The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

WALK A MILE IN OUR SHOES: A COMPARISON OF THE AVERAGE STEPS TAKEN BY RCP’S AT A LARGE AND A SMALL ACUTE CARE HOSPITAL FACILITY.

E. Krauss1, R. Donnelly1, J. M. Brown 1

Background: Recently, evidence has shown that taking at least 10,000 steps a day is the path to a healthier lifestyle. As RCPs we must walk the halls of the hospitals in order provide care. But, how many steps does an RCP take in order to provide that care? And does the amount of walking you do to provide care depend on the size of the facility your working? In this study we looked at the average steps taken by RCP at 2 different size facilities in order to evaluate if RCPs at larger facilities walk a greater distance in order to provide patient care.

Methods: We randomly picked RCPs to wear pedometers for an eight (8) hour shift of patient care at two different size acute care hospital facilities. All of the RCP's selected had assignments that covers at least clinical areas. One facility was a 250 bed acute care community hospital (Christiana Care Health System- Wilmington Hospital) and the other facility was a 900 bed acute care hospital and trauma center (Christiana Care Health System- Christiana Hospital). RCPs were randomly selected and given pedometers prior to the start of their shift. The pedometers were sealed in order to blind the staff from knowing the amount of steps they had taken. At the end of the shift the RCPs were given a questionnaire in order to evaluate how they felt about their assignment and workload using the following Likert scale: 5= strongly agree, 4= agree, 3= unsure, 2= disagree, 1= strongly disagree. The number steps where recorded and revealed to the participant. We also collected the RCP's scheduled and actual workload productivity for their assignments.

Result: The average number of steps taken per eight hours shift were virtually identical. Schedule and actual full time FTEs per shift for the two facilities were similar. See table for additional data.

Conclusion: In this study we found that the size of the facility has no effect on the distance an RCP must travel in order to provide care. The 2 facilities we studied varied in size and have close to the same workload productivity per RCP shift. The size of the facility did not dictate the number of patients the RCP provided care for. It is possible that we could obtain a national step average that could later be used to reevaluate how Respiratory Care department determine their workload productivity per FTE. We plan to investigate this in future projects.

Data
 Large Facility (900 Bed) Small Facility (250 Bed)
Number of RCPs 42 16
Scheduled Productivity 1.03* FTE (± 0.43) 0.93* FTE(±0.19)
Actual Productivity 1.04* (± 0.46) 1.08* (± 0.38)
Average Steps 9018.65
(± 3363.72)
9382.31
(± 4906.90)
I had a typical assignment for my shift. 4.05 (± 0.7) 4.0 (±0.19)
My assigned areas (units) were within a reasonable distance of each other. 3.93 (± 0.97) 4.31 (± 0.52)
I was physically able to handle my assignment today. 4.29 (± 0.6) 4.38 (± 0.52)
I was not called away (pages, phone calls, codes) from my assigned task during my shift today. 2.33 (± 1.26) 3.63 (± 1.38)
I had a good day at work. 4.1 (± 0.66) 4.5 (± 0.55)



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