Development and validation of a time and motion tool to measure cardiology acute care nurse practitioner activities

Can J Cardiovasc Nurs. 2011;21(4):18-26.

Abstract

Background: Acute care nurse practitioners (ACNPs) provide advanced nursing care to patients and families who are experiencing a complex acute, critical or chronic health condition. A clear understanding of ACNP activities may facilitate the deployment of ACNP roles in health care teams. Time and motion studies represent the gold standard to measure clinician work time.

Methods: A time and motion tool to measure cardiology ACNP activities was developed and pilot-tested in two organizations.

Findings: The researcher produced a valid and reliable tool. The inter-observer agreement was 0.94 following the pilot study. A training guide and a training schedule were produced to support the use of the time and motion tool. Each activity was defined to facilitate the coding of ACNP activities.

Conclusion: A validated tool can contribute to our knowledge of ACNP activities and role components, and identify the ACNPs' contributions to patient care and the functioning of the health care team.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Canada
  • Heart Diseases / nursing*
  • Humans
  • Nurse Practitioners*
  • Observer Variation
  • Pilot Projects
  • Reproducibility of Results
  • Time and Motion Studies*