Mizue Hiura, Salma Afroz Lily, Shampa Sengupta, Yoko Yamamoto, Khandoker Sayeda Khatun
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Mizue Hiura1*, Salma Afroz Lily2, Shampa Sengupta3, Yoko Yamamoto4, Khandoker Sayeda Khatun5
1Chief Advisor, The Project for Strengthening In-service Training System in Cambodia, Cambodia.
2Nursing Instructor, Dhaka Nursing College, Bangladesh.
3Mid Career Consultant, CBNS Project, Phase-II, Bangladesh.
4Research Associate, Faculty of Nursing, Kansai Medical University, Japan.
5Nursing Supervisor, BIRDEM General Hospital, Bangladesh.
Volume - 10,
Issue - 4,
Year - 2022
It is important to identify the time allocated by nurses for different tasks to improve the quality of nursing care and patient outcome. Hence, this time–motion study aimed to determine the time spent on specific activities and the factors contributing to the time allocated by nurses at public and private hospitals in Bangladesh. The data was collected from March to May 2021, and the nursing activities of 52 nurses at surgical wards were identified by observing them through day shifts (8:00am – 2:00pm) on weekdays. The proportions of time in 10 categories were calculated, and relationships of nurses' characteristics were examined. Nurses commonly spent their time on direct care (17.0%), followed by medication administration (15.3%), indirect care (14.2%), personal activities (12.3%), and documentation (11.1%). There was no significant relationship between the duration of providing direct and indirect care and medication administration as well as the characteristics of nurses (such as age, sex, and duration of working experience, educational background, and patient-to-nurse ratio). However, public and private hospitals significantly differed in terms of the proportion of time spent by nurses on documentation, administrative tasks, in-transit work, supervision/education, and social activities. Compared with some studies conducted in 2007, the time allocated on direct care has increased particularly in public hospitals; however, nurses also spend significant time on personal and social activities. There is a need to assess the time spent on nursing tasks and to facilitate a closer supervision to achieve efficient time management.
Cite this article:
Mizue Hiura, Salma Afroz Lily, Shampa Sengupta, Yoko Yamamoto, Khandoker Sayeda Khatun. Time allocated on different tasks among nurses in Bangladesh: An observational time–motion study. International Journal of Advances in Nursing Management. 2022; 10(4):339-6. doi: 10.52711/2454-2652.2022.00076
Mizue Hiura, Salma Afroz Lily, Shampa Sengupta, Yoko Yamamoto, Khandoker Sayeda Khatun. Time allocated on different tasks among nurses in Bangladesh: An observational time–motion study. International Journal of Advances in Nursing Management. 2022; 10(4):339-6. doi: 10.52711/2454-2652.2022.00076 Available on: https://ijanm.com/AbstractView.aspx?PID=2022-10-4-8
1. Westbrook JI, Duffield C, Li L, Creswick NJ. How much time do nurses have for patients? A longitudinal study quantifying hospital nurses’ patterns of task time distribution and interactions with health professionals. BMC Health Serv Res. 2011;11(1):319. doi:10.1186/1472-6963-11-319
2. Kakushi LE, Évora YDM. Direct and indirect nursing care time in an intensive care unit. Rev Lat Am Enfermagem. 2014;22(1):150-157. doi:10.1590/0104-1169.3032.2381
3. Kaushalya Patidar, S.N. Patidar. Exploration of Quality of Hand over Among Nurses. Asian J. Nur. Edu. & Research 4(1): Jan.-March 2014; Page 117-118.
4. Aiken LH, Cerón C, Simonetti M, et al. Hospital nurse staffing and patient outcomes. Rev Med Clin Condes. 2018;29(3):322-327. doi:10.1016/J.RMCLC.2018.04.011
5. Saliha Koc, Aslıhan Bardak. A Case Study in Turkey-Importance of Right Nurse Staffing Plans and Ratios in Turkish Private Hospitals (Acibadem Healthcare Group) . Asian J. Nur. Edu. & Research 4(2): April- June 2014; 245-254
6. Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nurs Open. 2019;6(2):535- 545. doi:10.1002/nop2.237
7. Hendrich AA, Chow MP, Skierczynski BA, Lu Z. A 36-hospital time and motion study: how do medical-surgical nurses spend their time? Perm J. 2008;12(3):25-34. doi:10.7812/tpp/08-021
8. Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Association of interruptions with an increased risk and severity of medication administration errors. Arch Intern Med. 2010;170(8):683-690. doi:10.1001/archinternmed.2010.65
9. Ahmadishad M, Adib-Hajbaghery M, Rezaei M, Atoof F, Munyisia E. Care and noncare-related activities among critical care nurses: A cross-sectional observational time and motion study. Nurs Midwif Stud. 2019;8(1):40. doi:10.4103/nms.nms_60_18
10. Directorate General of Health Services, Ministry of Health and Family Welfare Bangladesh. Health Bulletin; 2018. Updated 2018. Accessed Feb 1, 2020. https://dghs.gov.bd/
11. World Health Organization. Global Strategy on Human Resources for Health: Workforce 2030. World Health Organization. Updated 2016. Accessed March 1, 2020. https://www.who.int/hrh/resources/global_strategy_workforce2030_14_print.pdf?ua=1
12. Hadley MB, Roques A. Nursing in Bangladesh: rhetoric and reality. Soc Sci Med. 2007;64(6):1153- 1165. doi:10.1016/J.SOCSCIMED.2006.06.032
13. Hadley MB, Blum LS, Mujaddid S, et al. Why Bangladeshi nurses avoid “nursing”: social and structural factors on hospital wards in Bangladesh. Soc Sci Med. 2007;64(6):1166-1177. doi:10.1016/j.socscimed.2006.06.030
14. Joarder T, Parvage MA, Rawal LB, Ahmed SM. A policy analysis regarding education, career, and governance of the nurses in Bangladesh: A qualitative exploration. Policy Polit Nurs Pract. 2021;22(2):114-125. doi:10.1177/1527154420988003
15. Directorate General of Health Services, Ministry of Health and Family Welfare Bangladesh. Health Bulletin; 2017. Updated 2017. Accessed December 20, 2019. https://dghs.gov.bd/
16. Dr. B. Madhura. The Impact of Organizational Climate on Organizational Commitment. Asian Journal of Management. 2020; 11(1):11-20.
17. G. Mallika, V. Tulasi Das. Impact of Stress on working performance of Nurses and Organizational effectiveness in Hospitals. Asian Journal of Management. 2020;11(3):225-232
18. Sasmita Das, Prasanna Baby. Correlation between Organizational Stress and Job Satisfaction among Registered Nurses in Selected Hospital. Asian J. Nur. Edu. & Research 4(1): Jan.-March 2014; Page 45-49.
19. Ballermann MA, Shaw NT, Mayes DC, Gibney RT, Westbrook JI. Validation of the work observation method by activity timing (WOMBAT) method of conducting time-motion observations in critical care settings: an observational study. BMC Med Inform Decis Mak. 2011;11:32. doi:10.1186/1472-6947-11-32
20. van den Oetelaar WFJM, van Stel HF, van Rhenen W, Stellato RK, Grolman W. Mapping nurses’ activities in surgical hospital wards: A time study. PLOS ONE. 2018;13(4):e0191807. doi:10.1371/journal.pone.0191807
21. R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Accessed May 29, 2020. https://www.R-project.org/
22. Zaman S. Ladies without lamps: nurses in Bangladesh. Qual Health Res. 2009;19(3):366-374. doi:10.1177/1049732309331876
23. Yen PY, Kellye M, Lopetegui M, et al. Nurses’ Time Allocation and Multitasking of Nursing Activities: A Time Motion Study. AMIA . Annu Symp proceedings AMIA Symp. 2018;2018:1137-1146.
24. Gholizadehc M, Janatia A, Kabiria N, Nadimia B, Abria S. How do nurses spend their time in the hospital? J Clin Res Gov. 2014;3(1):27-33. doi:https://doi.org/10.13183/jcrg.v3i1.52
25. Bhavna R. Shetty, Rajashree Gujarathi. Applying Job Characteristics Model to Nursing Profession. Int. J. Adv. Nur. Management 2(1):Jan. - Mar., 2014; Page 06-11.
26. Bharat Pareek, Kiran Batra, Raman Kalia. Development of Professionalism Assessment Scale for Nurse Educator. Asian J. Nur. Edu. and Research.2016; 6(4): 506-510.
27. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. Nurse-Staffing Levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-1722.
28. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-1993.
29. Bishwajit Mazumder, Beauty Rani Suter, Nazma Begum, Mizue Hiura. Clinical supervision and quality of nursing care among nurses in Bangladesh. Int. J. of Advances in Nur. Management. 2021; 9(2):169-175.
30. H Mamata Prasad. An evaluation of the quality of work life: A study of the public sector nurses in West Bengal . Asian J. Nur. Edu. and Research. 2016; 6(2): 199-203.
31. D Suni. M. S., Nirmala.V., Shani Sikkandar. Stress and Job Satisfaction among Staff Nurses. Asian J. Nur. Edu. and Research.2017; 7(1): 31-34.