BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life

<p class="p1">The purpose of this quality improvement initiative was to analyze how nurses record their workload in the GRASP Workload Measurement System and document the end-of-life nursing care provided to imminently dying patients. The analysis was done in conformity with the Comf...

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Main Authors: Kalliopi Stilos, Anita Long, Eleonora Cretu
Format: Article
Language:English
Published: Pappin Communications 2020-10-01
Series:Canadian Oncology Nursing Journal
Online Access:https://canadianoncologynursingjournal.com/index.php/conj/article/view/1108
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author Kalliopi Stilos
Anita Long
Eleonora Cretu
author_facet Kalliopi Stilos
Anita Long
Eleonora Cretu
author_sort Kalliopi Stilos
collection DOAJ
description <p class="p1">The purpose of this quality improvement initiative was to analyze how nurses record their workload in the GRASP Workload Measurement System and document the end-of-life nursing care provided to imminently dying patients. The analysis was done in conformity with the Comfort Measures Order Set in our hospital. Nursing documentation was examined (n = 4 patient records) covering 15 oncology nursing shifts. Nurses are expected to complete the GRASP tool after each shift for all the patients in their care. It is presumed that nurses’ workload data will be reported accurately and reliably, as well as interrelate with their nursing documentation. Workload audits are conducted routinely to ensure accuracy. Interrater Reliability Monitoring was used to analyze the degree of agreement between the ratings performed on the audit of the completed GRASP tool and the nursing documentation on end-of-life care delivered. The GRASP compliance rate was 66.6% and GRASP-documentation accuracy rate was 60–70%. These observations were below the established target of 90%. The results provide insight regarding any gaps between documentation and GRASP at end of life.<span class="Apple-converted-space"> </span></p>
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spelling doaj.art-21916e561c854dfab7b950318212863e2024-02-08T16:29:01ZengPappin CommunicationsCanadian Oncology Nursing Journal1181-912X2368-80762020-10-01304317320959BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of lifeKalliopi StilosAnita LongEleonora Cretu<p class="p1">The purpose of this quality improvement initiative was to analyze how nurses record their workload in the GRASP Workload Measurement System and document the end-of-life nursing care provided to imminently dying patients. The analysis was done in conformity with the Comfort Measures Order Set in our hospital. Nursing documentation was examined (n = 4 patient records) covering 15 oncology nursing shifts. Nurses are expected to complete the GRASP tool after each shift for all the patients in their care. It is presumed that nurses’ workload data will be reported accurately and reliably, as well as interrelate with their nursing documentation. Workload audits are conducted routinely to ensure accuracy. Interrater Reliability Monitoring was used to analyze the degree of agreement between the ratings performed on the audit of the completed GRASP tool and the nursing documentation on end-of-life care delivered. The GRASP compliance rate was 66.6% and GRASP-documentation accuracy rate was 60–70%. These observations were below the established target of 90%. The results provide insight regarding any gaps between documentation and GRASP at end of life.<span class="Apple-converted-space"> </span></p>https://canadianoncologynursingjournal.com/index.php/conj/article/view/1108
spellingShingle Kalliopi Stilos
Anita Long
Eleonora Cretu
BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
Canadian Oncology Nursing Journal
title BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
title_full BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
title_fullStr BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
title_full_unstemmed BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
title_short BRIEF COMMUNICATION: GRASP Workload Nursing Measurement System at end of life
title_sort brief communication grasp workload nursing measurement system at end of life
url https://canadianoncologynursingjournal.com/index.php/conj/article/view/1108
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