Investigators at Ascension Health and Kaiser Permanente led a multisite study designed to explore how nurses use their time and whether the design of their workplace has an impact on patient care.
The investigators then convened a "summit" conference of nurses, researchers, and other experts in the field to discuss their findings and issue a series of "principles" to guide design decisions in creating optimal nursing units.
The investigators reported their findings in an article published in The Permanente Journal (12, 2008).
Summit conference participants made a number of recommendations in the conference report: Time & Motion: Transforming the Hospital Patient Care Environment. A Proclamation for Change. In order to transform the hospital-patient care environment and improve the delivery of safe, high-quality, patient-centered care, participants agreed on the need for: