OBJECTIVES:
- Compare centralized and de-centralized clinical work configurations.
- Learn about national benchmarking standards – National Nurses Time and Motion Study.
- Learn about the function of simulation modeling in post occupancy evaluations.
- Understand the correlation between design intent and operational reality.
SCOPE OF STUDY:
- MD Anderson Orlando Planning
- Compare 1997 and 2010 guidelines
- Review and Assess the Previous Study
- Post Occupancy Evaluation
- A 36 Hospital Time and Motion Studyy
- How Do Medical Surgical Nurses Spend their Time?
- Simulation Modeling: A Suggestion for Future Research
- Analysis of Variables as Compared to National Nurses Time and Motion Study
- Architectural Correlational Studies
RESULTS:
- 2010 fgi guidelines include all private rooms, a private toilet room, 150 nsf per room, 4’ @ sides + 5’ at the foot of bed, and a sink at the room entrance.
- Decentralized and Centralized themes. Look for and travel to: Nurses, Computers, Supplies and Outlets. Allied Health Professionals encounter Face to Face communication, “Real-time” charting and Departmental laptops.
- More than 75% of all reported time devoted to nursing practice including patient care activities, care coordination, medication administration and documentation.
- 245 feet / shift / nurse or 89425 feet / year / nurse or 17 miles / year / nurse