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dc.contributor.authorHolmqvist, Malin
dc.contributor.authorEkstedt, Mirjam
dc.contributor.authorWalter, Scott R
dc.contributor.authorLehnbom, Elin
dc.date.accessioned2019-01-11T10:10:57Z
dc.date.available2019-01-11T10:10:57Z
dc.date.issued2018-07-01
dc.description.abstractThe objective of this observational time and motion study was to increase our understanding of how nurses in home healthcare currently distribute their work time with a focus on the medication management process. The research was conducted in four municipalities in the southern part of Sweden. Participants were nurses working in home healthcare. The study measured proportion of time, comparison of proportions of time, proportion of time spent multitasking, and rate of interruptions per hour. Of total observed time, 20.4% was spent on medication management and of these tasks the highest proportion of time was spent on communications and dispensing medications. Nurses in nursing homes spent more time (23.0% vs. 17.4%, p = 0.001) on medication management than nurses in private homes. Nurses spent 47.9% of their time completing tasks with someone else, including patients, but had minimal interaction with prescribers. We observed a rate of 1.2 (95% CI 1.1–1.4) interruptions per hour on average and 30% of all interruptions occurred during medication management tasks. Nurses spent 3.7% of their time multitasking. Nurses in nursing homes spend more time on medication management compared with private homes. Interruptions while performing medication-related tasks were common, as well as multitasking. Causes and consequences of the results need to be addressed in order to improve the safety of medication management for patients receiving municipality-based home care.en_US
dc.descriptionAccepted manuscript version. Published version available at: <a href=http://doi.org/10.1097/NHH.0000000000000671>http://doi.org/10.1097/NHH.0000000000000671</a>en_US
dc.identifier.citationHolmqvist, M., Ekstedt, M., Walter, S. R. & Lehnbom, E. (2018). Medication management in municipality based health care: a time and motion study of nurses. <i>Home healthcare now, 36</i>(4), 238-246. http://doi.org/10.1097/NHH.0000000000000671en_US
dc.identifier.cristinIDFRIDAID 1606523
dc.identifier.doi10.1097/NHH.0000000000000671
dc.identifier.issn2374-4529
dc.identifier.urihttps://hdl.handle.net/10037/14421
dc.language.isoengen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.relation.journalHome healthcare now
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Nursing science: 808en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.titleMedication management in municipality based health care: a time and motion study of nursesen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer reviewed


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