Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지

Study on Non-Value-Added Nursing Activities in a Tertiary Hospital

일 병원의 비부가가치 간호활동에 관한 연구

  • Received : 2011.05.24
  • Accepted : 2011.09.08
  • Published : 2011.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Purposes of this study were to identify non-value-added nursing activities (NVANAs) and to estimate the amount of time spent on NVANAs among total nursing activities. Methods: Non-value-added nursing activities were identified though the use of a focus group. The nurses in the focus group were nurses working in a tertiary hospital. They discussed possible activities that could be NVANAs. Based on the focus group discussion, a pilot study was done to examine the actual occurrence of NVANAs in clinical settings. Results: The focus group discussion showed that NVANAs occurred in ten categories of nursing performances including communication with physicians, communication with other departments, medications, equipment/supplies, nursing records, tests, admission, discharge, and transfer. Direct nursing activities accounted for 35.5% of total nursing activities while indirect nursing activities accounted for 64.5%. Of indirect nursing activities, 16% were NVANAs. Most NVANAs were related to communication and equipment/supplies. Conclusions: To improve the quality and efficiency of nursing activities, it is necessary to identify NVANAs and their causes. Results of this study suggest that improvement in the work process and nursing unit structure, support for equipment/supplies, and effective communication are needed to reduce NVANAs in tertiary hospitals in Korea.

Keywords

References

  1. Capuano, T., Bokovoy, J., Halkins D., & Hitchings, K. (2004). Work flow analysis: eliminating non-value-added work. Journal of Nursing Administration, 34(5), 246-256. https://doi.org/10.1097/00005110-200405000-00008
  2. Chi, S. A., Lee, E. H., Cho, K. S., Suh, M. J., Kang, H. S., Lim, N. Y. et al (2004). A study for establishment of clinical nurse's role in Korea. Journal of Korean Clinical Nursing Research, 9(2), 107-123.
  3. Henrich, A., Chow M., Skierczynski, B., & Lu, Z. (2008). A 36-Hospital time and motion study: how do medical-surgical nurses spend their time. The Permanent Journal, 12(3), 25-34.
  4. Kim, E. S. & Lee, H. J. (2006). Legal definition of nursing practice. Journal of Korean Academy of Nursing Administration, 12(4), 574-586.
  5. Kim, H. L. (2004). A comparison of nursing activity before and after implementation of OCS in general hospital. Unpublished master's thesis, Inje University of Korea, Pusan.
  6. Lee, M. S., Choi, K. S., Son, H. M., & Eun, Y. (2005). Understanding nursing practice through qualitative research. Seoul: Koonja.
  7. Lee, T. W., Kim, C. J., Park, J. S., & Kim, S. S. (2002). Nurse's adoption on a planned organizational change. Journal of Korean Academy of Nursing, 32(2), 155-164.
  8. Lee, T. W., Kim, C. J., Park, J. S., & Kim, S. S. (2002). Nurse's adoption on a planned organizational change. Journal of Korean Academy of Nursing, 32(2), 155-164.
  9. Park, J. H., Sung, Y. H., Song, M. S., Cho, J. S., & Sim, W. H. (2000). The classification of standard nursing activities in Korea. Journal of Korean Academy of Nursing, 30(6), 1411-1426.
  10. Park, J. H., Sung, Y. H., Park, K. O., Kim, Y. M., Nam, H. K., & Kim, K. S. (2006). Measurement and analysis of the standard nursing practice times of the reference nursing activities. Journal of Korean Clinical Nursing Research, 12(2), 17-29.
  11. Park, S. A., Jeong, M. S., Kim, J. H., Kim, J. K., Joo, M. K., Park, S. H., & Yu, M. (2010). Nursing management & policy. Seoul: Koonja.
  12. Shin, H. C. (1993). Innovation of management accounting. Seoul: Kyungmoonsa.
  13. Song, Y. S. (1983). Estimation of optimum hospital nursing manpower by patient classification system. Unpublished master's thesis, Ewha Womans University of Korea, Seoul.
  14. Storfjell, J. L., Ohlson, S., & Omoike, O. (2008). The balancing act: patient care time versus cost. Journal of Nursing Administration, 38(5), 244-249. https://doi.org/10.1097/01.NNA.0000312771.96610.df
  15. Storfjell, J. L., Ohlson, S., Omoike, O., Fitzpatrick, T., & Wetasin, K. (2009). Non-value-added time: the million dollar nursing opportunity. Journal of Nursing Administration, 39(1), 38-45. https://doi.org/10.1097/NNA.0b013e31818e9cd4
  16. Upenieks, V. V., Akhavan, J., & Kotlerman, J. (2007). Valueadded care: a new way of assessing nursing staffing ratios and workload validity. Journal of Nursing Administration, 37(5), 243-252. https://doi.org/10.1097/01.NNA.0000269744.17266.47
  17. Upenieks, V. V., Akhavan, J., & Kotlerman, J. (2008). Valueadded care: a paradigm shift in patient care delivery. Nursing Economics, 26(5), 294-301.