Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease

Wosa Group

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aim: Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background: Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design: Self-reported observational study. Method: Work Sampling Technique was used to record direct, indirect, unit-related and personal activities every 5 min for 2 days. Results: Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2% and 54.8% of their time in direct activities and medical doctors only 25.4%. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients’ disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion: Type of work differed among professionals. Workload greatly depended on degree of patients’ disability. Implications for Nursing Management: Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity.

Original languageEnglish
JournalJournal of Nursing Management
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Rehabilitation
Nurses
Physical Therapists
Workload
Observational Studies
Neurological Rehabilitation
Nursing
Economics

Keywords

  • rehabilitation
  • work organisation
  • workforce issues

ASJC Scopus subject areas

  • Leadership and Management

Cite this

@article{7e79bc0e73cf4afa930481c29bb96c56,
title = "Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease",
abstract = "Aim: Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background: Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design: Self-reported observational study. Method: Work Sampling Technique was used to record direct, indirect, unit-related and personal activities every 5 min for 2 days. Results: Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2{\%} and 54.8{\%} of their time in direct activities and medical doctors only 25.4{\%}. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients’ disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion: Type of work differed among professionals. Workload greatly depended on degree of patients’ disability. Implications for Nursing Management: Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity.",
keywords = "rehabilitation, work organisation, workforce issues",
author = "{Wosa Group} and Marco Iosa and Grasso, {Maria Grazia} and Roberto Dandi and Duilio Carusi and Alessandro Bacci and Roberto Marra and Cristina Ancona and Marco Tramontano and {Vecellio Reane}, Lucia and Antonino Salvia and Beniamino Ceccarelli and Elio Troisi and Paolo Casillo and Sheila Catani and Luca Pace and Alessandra Pompa and Francesco Rizzi and Roberta Mucci and Immacolata Sicardi and Cesare Perfili and Mascia Francazi and Rachele Hernandez and Diana Baldinelli and {Di Nardo}, Patrizia and Teresa Misenga and Chiara Biccheri and Mario Garoppo and Linda Crincoli and Renata Marinotti and Martina Vomiero and Alessio Saporiti and Pierluigi Quagliozzi and Debora D'Angelo and {Di Santo}, Martina and Durante, {Maria Elena} and Esther Petrangeli and Aouane, {Kautar E.I.} and Stefania Salvemini and Mirko Leva and Simone Matteucci and Alessandro Mori and Claudio Aragni and Antonio Navarria and Stefano Pignatelli and Arianna Maggio and Ciro Masella and Antonio Mercuro and Mauro Antinori and Shirin Dabbag and Paola Romanello",
year = "2018",
month = "1",
day = "1",
doi = "10.1111/jonm.12663",
language = "English",
journal = "Journal of Nursing Management",
issn = "0966-0429",
publisher = "Wiley-Blackwell",

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T1 - Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease

AU - Wosa Group

AU - Iosa, Marco

AU - Grasso, Maria Grazia

AU - Dandi, Roberto

AU - Carusi, Duilio

AU - Bacci, Alessandro

AU - Marra, Roberto

AU - Ancona, Cristina

AU - Tramontano, Marco

AU - Vecellio Reane, Lucia

AU - Salvia, Antonino

AU - Ceccarelli, Beniamino

AU - Troisi, Elio

AU - Casillo, Paolo

AU - Catani, Sheila

AU - Pace, Luca

AU - Pompa, Alessandra

AU - Rizzi, Francesco

AU - Mucci, Roberta

AU - Sicardi, Immacolata

AU - Perfili, Cesare

AU - Francazi, Mascia

AU - Hernandez, Rachele

AU - Baldinelli, Diana

AU - Di Nardo, Patrizia

AU - Misenga, Teresa

AU - Biccheri, Chiara

AU - Garoppo, Mario

AU - Crincoli, Linda

AU - Marinotti, Renata

AU - Vomiero, Martina

AU - Saporiti, Alessio

AU - Quagliozzi, Pierluigi

AU - D'Angelo, Debora

AU - Di Santo, Martina

AU - Durante, Maria Elena

AU - Petrangeli, Esther

AU - Aouane, Kautar E.I.

AU - Salvemini, Stefania

AU - Leva, Mirko

AU - Matteucci, Simone

AU - Mori, Alessandro

AU - Aragni, Claudio

AU - Navarria, Antonio

AU - Pignatelli, Stefano

AU - Maggio, Arianna

AU - Masella, Ciro

AU - Mercuro, Antonio

AU - Antinori, Mauro

AU - Dabbag, Shirin

AU - Romanello, Paola

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Aim: Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background: Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design: Self-reported observational study. Method: Work Sampling Technique was used to record direct, indirect, unit-related and personal activities every 5 min for 2 days. Results: Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2% and 54.8% of their time in direct activities and medical doctors only 25.4%. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients’ disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion: Type of work differed among professionals. Workload greatly depended on degree of patients’ disability. Implications for Nursing Management: Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity.

AB - Aim: Study aimed to analyse how rehabilitation staff spends working time on specific activities in a neurorehabilitation hospital and to determine the number of direct activities received by patients with different levels of disease severity. Background: Few studies have investigated how clinical staff spends their time on activities in rehabilitation hospitals without considering at the same time all working categories and without reporting the number of direct activities received by patients with respect to their disease severity. Design: Self-reported observational study. Method: Work Sampling Technique was used to record direct, indirect, unit-related and personal activities every 5 min for 2 days. Results: Total of 6,974 activities were recorded over 581 working hours. Physiotherapists and nurses spent 75.2% and 54.8% of their time in direct activities and medical doctors only 25.4%. Total time of direct activities was significantly different among worker categories (p = 0.001) and depended on patients’ disease severity (p = 0.020) in a different manner among worker categories (interaction: p = 0.010). This time ranged from almost 4 hr up to 6½ hr for the most severely affected patients. Conclusion: Type of work differed among professionals. Workload greatly depended on degree of patients’ disability. Implications for Nursing Management: Nurses and therapists spent most of their time in direct activities with patients. Economic burden of neurorehabilitation may vary greatly depending on disease severity.

KW - rehabilitation

KW - work organisation

KW - workforce issues

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U2 - 10.1111/jonm.12663

DO - 10.1111/jonm.12663

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