Patientnärmre vård: En observationsstudie av sjuksköterskans tid för patientnära vård
Sammanfattning
The aim: To conduct a follow up study to measure registered nurses’ time of direct patientcare
after implementation of patientfocused care
(PFC).
Background: PFC is an organizational model with the objective to increase both patient participation
and health care effectiveness. After a
reconstruction of wards to single bedrooms in a hospital south of Sweden. PFC was implemented to
increase time for direct patientcare in
order to better meet patients’ needs.
Method: Time measured observations were conducted. 20 registered nurses were observed in four
different wards at a 525-bed hospital in
south of Sweden after implementation of PFC.
Findings: In a workday of 8,5 hrs, registered nurses spend 6,8 hrs (79,8 %) with work related to
patients. Time for directcare was 2 hrs
(23,8 %) and time for indirect care was 4,8 hrs (56 %). Indirect care consists of categories such as
documentation, report and medical round.
Conclusion: In comparison before implementation of PFC, time for patientrelated care increased by
10,8 %. However, time is spent mainly
at patient indirectcare activities. It is important to also focus on a change of culture in the
organization to succeed with an implementation
of PFC.