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Development and validation of a methodology to measure the time taken by hospital nurses to make vital signs observations

Development and validation of a methodology to measure the time taken by hospital nurses to make vital signs observations
Development and validation of a methodology to measure the time taken by hospital nurses to make vital signs observations

BACKGROUND: Several time and motion studies have sought to quantify the nursing work involved in observing patients' vital signs. However, none of these studies offered a validated methodology that can be replicated. This is reflected in the high variation between these studies in the mean times for measuring and recording observations. AIM: To describe the development and inter-rater reliability of a methodology for observing the nursing time and workload involved in measuring and recording patients' vital signs. DISCUSSION: The authors developed a methodology that used the quality of interactions (QI) tool ( Bridges et al 2018 ) to measure and record the start and finish times of the rounds of nurses observing vital signs and individual observations clustered in rounds. Two raters concurrently documented their observations of nurses undertaking patient observations in a simulated setting. The tool and associated documentation were found to be easy to use, and there was a high level of agreement in measurements by different observers. CONCLUSION: The authors' methodology can be used to reliably measure the time involved in taking vital signs. IMPLICATIONS FOR PRACTICE: Using the QI tool may increase precision when timing and classifying nursing activities concerning observing vital signs. The authors anticipate that it could be adapted effectively to measure several other nursing activities and so support researchers interested in capturing different aspects of nurses' work.

data collection, early warning scores, methodology, nursing care, observations, professional, research
1351-5578
52-58
Dall'ora, Chiara
4501b172-005c-4fad-86da-2d63978ffdfd
Hope, Joanna
5d49099e-13bc-49d2-88d8-48e1ec6d25fc
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Dall'ora, Chiara
4501b172-005c-4fad-86da-2d63978ffdfd
Hope, Joanna
5d49099e-13bc-49d2-88d8-48e1ec6d25fc
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b

Dall'ora, Chiara, Hope, Joanna, Bridges, Jacqueline and Griffiths, Peter (2020) Development and validation of a methodology to measure the time taken by hospital nurses to make vital signs observations. Nurse Researcher, 28 (3), 52-58. (doi:10.7748/nr.2020.e1716).

Record type: Article

Abstract

BACKGROUND: Several time and motion studies have sought to quantify the nursing work involved in observing patients' vital signs. However, none of these studies offered a validated methodology that can be replicated. This is reflected in the high variation between these studies in the mean times for measuring and recording observations. AIM: To describe the development and inter-rater reliability of a methodology for observing the nursing time and workload involved in measuring and recording patients' vital signs. DISCUSSION: The authors developed a methodology that used the quality of interactions (QI) tool ( Bridges et al 2018 ) to measure and record the start and finish times of the rounds of nurses observing vital signs and individual observations clustered in rounds. Two raters concurrently documented their observations of nurses undertaking patient observations in a simulated setting. The tool and associated documentation were found to be easy to use, and there was a high level of agreement in measurements by different observers. CONCLUSION: The authors' methodology can be used to reliably measure the time involved in taking vital signs. IMPLICATIONS FOR PRACTICE: Using the QI tool may increase precision when timing and classifying nursing activities concerning observing vital signs. The authors anticipate that it could be adapted effectively to measure several other nursing activities and so support researchers interested in capturing different aspects of nurses' work.

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Development and validation of a methodology to measure time involved in vital signs observations by hospital nurses - Accepted Manuscript
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Accepted/In Press date: 4 March 2020
Published date: 16 September 2020
Keywords: data collection, early warning scores, methodology, nursing care, observations, professional, research

Identifiers

Local EPrints ID: 438566
URI: http://eprints.soton.ac.uk/id/eprint/438566
ISSN: 1351-5578
PURE UUID: d6fe144f-cbfc-42aa-b2ec-65d427b8f892
ORCID for Chiara Dall'ora: ORCID iD orcid.org/0000-0002-6858-3535
ORCID for Joanna Hope: ORCID iD orcid.org/0000-0002-8939-7045
ORCID for Jacqueline Bridges: ORCID iD orcid.org/0000-0001-6776-736X
ORCID for Peter Griffiths: ORCID iD orcid.org/0000-0003-2439-2857

Catalogue record

Date deposited: 17 Mar 2020 17:31
Last modified: 26 Nov 2021 03:12

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