Decentralising the nurses Station, The mobile nurses Station

Mrs Jane Congdon1,2

1Qld Health, Caboolture, Australia, 2University of the Sunshine Coast, School of Nursing, Midwifery and Paramedicine, Caboolture, AUSTRALIA

Background

The current project examines the mobile nurses’ station impact on workloads for nurses in a metropolitan hospital.  The premise is that if nurses have access to tools to perform their job within proximity to patients they are providing care for, they will spend less time away from patients.

Aim

The broad aim is to evaluate the effectiveness of a mobile nurses’ station in improving patient direct care time and patient flow through the ED.

Methods

Data collection includes a Nurses’ activity follow / time in motion study.  There were three data sets collected from the activity follow pre and post implementation and include the activity follow, step count, and interruption count. The survey was adapted from the productive ward toolkit, containing both quantitative and qualitative data, pre- and post-implementation ANOVA will be used to compare the means of the pre and post paired survey quantitative responses, a P value of greater than 0.005 will indicate statistical significance.

Results

A total of 62 nurses returned completed pre-implementation surveys, and 43 nurses completed the post-implementation survey.

During the activity follows, nurses were tracked for 32 hours in the ED, there was no statistically significant increase in direct care time.  The steps by nursing staff reduced from an average of 864.72 per hour to 548.6 per hour.

Conclusion

The response survey responses data indicated that there was a positive response from staff to the implementation of the mobile nurses’ station.  There was no statistical increase in patient direct care time, however there was a significant reduction in nurses’ superfluous motion activities.  Furthermore, an analysis of the available literature has clearly identified a gap in the research and practice knowledge, there is insufficient data available on the benefits of decentralising the nurses’ station.


Biography:

I completed my Bachelor of Nursing in 2007 at the University of South Australia, I am enrolled in a Master of Health Research at Sunshine Coast University, having submitted a recent application to articulate to a PHD.  I am currently employed as the BPIO at Caboolture Emergency Department and have worked here for the past eleven years.  Diversity in practice is reflected by my employment history, and participation in a variety of projects within the University and Hospital.  My nursing history is patient focused; improving data and performance is centred around improving the situation for the benefit of the patient.