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  1. Cardona, Providencia BSN, RN
  2. Tappen, Ruth M. EdD, RN, FAAN
  3. Terrill, Mildred RN
  4. Acosta, Mildred RN
  5. Eusebe, Maria I. RN


The effective use of nursing staff time is a major determinant of the quality of care in long-term care facilities. The purpose of this work sampling study was to identify those activities that consumed the largest amount of staff time on a locked unit housing 60 chronically ill and demented patients. A heavy work load, large proportion of direct care, and minimal nonproductive time were found. Work redesign strategies to improve staff efficiency and implications for further research are discussed.