Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards

Abstract Aim Quantifying the relation between patient characteristics and care time and explaining differences in nursing time between wards. Design Academic hospital in the Netherlands. Six surgical wards, capacity 15–30 beds, 2012–2014. Methods Linear mixed effects model to study the relation betw...

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Main Authors: Wilhelmina Francisca Johanna Maria van denOetelaar, Willem vanRhenen, Rebecca K. Stellato, Wilko Grolman
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.385
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author Wilhelmina Francisca Johanna Maria van denOetelaar
Willem vanRhenen
Rebecca K. Stellato
Wilko Grolman
author_facet Wilhelmina Francisca Johanna Maria van denOetelaar
Willem vanRhenen
Rebecca K. Stellato
Wilko Grolman
author_sort Wilhelmina Francisca Johanna Maria van denOetelaar
collection DOAJ
description Abstract Aim Quantifying the relation between patient characteristics and care time and explaining differences in nursing time between wards. Design Academic hospital in the Netherlands. Six surgical wards, capacity 15–30 beds, 2012–2014. Methods Linear mixed effects model to study the relation between patient characteristics and care time. Estimated marginal means to estimate baseline care time and differences between wards. Results Nine patient characteristics significantly related to care time. Most required between 18 and 35 min extra, except “two or more IV/drip/drain” (8) and “one‐on‐one care” (156). Care time for minimum patient profile: 44–57 min and for average patient profile: 75–88 min. Sources of variation: nurse proficiency, patients, day‐to‐day variation within patients. The set of characteristics is short, simple and useful for planning and comparing workload. Explained variance up to 36%. Calculating estimated means per ward has not been done before. Nurse proficiency is an important factor.
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spelling doaj.art-7cf791f2391f403698ba74e541d696232022-12-21T18:20:56ZengWileyNursing Open2054-10582020-01-017123524510.1002/nop2.385Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wardsWilhelmina Francisca Johanna Maria van denOetelaar0Willem vanRhenen1Rebecca K. Stellato2Wilko Grolman3University Medical Center Utrecht University of Utrecht Utrecht The NetherlandsCenter for Human Resource Organization and Management Effectiveness Business University Nyenrode Breukelen The NetherlandsUniversity Medical Center Utrecht University of Utrecht Utrecht The NetherlandsUniversity Medical Center Utrecht University of Utrecht Utrecht The NetherlandsAbstract Aim Quantifying the relation between patient characteristics and care time and explaining differences in nursing time between wards. Design Academic hospital in the Netherlands. Six surgical wards, capacity 15–30 beds, 2012–2014. Methods Linear mixed effects model to study the relation between patient characteristics and care time. Estimated marginal means to estimate baseline care time and differences between wards. Results Nine patient characteristics significantly related to care time. Most required between 18 and 35 min extra, except “two or more IV/drip/drain” (8) and “one‐on‐one care” (156). Care time for minimum patient profile: 44–57 min and for average patient profile: 75–88 min. Sources of variation: nurse proficiency, patients, day‐to‐day variation within patients. The set of characteristics is short, simple and useful for planning and comparing workload. Explained variance up to 36%. Calculating estimated means per ward has not been done before. Nurse proficiency is an important factor.https://doi.org/10.1002/nop2.385nurse staffingnurse workloadpatient characteristicspatient classificationworkload management
spellingShingle Wilhelmina Francisca Johanna Maria van denOetelaar
Willem vanRhenen
Rebecca K. Stellato
Wilko Grolman
Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
Nursing Open
nurse staffing
nurse workload
patient characteristics
patient classification
workload management
title Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
title_full Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
title_fullStr Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
title_full_unstemmed Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
title_short Balancing workload of nurses: Linear mixed effects modelling to estimate required nursing time on surgical wards
title_sort balancing workload of nurses linear mixed effects modelling to estimate required nursing time on surgical wards
topic nurse staffing
nurse workload
patient characteristics
patient classification
workload management
url https://doi.org/10.1002/nop2.385
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