Evidence map›Paper›PMID 40577196›Full record

ArticleJournal for healthcare quality : official publication of the National Association for Healthcare Quality

Time Allocated to Nursing Tasks on Hospital Units Caring for Older Patients.

Emily K Hollingsworth, Jason Slagle, Lucy Wilson, John F Schnelle, Jennifer Kim, Sandra F Simmons

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal for healthcare quality : official publication of the National Association for Healthcare Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. An Observational Study of Nursing Delivery of Mobility Assistance in Acute Care.Journal of the American Medical Directors Association · 2025
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emily K HollingsworthEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.ORCID 0000-0002-6144-8840
Jason SlagleEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.
Lucy WilsonEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.
John F SchnelleEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.
Jennifer KimEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.
Sandra F SimmonsEmily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
AHRQ HHS R18 HS025910NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

introductionHospitals need objective data about the time allocated to nursing tasks, particularly for older inpatients who often need assistance with activities of daily living (ADLs), such as toileting and mobility.

methodsThis descriptive time-motion study objectively measured the time registered nurses (RNs) and nursing assistants (NAs) spent on clinical and ADL care and made comparisons by staff type. Research staff completed 277 standardized observation hours on three hospital units caring for older patients.

resultsRegistered nurses and NAs spent 38% and 34% of their time, respectively, on indirect care tasks, with medical record documentation being most common. Both staff types spent an additional 34% of their time on direct care tasks. Medication pass consumed the most RN direct care time, and ADL care consumed the most NA direct care time. Activities of daily living care was observed in fewer than 25% of patient encounters, despite 73%-89% of patients across the three units requiring ADL care assistance. Overall, staff spent less than 10% of their time idle.

conclusionsObjective data related to the time allocated to nursing tasks are necessary to inform skill mix adjustments or other staffing strategies to meet older inpatients' care needs.

Indexed as

Hospital UnitsNursing AssistantsNursing Staff, HospitalActivities of Daily LivingAgedFemaleHumansMaleTime and Motion Studiesactivities of daily livingcare omissionsgeriatric carenurse staffing

Identifiers

PMID40577196
PMCPMC12767747

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.