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Medication Management in Municipality-Based Healthcare: A Time and Motion Study of Nurses
County Council of Jönkoping.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet. (SSiHC)ORCID iD: 0000-0002-4108-391x
Macquarie University, Australia.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. UiT The Arctic University of Norway, Norway.
2018 (English)In: Home Healthcare Now, ISSN 2374-4529, E-ISSN 2374-4537, Vol. 36, no 4, p. 238-246Article in journal (Refereed) Published
Abstract [en]

The objective of this observational time and motion study was to increase our understanding of how nurses in home healthcare currently distribute their work time with a focus on the medication management process. The research was conducted in four municipalities in the southern part of Sweden. Participants were nurses working in home healthcare. The study measured proportion of time, comparison of proportions of time, proportion of time spent multitasking, and rate of interruptions per hour. Of total observed time, 20.4% was spent on medication management and of these tasks the highest proportion of time was spent on communications and dispensing medications. Nurses in nursing homes spent more time (23.0% vs. 17.4%, p = 0.001) on medication management than nurses in private homes. Nurses spent 47.9% of their time completing tasks with someone else, including patients, but had minimal interaction with prescribers. We observed a rate of 1.2 (95% CI 1.1-1.4) interruptions per hour on average and 30% of all interruptions occurred during medication management tasks. Nurses spent 3.7% of their time multitasking. Interruptions while performing medication-related tasks were common, as well as multitasking. Causes and consequences of the results need to be addressed in order to improve the safety of medication management for patients receiving municipality-based home care.

Place, publisher, year, edition, pages
Alphen aan den Rijn: Wolters Kluwer, 2018. Vol. 36, no 4, p. 238-246
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-76766DOI: 10.1097/NHH.0000000000000671PubMedID: 29979305Scopus ID: 2-s2.0-85049516407OAI: oai:DiVA.org:lnu-76766DiVA, id: diva2:1232224
Available from: 2018-07-11 Created: 2018-07-11 Last updated: 2019-08-29Bibliographically approved

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Ekstedt, MirjamLehnbom, Elin C.

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