ergonomics-human-factors-2018-scientifictracks

19 / 21

Ergonomics & Human factors 2018 Archives of Medicine
ISSN: 1989-5216 Page 42
July 26-27, 2018
Rome, Italy
1 st Edition of International Conference on
Ergonomics &
Human Factors
Introduction: The Transfer of Tasks (TofT) initiative, an industrial
relations agreement, involves the transfer of phlebotomy and
cannulation tasks from non-consultant hospital doctors (NCHDs)
to nurses in acute Irish hospitals. It aims to facilitate timely,
effective patient interventions. This national strategy was first
enacted in 2016. St. James’s Hospital, Dublin instigated the
process in May 2017 with a local implementation team delivering
standardized training. We conducted a study to determine the
impact of nurse training on NCHD task workload.
Methods: A prospective study gathered data on the number of
phlebotomy and cannulation tasks per hospital ward performed
by NCHDs over a three-week period from March 5th to March 25th
2018. Average times per task were obtained using observational
methods. Point prevalence analysis of nurse training rates was
performed at the end of data collection. Indices related to ward-
based nursing work demands were obtained concurrently. Wards
not involved in the TofT initiative were excluded.
Results: Eighteen wards were included in the study. 464
phlebotomy and 326 cannulation tasks were performed by
NCHDs (n=42) over a three-week period. Average times per
task were 10 minutes and 15 seconds (SD 5 minutes and 51
seconds) per phlebotomy task and 11 minutes and 8 seconds
(SD 3 minutes and 11 seconds) per cannulation task respectively.
Nursing training rates did not consistently correlate with number
of tasks performed by NCHDs. Reduced ward-based nursing work
demands were not significantly associated with a reduction in
tasks performed by NCHDs.
Conclusions: In spite of intensive training, organizational
management oversight and a standardized national initiative,
nursing training ratesarenot consistently inversely correlatedwith
the number of tasks performed by NCHDs. Human factors like
interpersonal relationships, attitudes towards task reallocation
and job-design factors may impact upon the implementation of
TofT.
Recent Publications
1. Transfer of Tasks from NCHDs to Nurses [Internet].
2016 [cited 24 April 2018]. Available
from:
releases/2016/transfer-of-tasks-from-nc/
2. Lansdowne Road Agreement (LRA) Q&A on Transfer
of Tasks [Internet]. . 2016 [cited 24
April 2018]. Available from:
tempDocs/13-14.%20FAQ%20on%20Transfer%20
of%20Tasks.pdf
3. Faller E et al. (2016) Immune thrombocytopenia
purpura associated with multiple myeloma. Annals of
Hematology. 95(8):1371-1372.
Biography
Lucy Chapman was elected a Scholar in Medicine of Trinity College Dublin,
Republic of Ireland in 2010 and subsequently graduated in 2013 in the 93rd
centile. She is pursuing aMasters in Health Informatics inMedicine of Trinity
College and has a keen interest in quality improvement in healthcare. Cur-
rently, she is a Physician Lead on the implementation of an electronic med-
ical record at St. James’s Hospital and is pursuing future specialist medical
training in the area of geriatric medicine.
Transfer of tasks: the impact of human factors on medical
task reallocation
Lucy Chapman 1, Domhnall McGlacken Byrne 1,2 and Emily Tone2
1St. James’s Hospital, Republic of Ireland
2Trinity College Dublin, Republic of Ireland
Lucy Chapman et al., Arch Med 2018, Volume 10
DOI: 10.21767/1989-5216-C1-002