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KMID : 0922320190260020180
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Journal of Korean Academic Society of Home Care Nursing
2019 Volume.26 No. 2 p.180 ~ p.188
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A Time Study of Nursing Activities by Home Care Nurses for Non-Cancer Terminal Patients
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Lee Ha-Nul
Lee Jong-Eun
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Abstract
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Purpose: To investigate the duration of each nursing activity performed by home care nurses for non-cancer patients and the relationship between patients’ palliative prognostic index (PPI) and duration of each nursing activity.
Methods: Nursing activities performed for six non-cancer terminal patients were timed using a stopwatch, and 18 parameters were measured by visiting each patient thrice. The mean and standard deviations of duration for each category of nursing activities were computed. The relationship between category-specific duration of nursing activities and PPI was analyzed with Spearman’s correlation and multiple regression analysis.
Results: Among nursing activities, the highest greatest duration of time was spent on traffic time (11.91 min), followed by urinary catheter management (10.65 min) and insertion and management of nasogastric tube (9.03 min). In terms of nursing categories, after excluding movement time, the greatest duration of time was spent on excretion care (5.48 min), nutrition care (5.40 min), and medication (3.82 min). PPI correlated with hygiene care, excretion care, and patient and information management. Multiple regression analysis revealed that PPI increased with increasing duration of hygiene care.
Conclusion: These study findings provide grounds for the increased nursing time of hygiene care for people reaching the end of life.
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KEYWORD
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Home Nursing, Non-cancer, Terminal Care, Time Studies
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