earticle

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This With the global spread of Coronavirus disease (COVID-19) and public health crisis, appropriate allocation of healthcare human resources has been necessitated. Although nursing practice takes up a larger part of medical practice in hospitals, the quantitative assessment of nursing care has not been investigated for human resource allocation in the era of COVID-19. The study aimed to explore the differences in time spent on nursing interventions between negative pressure isolation wards (NPIWs) and general wards (GWs) in COVID-19 hub hospitals. A time-motion observational study was conducted with three external observers recording every minute of 19 different work schedules in two NPIWs and two GWs for pulmonary care. The study found that nursing records accounted for the largest amount of time consumed in both NPIWs and GWs, and nurses in GWs spent more time (654 minutes) on direct nursing than nurses in NPIWs (379 minutes). The mean duration of performing the category including wearing PPE was 308 minutes in NPIWs and 160 minutes in GWs, showing a significant difference (p<0.05). The study suggests that careful consideration is needed in the allocation of nursing resources for the care of COVID-19 patients, taking into account the differences in direct nursing time between the two groups.