A matrix for the qualitative evaluation of nursing tasks

Abstract

Aims
To formulate a model for patient–nurse interaction; to compile a comprehensive list of nursing tasks on hospital wards; and to construct a nursing tasks demand matrix.

Background
The physical demands associated with nursing profession are of growing interest among researchers. Yet, it is the complexity of nursing tasks that defines the demands of ward nurses’ role. This study explores nursing tasks, based on patient–nurse interaction on hospital wards.

Methods
Extant literature was reviewed to formulate a patient–nurse interaction model. Twenty ward nurses were interviewed to compile a list of nursing tasks. These nursing tasks were mapped against the patient–nurse interaction model.

Results
A patient–nurse interaction model was created, consisting of: (1) patient care, (2) patient surveillance and (3) patient support. Twenty-three nursing tasks were identified. The nursing tasks demand matrix was constructed.

Conclusions
Ward managers may use a nursing tasks demand matrix to determine the demands of nursing tasks on ward nurses.

Implications for Nursing Management
While many studies have explored either the physical or the psychosocial aspects of nursing tasks separately, this study suggests that the physicality of nursing tasks must be evaluated in tandem with their complexity. Ward managers may take a holistic approach to nursing tasks evaluation by using a nursing tasks demand matrix.