Method Development for Describing Content of Multitasked Interventions Using the Omaha System

ALTINER YAŞ M. , SEÇGİNLİ S. , Mathiason M. A. , Monsen K. A.

RESEARCH AND THEORY FOR NURSING PRACTICE, cilt.33, ss.147-168, 2019 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 33 Konu: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1891/1541-6577.33.2.147
  • Sayfa Sayıları: ss.147-168


Background: Understanding multitasking within nursing and midwifery is needed for efficient, effective, and cost-effective health services. Methods are needed to measure and analyze multitasking in alignment with the nursing process. The Omaha System operationalizes the nursing process and may be a valuable resource for multitasking analysis. Purpose: The purpose of this study was to develop and test a method for describing intervention content of nurse/midwife multitasked interventions using the Omaha System and Time Capture Tool (TimeCaT) in a family health center in Turkey. Methods: Eight nurses/midwives were observed with TimeCaT in a family health center in 2016. Preidentified 84 nurse/midwife interventions employed in the center were mapped on Omaha System terms and entered in TimeCaT software for data collection. Co-occurring interventions were analyzed using descriptive and inferential statistics and visualization techniques. Results: Of 1066.8 total minutes observed, 34.0% included more than one intervention that occurred at the same time. Caretaking/parenting and postpartum problems, teaching, guidance, and counseling category, and caretaking/parenting skills target were more often multitasked than others. Implications for Practice: It was feasible to use the Omaha System and TimeCaT to categorize, describe, and measure multitasking nursing/midwifery interventions. This method may be applied to other time-motion data when more than one co-occurring intervention is recorded.