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Intrahospital transfers and the impact on nursing workload

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  • Nicole Blay
  • Michael A Roche
  • Christine Duffield
  • Robyn Gallagher

Abstract

Aims and objectives To determine the rate of patient moves and the impact on nurses’ time. Background Bed shortages and strategies designed to increase patient flow have led to a global increase in patient transfers between wards. The impact of transferring patients between wards and between beds within a ward on nurses’ workload has not previously been measured. Design A two‐stage sequential study. Retrospective analysis of hospital data and a prospective observational‐timing study. Methods Secondary analysis of an administrative data set to inform the rate of ward and bed transfers (n = 34,715) was undertaken followed by an observational‐timing study of nurses’ activities associated with patient transfers (n = 75). Results Over 10,000 patients were moved 34,715 times in 1 year which equates to an average of 2.4 transfers per patient. On average, patient transfers took 42 min and bed transfers took 11 min of nurses’ time. Based on the frequency of patient moves, 11.3 full‐time equivalent nurses are needed to move patients within the site hospital each month. Conclusion Transferring patients is workload intensive on nurses’ time and should be included in nursing workload measurement systems. Relevance to clinical practice Nurses at the site hospital spend over 1700 hr each month on activities associated with transferring patients, meaning that less time is available for nursing care.

Suggested Citation

  • Nicole Blay & Michael A Roche & Christine Duffield & Robyn Gallagher, 2017. "Intrahospital transfers and the impact on nursing workload," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4822-4829, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4822-4829
    DOI: 10.1111/jocn.13838
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    2. Pauline Griffiths, 2011. "A community of practice: the nurses’ role on a medical assessment unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(1‐2), pages 247-254, January.
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