ArticleNursing research
The work of adult and pediatric intensive care unit nurses.
Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Job performance in healthcare: a systematic review.BMC health services research · 2022Pooled it
- Accuracy and Documentation of Richmond Agitation-Sedation Scale Assessments in a Cardiothoracic Critical Care Unit: A Prospective, Cross-Sectional Audit.Nursing in critical care · 2026Article
- Standard practices in cardiac monitoring: training needs of intensive care unit nurses.BMC nursing · 2024Article
- Registered nurses' experiences of working in the intensive care unit during the COVID-19 pandemic.Nursing in critical care · 2021Article
- Development and use of an adjusted nurse staffing metric in the neonatal intensive care unit.Health services research · 2020Article
- Identifying Barriers to Nurse-Facilitated Patient Mobility in the Intensive Care Unit.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2018Article
- Article
- ICU nurses and physicians dialogue regarding patients clinical status and care options-a focus group study.International journal of qualitative studies on health and well-being · 2017Article
- Is Spending More Time Associated With Less Missed Care?: A Comparison of Time Use and Missed Care Across 15 Nursing Units at 2 Hospitals.The Journal of nursing administration · 2016Article
- How Do Residents Spend Their Time in the Intensive Care Unit?The American journal of the medical sciences · 2015Article
- Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit.International journal of medical informatics · 2015Observational
- Arterial blood pressure response to head-up tilt test and orthostatic tolerance in nurses.Environmental health and preventive medicine · 2015Article
- Human factors systems approach to healthcare quality and patient safety.Applied ergonomics · 2014Article
- Macroergonomics in Healthcare Quality and Patient Safety.Review of human factors and ergonomics · 2013Article
- Article
- Facilitated Nurse Medication-Related Event Reporting to Improve Medication Management Quality and Safety in Intensive Care Units.Nursing researchArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundResearchers have used various methods to describe and quantify the work of nurses. Many of these studies were focused on nursing in general care settings; therefore, less is known about the unique work nurses perform in intensive care units (ICUs).
objectivesThe aim of this study was to observe adult and pediatric ICU nurses in order to quantify and compare the duration and frequency of nursing tasks across four ICUs as well as within two discrete workflows: nurse handoffs at shift change and patient interdisciplinary rounds.
methodsA behavioral task analysis of adult and pediatric nurses was used to allow unobtrusive, real-time observation. A total of 147 hours of observation were conducted in an adult medical-surgical, a cardiac, a pediatric, and a neonatal ICU at one rural, tertiary care community teaching hospital.
resultsOver 75% of ICU nurses' time was spent on patient care activities. Approximately 50% of this time was spent on direct patient care, over 20% on care coordination, 28% on nonpatient care, and approximately 2% on indirect patient care activities. Variations were observed between units; for example, nurses in the two adult units spent more time using monitors and devices. A high rate and variety of tasks were also observed: Nurses performed about 125 activities per hour, averaging a switch between tasks every 29 seconds. DISCUSSION: This study provides useful information about how nurses spend their time in various ICUs. The methodology can be used in future research to examine changes in work related to, for example, implementation of health information technology.
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