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