under time constraints, nurses give priority to activities related to ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2015.05.005
更新日期：2015-09-01 00:00:00
abstract：:New ways of working in critical care are emerging in response to increasing demands for care in the context of a limited critical care workforce. This review appraised the comparative safety, effectiveness and costs of new ways of working in critical care. All papers published in peer reviewed journals during 1990-200...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2006.01.006
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Research has highlighted the benefits of physical activity for people with stable heart failure in improving morbidity and quality of life. However, adherence to exercise among this patient group is low. Barriers and enablers to sustained physical activity for individuals with heart failure have been little ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.03.003
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Collaboration among healthcare providers has been considered a promising strategy for improving care quality and patient outcomes. Despite mounting evidence demonstrating the impact of collaboration on outcomes of healthcare providers, there is little empirical evidence on the relationship between collaborat...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.05.001
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Oral care of intubated patients is essential to the prevention of infection and patient discomfort. However, barriers to oral access and delivery of oral care have received little attention. OBJECTIVE:To determine prevalence and predictors of oral access difficulty. DESIGN:A prospective, observational, mul...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2017.12.009
更新日期：2018-04-01 00:00:00
abstract：:The purpose of this study was to evaluate primary and team nursing on two 45-bed geriatric units. A 2 year longitudinal study with a quasi-experimental ABA cross-over design and a staff survey, permitted comparisons of the two nursing systems on indices of patient well-being, nursing practice, staff morale and costs. ...
journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
doi：10.1016/0020-7489(89)90042-4
更新日期：1989-01-01 00:00:00
abstract：:This study compared six dimensions of adult life among 39 hospitalized elders with a mean age of 72.1 years and 44 elders with a mean age of 75.7 years living in the community. The dimensions of life were physical function, work, spirituality, family, community and self concept. Multivariate analysis of variance revea...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(94)90067-1
更新日期：1994-12-01 00:00:00
abstract：:The aim of this study was to evaluate the effects of locus of control and work-related stress on burnout in hospital staff nurses. A convenience sample of 361 staff nurses from nine units in five German hospitals were surveyed using the Maslach Burnout Inventory, the Locus of Control Questionnaire and a Work-Related S...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/s0020-7489(99)00069-3
更新日期：2000-04-01 00:00:00
abstract：OBJECTIVE:To explore the factors contributing to Registered Nurse medication administration error behaviour. DESIGN:A narrative review. DATA SOURCES:Electronic databases (Cochrane, CINAHL, MEDLINE, BNI, EmBase, and PsycINFO) were searched from 1 January 1999 to 31 December 2012 in the English language. 1127 papers we...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2014.07.003
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:The H1N1 Influenza A pandemic arrived in Australia in early May 2009. In Queensland, the highest number of H1N1 cases were admitted to the intensive care unit when compared with the other Australian states. While many recent studies examining the H1N1 pandemic have focussed on service delivery and disease ep...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2009.11.015
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Integrated care models are highly recommended to overcome care fragmentation in the multimorbid older population. Nurses are potentially ideally situated to fulfil the role as care coordinator to guide integrated care. No systematic review has been conducted specifically focusing on the impact of nurse-led i...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2020.103552
更新日期：2020-05-01 00:00:00
abstract：:Three maternity hospital practices of post-partum mother-infant contact and breast-feeding promotion on the incidence and continuation of breast-feeding among 375 urban poor healthy Nicaraguan primigravid women were investigated. Infant feeding patterns were evaluated at 1 week and 4 months post-partum. Eighty-seven p...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(90)90033-f
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Encounters in emergency departments have been described from different perspective and with different research approaches. On reviewing the literature, along with medical skills, interpersonal skills such as the ability to create a relationship with the patient was considered significant. Patients exposed to...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2006.01.014
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:Leadership is critical in building quality work environments, implementing new models of care, and bringing health and wellbeing to a strained nursing workforce. However, the nature of leadership style, how leadership should be enacted, and its associated outcomes requires further research and understanding....
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.04.016
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Researchers have pointed out several factors that correlated with or influenced autonomy in older people. However, these studies covered only a range of socio-demographic or physical factors, while factors from psychosociological and spiritual domains remain ignored. Also, there is lack of quantitative resea...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2005.06.002
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Apparent overconfidence and underconfidence in clinicians making clinical judgements could be a feature of evaluative research designs that fail to accurately represent clinical environments. OBJECTIVES:To test the effect of improved realism of clinical judgement tasks on confidence calibration performance ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2012.08.005
更新日期：2012-12-01 00:00:00
abstract：:The purpose of this review was to critically examine the literature published in the English language (1983-1995) related to the use of self-medication programmes by hospital patients and to determine whether such a scheme could be implemented and evaluated within the acute medical setting. Searches revealed a wealth ...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/s0020-7489(97)00013-8
更新日期：1997-08-01 00:00:00
abstract：:Urinary incontinence (UI) is a condition that is associated with decreased quality of life. Apart from this impact on quality of life, UI is also a very costly problem. It is recognised that 'usual care' for patients suffering from UI is not optimal. Specialised nurses can play an important role in the care for commun...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2004.08.002
更新日期：2005-05-01 00:00:00
abstract：AIM:The aim of this study is to explore whether the work organisation of diabetes specialist nurses (DSNs) differs significantly from nurses working in hospital and nursing home and if so, does this difference result in positive or negative consequences regarding work and health. BACKGROUND:In traditional health care ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2007.12.003
更新日期：2008-10-01 00:00:00
abstract：:The project focused on individual experiences, from 45 participants, of living with a fungating wound and the performance of wound dressings in reducing the impact of the wounds on daily living. A case study design was adopted. This posed a key methodological challenge in the form of the contentious epistemological is...
journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
doi：10.1016/s0020-7489(00)00098-5
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:Although Sheng-Hua-Tang (comprising Radix Angelicae Sinensis, Ligustici Rhizoma, Semen Persicae, Zingiberis Rhizoma and Glycyrrhizae Radix) use during the postpartum has been popular in Chinese communities over a long period, its benefits have not been evaluated in terms of its effects on the health-related ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2009.06.002
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Cognitive impairment can reduce the self-care abilities of heart failure patients. Theory and preliminary evidence suggest that self-care confidence may mediate the relationship between cognition and self-care, but further study is needed to validate this finding. OBJECTIVES:The aim of this study was to tes...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2016.04.016
更新日期：2016-08-01 00:00:00
abstract：:Results from a longitudinal study of low back pain in 199 student nurses followed up for 20 months show that 37% reported back pain which lasted for at least 3 consecutive days. The first incidence peaked markedly between 9 and 12 months into training, and coincided with work on wards described by the nurses as "heavy...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(93)90031-o
更新日期：1993-06-01 00:00:00
abstract：BACKGROUND:Institutionalized elderly continue to have the need for sexual expression and intimacy. Nurses often display negative responses when they are confronted with the sexual behavior of residents. They feel ashamed and do not know how to react. This generates feelings of discomfort, resulting in the denial of res...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2011.05.013
更新日期：2011-09-01 00:00:00
abstract：:Debates over title, grades and relationships across the profession has tended to dominate the literature in advancing nursing practice. Fewer research projects have attempted to study the activities of nurses who are designated as undertaking advancing nursing roles. One study evaluating Masters courses for Clinical N...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(00)00018-3
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:Post-intensive care syndrome is a term used to describe new or worsening multidimensional impairments in physical, psychological cognitive and social status arising from critical illness and persisting beyond hospital discharge. It is associated with high morbidity among patients discharged from intensive car...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2020.103814
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2016.07.020
更新日期：2016-10-01 00:00:00
abstract：:This paper describes the usefulness of the incorporation of medical anthropology into the nursing process. It suggests that in order to plan comprehensive patient care, much more attention needs to be paid to lay concepts of illness and causation of illness. This must take place at the assessment stage. If it does not...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/0020-7489(89)90003-5
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Oral health of nursing home residents is generally poor, with severe consequences for residents' general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. In...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ijnurstu.2017.05.003
更新日期：2017-08-01 00:00:00
