A Time and Motion Study of Public Health Nurses’Daily Routine：Work Breakdown and Skill Development

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  • MORITA Takae
    Community／Gerontological Nursing, Yamaguchi University Graduate School of Medicine
  • ISOMURA Satoko
    Community／Gerontological Nursing, Yamaguchi University Graduate School of Medicine

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  • タイムスタディによる保健師の日常業務～時間量と能力開発～
  • タイムスタディ ニヨル ホケンシ ノ ニチジョウ ギョウム : ジカンリョウ ト ノウリョク カイハツ

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Abstract

<p>【Purpose】A time and motion study to ascertain how a public health nurse spent her time.</p><p>【Methods】A public health nurse was continuously observed from the beginning to the end of her shift and activity recorded on a minute-by-minute basis. She also completed a commonly-used Ministry of Health, Labour and Welfare survey about how she spent her working hours and free descriptive answer about the survey’s user-friendliness and utility.</p><p>【Results】The nurse’s observed total working time was 526 minutes with 75 nursing activities, classified into 10 categories. These included communication with residents（24.7%；130min）；liaison with other institutions（15.4%；81min）；evaluation and review of individual cases（9.5%；50min）；and consultations with colleagues and managers on community activity（13.5%；71min）．In contrast the nurse self-reported that her working hours comprised 4hours health and welfare services, 2hours coordination, and 2hours documentation.</p><p>【Discussion】“Consultations with colleagues and managers”and“evaluation and review of individual cases”lead to skill development. The nurse spent two hours on these tasks indicating that PHNs cultivate practical skills in their daily work. Ensuring that time was reserved for consultation and information sharing is important for skill development. Further research on their activity details is required to verify this research.</p>

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