Clinical staff work sampling in a neurorehabilitation hospital and its relationship to severity of disease. (20th August 2018)

• Record Type: Journal Article
• Authors: Iosa, Marco; Grasso, Maria Grazia; Dandi, Roberto; Carusi, Duilio; Bacci, Alessandro; Marra, Roberto; Ancona, Cristina; Tramontano, Marco; Vecellio Reane, Lucia; Salvia, Antonino; Ceccarelli, Beniamino
• Other Names: Troisi Elio investigator.; Casillo Paolo investigator.; Catani Sheila investigator.; Pace Luca investigator.; Pompa Alessandra investigator.; Rizzi Francesco investigator.; Mucci Roberta investigator.; Sicardi Immacolata investigator.; Perfili Cesare investigator.; Francazi Mascia investigator.; Hernandez Rachele investigator.; Baldinelli Diana investigator.; Di Nardo Patrizia investigator.; Misenga Teresa investigator.; Biccheri Chiara investigator.; Garoppo Mario investigator.; Crincoli Linda investigator.; Marinotti Renata investigator.; Vomiero Martina investigator.; Saporiti Alessio investigator.; Quagliozzi Pierluigi investigator.; D'Angelo Debora investigator.; Di Santo Martina investigator.; Durante Maria Elena investigator.; Petrangeli Esther investigator.; Aouane Kautar EI investigator.; Salvemini Stefania investigator.; Leva Mirko investigator.; Matteucci Simone investigator.; Mori Alessandro investigator.; Aragni Claudio investigator.; Navarria Antonio investigator.; Pignatelli Stefano investigator.; Maggio Arianna investigator.; Masella Ciro investigator.; Mercuro Antonio investigator.; Antinori Mauro investigator.; Dabbag Shirin investigator.; Romanello Paola investigator.; Tagliaferri Daniela investigator.; Volpi Stefania investigator.; Gasparotto Stefano investigator.; Rocchi Catia investigator.; Frezza Annamaria investigator.; Uleri Monica investigator.; Casagrande Laura investigator.; Regali Francesco investigator.; Calderone Cristina investigator.;
• Is Part Of: Journal of nursing management. Volume 27:Number 1(2019)
• Page Start: 179
• Page End: 189
• Publication Date: 2018-08-20
• Subjects: rehabilitation -- work organisation -- workforce issues; Nursing services -- Administration -- Periodicals; Nursing services -- Business management -- Periodicals; 610.73068
• DOI: 10.1111/jonm.12663
• Languages: English
• ISSNs: 0966-0429

Abstract

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.