ArticlesHospital Nurses' Work Activity in a Technology-Rich Environment A Triangulated Quality Improvement AssessmentHiggins, Linda W. PhD, RN; Shovel, Judith A. BSN, RN; Bilderback, Andrew L. MS; Lorenz, Holly L. MSN, RN; Martin, Susan C. MSN, RN; Rogers, Debra J. BSN, RN; Minnier, Tamra E. MSN, RN, FACHE Author Information Wolff Center at UPMC, Pittsburgh, Pennsylvania (Dr Higgins and Mss Shovel, Martin, Rogers, and Minnier and Mr Bilderback); and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Mss Lorenz and Minnier). Correspondence: Linda W. Higgins, PhD, RN, Improvement Specialist II, Clinical Improvement Department, Wolff Center at UPMC, 4601 Baum Blvd, Ste 212, Pittsburgh, PA 15213 ([email protected]). This project received funding from Masimo Corporation and the University of Pittsburgh Health Policy InstituteThe authors declare no conflict of interest.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).Accepted for publication: August 20, 2016Published ahead of print: November 10, 2016 Journal of Nursing Care Quality 32(3):p 208-217, July/September 2017. | DOI: 10.1097/NCQ.0000000000000237 Buy SDC Metrics Abstract The aim of this project was to describe hospital nurses' work activity through observations, nurses' perceptions of time spent on tasks, and electronic health record time stamps. Nurses' attitudes toward technology and patients' perceptions and satisfaction with nurses' time at the bedside were also examined. Activities most frequently observed included documenting in and reviewing the electronic health record. Nurses' perceptions of time differed significantly from observations, and most patients rated their satisfaction with nursing time as excellent or good. © 2017 Wolters Kluwer Health, Inc. All rights reserved.