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

Merve Altiner, Selda Secginli, Michelle A. Mathiason, Karen A. Monsen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)147-168
Number of pages22
JournalResearch and Theory for Nursing Practice
Issue number2
StatePublished - May 1 2019


  • Omaha System
  • interventions
  • methods
  • multitasking
  • time and motion studies

PubMed: MeSH publication types

  • Journal Article


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