Facilitators and barriers in oncology clinical practice influencing nurses' completion of GRASP Workload Measurement System to ensure patient-centred care.

Hospital administrators have a great interest in obtaining a valid and reliable nursing workload measurement to help determine the hours of care needed per patient; one such method available is the GRASP Workload Measurement System. At Sunnybrook Health Sciences Centre, nurses' GRASP compliance and accuracy varies and often does not meet the target of 90%. The target assists the organization in estimating ongoing nursing workload and patients' care needs, while ensuring the provision of safe and appropriate care that is fiscally responsible.

GRASP Workload Nursing Measurement System at end of life.

The purpose of this quality improvement initiative was to analyze how nurses record their workload in the GRASP Workload Measurement System and document the end-of-life nursing care provided to imminently dying patients. The analysis was done in conformity with the Comfort Measures Order Set in our hospital. Nursing documentation was examined (n = 4 patient records) covering 15 oncology nursing shifts.

ConGRASPulations, a success story: The revival of workload to ensure tomorrow's success.

In our organization, nursing staff are required to complete a work load measurement tool (GRASP) every shift. This information is used to determine nurse/patient ratios and perform cost analysis. On a Surgical Oncology and Medical Short-Stay Unit, the nursing staff had not completed the GRASP over several years.