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The purpose of this study was to describe factors that influence nurses' time from pain assessment to intervention for acute postsurgical pain. Nurses' time is a limited resource that must be optimized to manage patients' pain within budget constraints. Little is known about processes and activities nurses negotiate to manage pain. Human factors engineering and ethnography were used to quantify factors influencing time from pain assessment to intervention. On the basis of 175.5 observation hours, nurses spent 11% of shifts (mean, 83 minut
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