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

Kim, Mi-Young (Department of Nursing, Samsung Medical Center)
Park, Sung-Ae (College of Nursing, Seoul National University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.17, no.3, 2011 , pp. 315-326 More about this Journal
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
Non-value-added nursing activity; Nursing time; Focus group;
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1 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.   DOI   ScienceOn
2 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.   DOI   ScienceOn
3 Upenieks, V. V., Akhavan, J., & Kotlerman, J. (2008). Valueadded care: a paradigm shift in patient care delivery. Nursing Economics, 26(5), 294-301.
4 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.
5 Lee, M. S., Choi, K. S., Son, H. M., & Eun, Y. (2005). Understanding nursing practice through qualitative research. Seoul: Koonja.
6 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.
7 Kim, E. S. & Lee, H. J. (2006). Legal definition of nursing practice. Journal of Korean Academy of Nursing Administration, 12(4), 574-586.
8 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.
9 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.
10 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.
11 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.
12 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.
13 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.
14 Shin, H. C. (1993). Innovation of management accounting. Seoul: Kyungmoonsa.
15 Song, Y. S. (1983). Estimation of optimum hospital nursing manpower by patient classification system. Unpublished master's thesis, Ewha Womans University of Korea, Seoul.
16 Storfjell, J. L., Ohlson, S., & Omoike, O. (2008). The balancing act: patient care time versus cost. Journal of Nursing Administration, 38(5), 244-249.   DOI   ScienceOn
17 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.   DOI   ScienceOn