Abstract
The aim:
To conduct a follow up study to measure registered nurses' time of direct patientcare after implementation of patientfocused care (PFC).
Background:
PFC is an organizational model with the objective to increase both patient participation and health care effectiveness. After a reconstruction of wards to single bedrooms in a hospital south of Sweden. PFC was implemented to increase time for direct patientcare in order to better meet patients' needs.
Method:
Time measured observations were conducted. 20 registered nurses were observed in four different wards at a 525-bed hospital in south of Sweden after implementation of PFC.
Findings:
In a workday of 8,5 hrs, registered nurses spend 6,8 hrs (79,8%) with work related to patients. Time for directcare was 2 hrs (23,8%) and time for indirect care was 4,8 hrs (56%). Indirect care consists of categories such as documentation, report and medical round.
Conclusion:
In comparison before implementation of PFC, time for patientrelated care increased by 10,8%. However, time is spent mainly at patient indirectcare activities. It is important to also focus on a change of culture in the organization to succeed with an implementation of PFC.