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

PURPOSE
This study was an analysis of the relationship between perception for appraisal of staff nurses in operating rooms and performance and organizational commitment.
METHOD
The survey was conducted with 176 staff nurses in operating rooms in 2 hospitals in Seoul. Data were analyzed using frequency, one-way ANOVA, Pearson correlation analysis, and stepwise multiple regression.
RESULT
1. Perception for appraisal including accuracy and justice was significantly related to organizational commitment (r=.496, P=.000). Perception for appraisal including accuracy and justice was slightly related to performance (r=.220, P=.003). 2. In order to determine the percentage of the variance of performance and organizational commitment that could be predicted by perception for appraisal, perception for appraisal was entered in the regression equation. Accuracy accounted for 25% of the variance in the organizational commitment. To determine the percentage of the variance of performance that could be predicted by perception for appraisal and organizational commitment, the perception for appraisal and organizational commitment were entered in the regression equation. Organizational commitment accounted for 21% of the variance in the performance. Consequently accuracy predicted organizational commitment. Organizational commitment predicted performance.
CONCLUSIONS
Findings indicate the need to increase accuracy of performance appraisal to promote organizational commitment and performance in perioperative nurses.

Citations

• The Impact of Clinical Competence and Perception of Clinical Ladder System on Organizational Commitment among Nurses at a General Tertiary Hospital
  Yeon Hee Shin, Mi Ra Lee, Sung Nam Kim, Min Jung Kim, Ae Jin Kim, Hyun Ja Kim, Ji Yoon Kang
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 120.     CrossRef
• Perception of Clinical Ladder System, Professional Self-Concept, Self-Efficacy, and Organizational Commitment by the Level of Clinical ladder among Intensive Care Unit Nurses
  Ji Hyun Lee, Su Jung Choi
  Journal of Korean Critical Care Nursing.2022; 15(3): 51.     CrossRef
• Effects of Perceived Collaboration with Nurses and Physicians on Nursing Performance in Perioperative Nurses
  Seohee Jeong, Seok Hee Jeong, Myung Ha Lee, Hyun Kyung Kim
  Journal of Korean Academy of Nursing Administration.2018; 24(3): 253.     CrossRef
• The Convergence Effects of Commitment of Organization and Positive Psychological Capital in Nurse on Burnout
  Seung-hee Lee, Ju-young Park, Kyung-min Lee, Eun-hye Shin, Jung-mi Park, Hyun-a Nam, Sung-bae Noh
  Journal of Digital Convergence.2016; 14(6): 335.     CrossRef
• Job Satisfaction, Organizational Commitment and Turnover Intention among Male Nurses
  Min Kweon Ahn, Myung Ha Lee, Hyun Kyung Kim, Seok Hee Jeong
  Journal of Korean Academy of Nursing Administration.2015; 21(2): 203.     CrossRef
• The Impact of Organizational Justice, Empowerment on the Nursing Task Performance of Nurses: Focused on the Mediating Effect of Job Satisfaction and Organizational Commitment
  So Yeun Jun, Hyung Jin Rho, Ji Hyun Lee
  Korean Journal of Occupational Health Nursing.2014; 23(2): 55.     CrossRef
• Comparative Study of Emotional Intelligence, Organizational Citizenship Behavior, Organizational Commitment and Organizational Performance of Clinical Nurses in Korea
  Kyeong-Deok Jeon, Myung Suk Koh
  Journal of Korean Academy of Nursing Administration.2014; 20(4): 446.     CrossRef