Kaori Nakai1, Izumi Saito1, Kayo Osawa2,3. 1. Department of Nursing, Kobe University Graduate School of Health Sciences, Kobe, Japan. 2. Department of Biophysics, Kobe University Graduate School of Health Sciences, Kobe, Japan. 3. Department of Health Science, Kobe Tokiwa University, Kobe, Japan.
Abstract
PURPOSE: This study aimed to better understand the nursing care time spent with healthy term newborns from birth to discharge, giving insight into neonatal nursing staff management. METHOD: In total, 30 healthy term newborns in a mixed hospital ward with an Obstetrics Department participated in this study. To measure care time, they had a wireless beacon attached to their cots. This measured how much time the nurses stayed in front of the cot from the time of birth until discharge, 24 hours/day. Collected data were tabulated every 24 hours after birth. RESULTS: Seventeen newborns had their data analyzed. The average length of hospital stay for the newborns was 8231.3 minutes. The average nursing care time for the newborns was 533.8 minutes. Nurses provided the highest care time during the first 24 hours after birth (157.6 minutes/24hr). After the first 24, the average nursing care time gradually decreased. The average nursing care time during the first 24 hours after birth was longer than the nursing care time for any other 24-hour periods, with a significant difference (p = 0.001 to 0.046). CONCLUSION: The nursing care time for healthy newborns gradually decreased with the passage of time after birth. Healthy newborns should be treated as individuals, and the number of nursing staff should be adjusted according to the number of newborns in the ward to ensure nursing care quality and to prevent life-threatening events during the first 24 hours after birth.
PURPOSE: This study aimed to better understand the nursing care time spent with healthy term newborns from birth to discharge, giving insight into neonatal nursing staff management. METHOD: In total, 30 healthy term newborns in a mixed hospital ward with an Obstetrics Department participated in this study. To measure care time, they had a wireless beacon attached to their cots. This measured how much time the nurses stayed in front of the cot from the time of birth until discharge, 24 hours/day. Collected data were tabulated every 24 hours after birth. RESULTS: Seventeen newborns had their data analyzed. The average length of hospital stay for the newborns was 8231.3 minutes. The average nursing care time for the newborns was 533.8 minutes. Nurses provided the highest care time during the first 24 hours after birth (157.6 minutes/24hr). After the first 24, the average nursing care time gradually decreased. The average nursing care time during the first 24 hours after birth was longer than the nursing care time for any other 24-hour periods, with a significant difference (p = 0.001 to 0.046). CONCLUSION: The nursing care time for healthy newborns gradually decreased with the passage of time after birth. Healthy newborns should be treated as individuals, and the number of nursing staff should be adjusted according to the number of newborns in the ward to ensure nursing care quality and to prevent life-threatening events during the first 24 hours after birth.
Entities:
Keywords:
Nursing care time for newborns; Continuous nursing care time during hospitalization; Length of hospital stay; Mixed hospital ward
Authors: J Margo Brooks Carthon; Linda Hatfield; Colin Plover; Andrew Dierkes; Lawrence Davis; Taylor Hedgeland; Anne Marie Sanders; Frank Visco; Sara Holland; Jim Ballinghoff; Mary Del Guidice; Linda H Aiken Journal: J Nurs Care Qual Date: 2019 Jan/Mar Impact factor: 1.597
Authors: Linda H Aiken; Walter Sermeus; Koen Van den Heede; Douglas M Sloane; Reinhard Busse; Martin McKee; Luk Bruyneel; Anne Marie Rafferty; Peter Griffiths; Maria Teresa Moreno-Casbas; Carol Tishelman; Anne Scott; Tomasz Brzostek; Juha Kinnunen; Rene Schwendimann; Maud Heinen; Dimitris Zikos; Ingeborg Strømseng Sjetne; Herbert L Smith; Ann Kutney-Lee Journal: BMJ Date: 2012-03-20