Nursing work and the use of nursing time

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dc.contributor.author Duffield, Christine en_US
dc.contributor.author Gardner, Glenn en_US
dc.contributor.author Catling, Christine en_US
dc.contributor.editor en_US
dc.date.accessioned 2010-07-15T07:27:41Z
dc.date.available 2010-07-15T07:27:41Z
dc.date.issued 2008 en_US
dc.identifier 2007004730 en_US
dc.identifier.citation Duffield Christine, Gardner Glenn, and Catling-Paull Christine 2008, 'Nursing work and the use of nursing time', Blackwell Publishing Ltd, vol. 17, no. 24, pp. 3269-3274. en_US
dc.identifier.issn 0962-1067 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/12847
dc.description.abstract Aim: To find that changes in models of service delivery together with the dynamic nature of the contemporary health care context have changed the direction and focus of nurses' work. The aim of this paper is to explore some of the drivers for change and their impact and recommend a way forward to optimising nurses' work in the hospital environment. Background: The healthcare workplace has been transformed over the past 20 years in response to economic and service pressures. However, some of these reforms have had undesirable consequences for nurses' work in hospitals and the use of their time and skills. Results: As the pace and complexity of hospital care increases, nursing work is expanding at both ends of the complexity continuum. Nurses often undertake tasks which less qualified staff could do while at the other end of the continuum, are unable to use their high level skills and expertise. This inefficiency in the use of nursing time may also impact negatively on patient outcomes. Conclusions: Nurses' work that does not directly contribute to patient care, engage higher order cognitive skills or provide opportunity for role expansion may decrease retention of well-qualified and highly skilled nurses in the health workforce. Relevance to clinical practice: In this climate of nursing shortages, we need to use nurses in a cost-effective but also, intellectually satisfying manner, to achieve a sustainable nursing workforce. en_US
dc.language en_US
dc.publisher Blackwell Publishing Ltd en_US
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon http://dx.doi.org/10.1111/j.1365-2702.2008.02637.x en_US
dc.rights The definitive version is available at www.blackwell-synergy.com en_US
dc.title Nursing work and the use of nursing time en_US
dc.parent Journal Of Clinical Nursing en_US
dc.journal.volume 17 en_US
dc.journal.number 24 en_US
dc.publocation Oxford, UK en_US
dc.identifier.startpage 3269 en_US
dc.identifier.endpage 3274 en_US
dc.cauo.name FOH.Centre for Health Services Management en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 840194 en_US
dc.personcode 0000032870 en_US
dc.personcode 995204 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity ISI:000261064200003 en_US
dc.description.keywords nurses ? nursing activity ? nursing practice ? nursing workforce ? workforce issues en_US
dc.staffid 995204 en_US


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