Measurement of nursing care time of specific interventions on a hematology-oncology unit related to diagnostic categories.
The aim of this study was to develop a tool that can aid nurse managers in planning nurse staffing levels and assessing workload in hematology-oncology wards. A task-oriented method based on a time-and-motion study was used. Three general nursing procedures and 7 specific oncologic and hematologic activities were clocked. It was checked in the charts of the patient, for each day of the admission, how often selected nursing procedures were performed. Then total amount of time needed for each patient was calculated. Data from 29 admissions to the ward were analyzed and divided into 5 categories based upon the treatment performed during that admission. The categories chosen were: autologous stem cell transplantation, allogeneic stem cell transplantation, graft versus host reaction, leukemia treatment, and chemotherapy for solid neoplasm. The results obtained are an estimate of the different daily workload that is required for these categories of patients in selected nursing procedures.
Colombo
Andrea
A
Faculty of Medicine, San Gerardo University Hospital, University of Milano-Bicocca, Monza, Italy.
Solberg
Barbara
B
Vanderhoeft
Erwin
E
Ramsay
Graham
G
Schouten
Harry C
HC
D000704:Analysis of Variance; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003953:Diagnosis-Related Groups / Q000145:classification*; D006086:Graft vs Host Disease / Q000451:nursing; D006757:Hospital Units / Q000458:organization & administration; D006785:Hospitals, University; D006801:Humans; D007938:Leukemia / Q000628:therapy; D009369:Neoplasms / Q000175:diagnosis / Q000628:therapy*; D009426:Netherlands; D009718:Nurse Administrators; D024802:Nurse's Role; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009745:Nursing, Supervisory; D009859:Oncology Nursing / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D033581:Stem Cell Transplantation / Q000451:nursing; D013996:Time and Motion Studies; D014182:Transplantation, Autologous / Q000451:nursing; D014184:Transplantation, Homologous / Q000451:nursing; D016526:Workload / Q000706:statistics & numerical data*
D000970:Antineoplastic Agents