The working time of nurse
DOI:
https://doi.org/10.12775/MBS.2014.008Keywords
working time structure, paediatric unit, nursing careAbstract
Introduction: Human resources, not counting financial or information ones, are basic resources of the enterprise, allowing achieving objectives of the organization. Management of human resources should guarantee effective applying of the knowledge and employees’ abilities. On the other hand, it should prevent casting of staff, by assigning support activities to employees. The studies concerning the structure of working hours of nurses on adult department are quite frequently conducted. However, there is a lack of research on working hours of pediatric nurses, so structure of activities of this occupational group performed during hospital duty were recognized as useful to be researched. The aim of the study: Determining the structure of activities performed by nurses on the general pediatric department/ward. Materials and method: Preliminary survey on the structure of working hours was conducted during four 12 - hour duties: two morning and two night duties in one of hospitals of the Podkarpackie province. Constant observation was a research method, and the standardized monitoring sheet - research tool. Results: Analysis of activities undertaken by nurses working at the pediatric department showed that during shift assignments the indirect care tasks constituted the largest percentage of activities (46.01%). About one third of working time was devoted to direct care (28.93%). Coordinating and organizing current work on the ward constituted 14.49%. Breaks and personal activities constituted the smallest percentage (10.57%). Amongst the activities within the direct care scope the following prevailed: performing diagnostic and healing actions and the communication of nurses with parents/ carers and the child. Conclusions: The study pointed at the too low percentage of working hours of pediatric nurses in the direct care. Streamlining work organization of nurses with emphasizing the care and looking after is well justified. Thorough analysis of the support activities associated with the indirect care shows that many of them could be done by outsourced employees and not necessarily at the pediatric department staff.
References
Bartkowiak G.: Geneza i teoretyczne podstawy zarządzania zasobami ludzkimi. w: Podstawy zarządzania zakładem opieki zdrowotnej. Wydawnictwo Naukowe PWN, Warszawa 2008: 315-331.
Charns MP., Lockhart CA.: Projektowanie stanowisk pracy. W: Podstawy zarządzania opieką zdrowotną. Shorell SM., Kaluzny AD. (red.). Fundacja Zdrowia Publicznego. Uniwersyteckie Wydawnictwo Vesalius. Kraków 2001: 215-238.
Ksykiewicz-Dorota A.: Planowanie obsad pielęgniarskich w lecznictwie stacjonarnym. Wyd. Czelej, Lublin 2001.
Mikołajczyk Z.: Techniki organizatorskie w rozwiązywaniu problemów zarzadzania. Wyd. Naukowe PWN, Warszawa 1994.
Padilha KG., Márcia Cardoso de Sousa RM., Garcia PC., Bento T., Finardic EM., Hatarashi RHK.: Nursing workload and staff allocation in an intensive care unit: A pilot study according to Nursing Activities Score (NAS) Paulo. Intensive and Critical Care Nursing. 2010; 26: 108-113.
Rauhala A., Fagerstrom L., Are nurses’ assessments of their workload affected by non-patient factors? An analysis of the RAFAELA system. Journal of Nursing Management. 2007; 15: 490-499.
Nortern Neonatal Network. Measuring neonatal nursing workload. Arch Dis in Child. 1993; 68: 539-543.
Westbrook JI., Duffield Ch., Li L., Creswick NJ.: How much time do nurses have for patients? a longitudinal study quantifying hospital nurses’ patterns of task time distribution and interactions with health professionals BMC Health Services Research. 2011; 11: 319-330.
Pillay T, Nightingale P, Owen S, et al. Neonatal nurse staffi ng and delivery of clinical care in the SSBC Newborn Network. Arch Dis Child Fetal Neonatal Ed. 2011; 10: 1136-1141.
Karauda M., Ksykiewicz-Dorota A.: Czynności wykonywane przez położne sprawujące opieke nad położnicą i noworodkiem w systemie rooming-in. Zdrowie Publiczne. 2005; 115(1): 53-56.
Cebulak M., Ksykiewicz-Dorota A.: Struktura wykorzystania czasu pracy na oddziałach psychiatrycznych – badania wstępne. Medical and Biological Sciences. 2009; 23(4): 23-29.
Klukow J., Ksykiewicz-Dorota A.: Struktura wykorzystania czasu pracy pielęgniarek zatrudnionych w szpitalnych oddziałach ratunkowych – badania wstępne. Pielęgniarstwo XXI Wieku. 2010; 3-4(32-33): 55-59.
Spence K., Tarnow-Mordi W., Duncan G., Jayasuryia N., Elliott J., King J., Kite F.: Measuring nursing workload in neonatal intensive care. Journal of Nursing Management. 2006; 14: 227-234.
Williams S., Whelan A., Weindiling AM., Cooke RWI, Nursing staff requirements for neonatal intensive care Arch Dis in Child. 1993; 68: 534-538.
Hamilton KEStC., Redshaw ME., Tranow-Mordi W.: Nurse staffing in relation to risk-adjusted mortality in neonatal care. Arch Dis in Child Fetal Neonatal. 2007; 92: 99-103.
Piskorz-Ogórek K., Wieremiej L.: Określanie zapotrzebowania na opiekę pielęgniarską w oddziałach pediatrii. Wojewódzki Specjalistyczny Szpital Dziecięcy w Olsztynie. Olsztyn 1996.
Rakowska-Różewicz D., Bloch J., Kamieniecka E., Smak J. (red.): Wybrane standardy i procedury w pielęgniarstwie pediatrycznym, Wyd. Czelej, Lublin 2001: 22-24.
Lenartowicz H.: Kadra pielęgniarska w lecznictwie stacjonarnym. (Z badań nad wykorzystaniem czasu pracy i kwalifikacji zawodowych). Praca habilitacyjna. AM Lublin 1987.
Garcia E. de A., Togeiro Fugulin RM.: Nurses’ work time distribution at the emergency service. Rev Esc Enferm USP. 2010; 44(4): 1027-1033.
Downloads
Published
How to Cite
Issue
Section
Stats
Number of views and downloads: 320
Number of citations: 0