DOI: 10.21045/2071-5021-2017-54-2-4

Vechorko V.I.
Federal Research Institute for Health Organization and Informatics of Ministry of Public Health of Russian Federation, Moscow

Contacts: Valery I. Vechorko, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Vechorko V.I. http://orcid.org/0000-0003-3568-5065
Acknowledgments. The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance. Healthcare in Moscow currently experiences dynamic changes aimed at revising managerial staff strategies to ensure high performance indicators, quality improvement of care delivery, optimum distribution of available human resources and optimization of personnel workload. The main instrument for solution is substantiation of worktime standards of doctors and nurses, expedient staff appointment and management.

The work purpose: to study allocation of workload of nurses working with primary care physician in a Moscow city polyclinic.

Methods: photo-stopwatch observation, methods of descriptive statistics. Special software was applied for data processing.

Study results. Medical nurses working with a primary care physician spend 53.13% of their working time at the outpatient reception for paperwork and 28.51% for main activities, including 69.72% of time on reception activity; 13.30% - on fetching patients’ medical records from the front desk; 12.27% - on arranging doctor’s working place.

Conclusion. The two-week photo-stopwatch observation allowed to revise workload of district medical nurses in the Moscow city policlinic #180, to identify existing resources to increase time for working with the patient, to reduce time for paperwork, and to standardize additional activities.

Scope of application. Applicable for calculating workload standards, standards of staff size and other staffing standards in health care facilities that provide primary care on the outpatient basis within the framework of an individual health care facility.

Êëþ÷åâûå ñëîâà: ôîòîõðîíîìåòðàæíîå íàáëþäåíèå; ìåäèöèíñêàÿ ñåñòðà; óïðàâëåíèå ïåðñîíàëîì; ïåðâè÷íàÿ ìåäèêî-ñàíèòàðíàÿ ïîìîùü.

Keywords: photo-stopwatch observation; medical nurse; personnel management; primary care.

References

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