Browse > Article

Analysis of Relative Job Performance Efficiency of Nurses in the Neonatal Intensive Care Unit  

Kim, Hyoyeong (College of Nursing, Yonsei University)
Lee, Hyejung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
Min, Ari (Red Cross College of Nursing, Chung-Ang University)
Publication Information
Korea Journal of Hospital Management / v.24, no.4, 2019 , pp. 57-69 More about this Journal
Abstract
Purpose: This study aimed to analyze the job performance efficiency of nurses in the Neonatal Intensive Care Unit (NICU) by using the Data Envelopment Analysis (DEA). Additionally, the study aimed to provide a detailed method to improve the currently inefficient way in which nurses perform their jobs by differentiating the reference group of more efficient nurses, and to compare the characteristics of the more efficient group of nurses to those of the less efficient group of nurses. Methodology: This study evaluated the relative job performance efficiency of nurses by applying DEA to 43 nurses in the NICU. The input variables for the efficiency analysis were working career (years), time spent in direct nursing care (hours), overtime (hours), and job-related training (hours); the output variables were the job performance scores of professional practice, research, leadership, and education. Data were analyzed using SPSS IBM 23.0 and Open Source DEA (OSDEA). Findings: The relative job performance efficiency of the 43 nurses was 0.933, and 20 nurses were evaluated as more efficient. In addition, the study confirmed the possibility of improving the overall job performance efficiency by improving leadership, while controlling the current input variables. Lastly, the more efficient nurses had significantly higher job performance scores for research (t=2.028, p=0.049), leadership (t=2.036, p=0.048), and education (t=2995, p=0.005) than those who were less efficient. Practical Implications: It is suggested that job performance be evaluated using DEA to improve the overall job performance efficiency of NICU nurses. The analysis results from DEA for nurses becomes evidence in support of establishing individualized goals for each nurse, thus resulting in a foundation for systematic human resource management of nurses, and ultimately contributing to increase in the job performance efficiency of nurses.
Keywords
Nurses; Job performance; Efficiency; Neonatal Intensive Care Unit; Data Envelopment Anaylsis;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Ko YK, Lee TW, Lim JY. Development of a Performance Measurement Scale for Hospital Nurses. J Korean Acad Nurs 2007;37(3):286-294.   DOI
2 Najar AV, Pooya A, Zoeram AA, Emrouznejad A. Assessing the Relative Performance of Nurses Using Data Envelopment Analysis Matrix (DEAM). J Med Syst 2018;42(7):125.   DOI
3 Yoo MS, Chung MS. The Relationships among the Perception of Quality Assurance and National Hospital Evaluation Program and Nursing Performance of Hospital Nurses. J Korean Acad Nurs Adm 2008;14(3):260-267.
4 Park YH, Lim JY. Performance Evaluation of Nurses in a General Ward Using Data Envelopment Analysis (DEA). J Korean Acad Soc Home Care Nurs 2018;25(1):67-77.
5 Park KO, Lee YY. Developing a Performance Appraisal Tool for Neonatal Intensive Care Unit Registered Nurses. J Korean Acad Soc Nurs Educ 2011;17(2):267-276.   DOI
6 Ministry of Health and Welfare. Support Project of Neonatal Intensive Care Unit: Contribution to the Increase of Premature Survival Rate [Internet]. Ministry of Health and Welfare; 2017 [cited 2019 Aug 30]. Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=338347&page=1
7 Ko KK. Theory of Efficiency Analysis. Goyang: Moonwoosa; 2017.
8 Osman IH, Berbary LN, Sidani Y, Al-Ayoubi B, Emrouznejad A. Data Envelopment Analysis Model for the Appraisal and Relative Performance Evaluation of Nurses at an Intensive Care Unit. J Med Syst 2011;35(5):1039-1062.   DOI
9 Lim JY, Kim MJ, Park CG, Kim JY. Evaluation of Efficiency of Community Visiting Health Service Units-A Demonstration of Using Data Envelopment Analysis (DEA). J Korean Acad Nurs Adm 2011;17(1):54-65.   DOI
10 Wagner JM, Shimshak DG, Novak MA. Advances in Physician Profiling: the use of DEA. Socioecon Plann Sci 2003;37(2):141-163.   DOI
11 Park ML, Lee MJ. Effects of Mentoring Program's Development about New Nurses. Journal of Convergence for Information Technology 2018;8(1):43-51.   DOI
12 Charnes A, Cooper WW, Rhodes E. Measuring the Efficiency of Decision Making Units. Eur J Oper Res 1978;2(6):429-444.   DOI
13 Banker RD, Charnes A, Cooper WW. Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis. Manage Sci 1984;30(9):1078-1092.   DOI
14 Kim HJ, Shin EC, Kim JH. Evaluation of Managerial Efficiency in Occupational Health Service Organizations Using the Data Envelopment Analysis Method. Korean J Occup Health Nurs 2002;11(2):108-120.
15 Park SA, Park GO, Kim SY, Sung YH. A Development of Standardized Nurse Performance Appraisal Tool J Korean Clin Nur Res 2007;13(1):197-211.
16 Kwon EO, Lee MH, Jeong SH, Kim HS. Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses. J Korean Acad Nurs Adm 2019;25(3):186-197.   DOI
17 Jun EK. Nursing Time Use in a Newborn Intensive Care Unit (NICU). J Korean Acad Nurs Adm 2000;6(1):55-81.
18 Lim JY, Ko GJ, Lee HH, Park YH, Yang IJ, Choi YJ. Performance Management for Nursing Organization Using Data Envelopment Analysis: Literature Reviews and Usage Strategies. J Korean Acad Soc Home Care Nurs 2015;22(1):59-68.
19 Hwang SW, Bae SH. Current Status of Nurse Working Hours, Related Issues and Improvements. Health & Nursing 2017;29(2):1-9.
20 Lee YM, Lee AK. A Educational Characteristics and Educational Needs regarding the Nursing Practice of Nurses. The Korean Society of Living Environmental System 2014;21(5):731-740.   DOI
21 Yoo K. Data Envelopment Analysis for Assessing the Relative Efficiency of Public Sector. Journal of Jeonbuk Administration 2000;14(2):1-20.
22 Im SI, Park J, Kim HS. The Effects of Nurses Communication and Self-Leadership on Nursing Performance. Korean J Occup Health Nurs 2012;21(3):274-282.   DOI
23 Seo MS, Park JS, Kim OK, Heo MH, Park JO, Park MM. The Influence of Clinical Nurses' Professional Self Concept and Interpersonal Relations on Nursing Competence. Korea Journal of Hospital Management 2017;22(2):28-43.
24 Mun MY, Kim MY. Influence of Teamwork Skill and Decision Making Competency on Nursing Work Performance. Journal of the Korean Data Information Science Society 2016;27(5):1361-1373.   DOI
25 Polit DF, Beck CT. Nursing Research, Generating and Assessing Evidence for Nursing Practice. 9 ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2012.
26 Kim SJ, Lee JY, Lee YM. Comparison of Nurses' Job Satisfaction, Patients' Satisfaction and Direct Nursing Time according to the Change in Grade of the Nursing Management Fee. Journal of Korean Society of Critical Care Nursing 2017;10(3):9-18.
27 Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, et al. Nurses' Extended Work Hours: patient, nurse and organizational outcomes. Int Nurs Rev 2015;62(3):386-393.   DOI