PURPOSE
Purpose of this research was to identify effects of application of a modified primary nursing system.
METHODS
Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul.
RESULTS
There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference.
CONCLUSION
Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

Citations

• Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application
  Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 323.     CrossRef
• Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
  Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 355.     CrossRef
• Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study
  Rahel Naef, Jutta Ernst, Heidi Petry
  Journal of Advanced Nursing.2019; 75(10): 2133.     CrossRef
• Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
  Su Mi Jung, Sook Hee Yoon
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 229.     CrossRef
• Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
  Eun-Kyung Kim, Eun Ha Choi
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 301.     CrossRef
• Nurses' Self-image Perceived by Clinical Nurses: An Application of Q-Methodology
  Eun-Ho Ha, Kyoung Soon Hyun
  Korean Journal of Adult Nursing.2014; 26(1): 117.     CrossRef

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.

Citations

• Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design
  Hyun-Joo Kim, Sun-Hee Lee, Jai-Jung Lee, Sun-Suk Seong, Hee Yang, Hyang-Yuol Lee
  Journal of Korean Academy of Nursing.2024; 54(2): 237.     CrossRef
• Assessing the Suitability of Interruption Intervention Strategies in Nursing Medication Administration: A Delphi Study
  Seung Ju Baek, Seung Gyeong Jang, Sang Hee Hong, Soo Ok Han, Won Lee
  Quality Improvement in Health Care.2024; 30(1): 88.     CrossRef
• Development of a Secondary Order Program for Pretransfusion Tests to Improve the Work Efficiency of Blood Bank
  Jung-ah Kim, Jeong Won Shin, Do Lee Lee, Woo Yong Shin, Jieun Kim, Hae In Bang
  The Korean Journal of Blood Transfusion.2021; 32(1): 22.     CrossRef
• Integrated and Person-Centered Nursing in the Era of the 4th Industrial Revolution
  Hyoung Suk Kim, Sun Joo Jang, Jeung-Im Kim
  Journal of Korean Academy of Nursing.2021; 51(3): 261.     CrossRef
• Nurses’ needs for care robots in integrated nursing care services
  Jai‐Yon Lee, Young Ae Song, Ji Young Jung, Hyun Jeong Kim, Bo Ram Kim, Hyun‐Kyung Do, Jae‐Young Lim
  Journal of Advanced Nursing.2018; 74(9): 2094.     CrossRef
• Nursing, Robotics, Technological Revolution: Robotics to Support Nursing Work
  Young Ae Song, Hyun Jeong Kim, Hyun Kyong Lee
  Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 144.     CrossRef
• Case study on improvements in non-value-added nursing activities to increase the efficiency of nursing care
  Yang-Hee Park, In-Gak Kwon, Kyei-Sook Park, Hae-Jung Jang, Mi-Ra Song, Hee-Jin Kim
  Quality Improvement in Health Care.2013; 19(2): 68.     CrossRef