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Original Article

Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital

Eun-Kyung Kim1, Eun Ha Choi2
Journal of Korean Academy of Nursing Administration 2017;23(3):301-311.
Published online: June 30, 2017

1Department of Nursing Science, Chungbuk National University, Korea.

2Chungbuk National University Hospital, Korea.

Corresponding author: Choi, Eun Ha. Chungbuk National University Hospital, 1 Sunhwan-ro, Seowon-gu, Cheongju 776, Korea. Tel: +82-43-269-6710, Fax: +82-43-269-7608, eunhatn@gmail.com
• Received: April 20, 2017   • Revised: June 17, 2017   • Accepted: June 17, 2017

Copyright © 2017 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to identify effects of moving from a functional method of nursing care delivery to a modified team nursing delivery system.
  • Methods
    A structured self-report questionnaire was used to measure satisfaction with the nursing delivery system, self-efficacy, job stress and nursing performance. Participants were 72 nurses working at a university hospital and data were collected three times; before, one month and three months after the modification to a modified team nursing delivery system. Data were analyzed using repeated measure ANOVA.
  • Results
    Satisfaction with the nursing delivery system increased significantly after the change to the modified team nursing method. There were no significant differences in self-efficacy, job stress, or nursing performance. However, satisfaction with the nursing delivery system and nursing performance increased and job stress decreased significantly in new nurses with less than 1 year experience.
  • Conclusion
    Results indicate that a modified team nursing method has positive results on nurses' satisfaction, self-efficacy, job stress, and nursing performance compared to the functional method. Effect of changing the nursing delivery system in the hospital suggests possibilities and directions for a modified nursing delivery system that would be useful in hospitals presently using the functional method.
  • Key Words: Nursing performance; Satisfaction of nursing delivery system; Self-efficacy; Job stress
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Figure 1

Functional method of nursing care delivery system in study hospital.

jkana-23-301-g001.jpg
Figure 2

Modified team nursing method of nursing care delivery system in study hospital.

jkana-23-301-g002.jpg
Table 1

General Characteristics of Study Participants (N=72)

jkana-23-301-i001.jpg
Table 2

Differences in Satisfaction, Self-Efficacy, Job Stress and Nursing Performance according to Time (N=72)

jkana-23-301-i002.jpg

Pre=Functional method; Post 1M=Modified team nursing method 1 month later; Post 3M=Modified team nursing method 3 months later.

Table 3

Differences in Satisfaction, Self-Efficacy, Job Stress, and Nursing Performance according to Time Series (N=72)

jkana-23-301-i003.jpg

Pre=functional method; Post 1M=modified team nursing method 1 month later; Post 3M=modified team nursing method 3 months later; †a, b>c; ‡a<c.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
      Eunji Lee, Haejung Lee
      Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
    • A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
      Hyunjeong Kwon, Jinhyun Kim
      Nursing & Health Sciences.2024;[Epub]     CrossRef

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    Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
    J Korean Acad Nurs Adm. 2017;23(3):301-311.   Published online June 30, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.3.301
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    Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
    J Korean Acad Nurs Adm. 2017;23(3):301-311.   Published online June 30, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.3.301
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    • 1
    Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
    Image Image
    Figure 1 Functional method of nursing care delivery system in study hospital.
    Figure 2 Modified team nursing method of nursing care delivery system in study hospital.

    Figure 1

    Figure 2

    Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital

    General Characteristics of Study Participants (N=72)

    Differences in Satisfaction, Self-Efficacy, Job Stress and Nursing Performance according to Time (N=72)

    Pre=Functional method; Post 1M=Modified team nursing method 1 month later; Post 3M=Modified team nursing method 3 months later.

    Differences in Satisfaction, Self-Efficacy, Job Stress, and Nursing Performance according to Time Series (N=72)

    Pre=functional method; Post 1M=modified team nursing method 1 month later; Post 3M=modified team nursing method 3 months later; †a, b>c; ‡a<c.
    Table 1 General Characteristics of Study Participants (N=72)

    Table 2 Differences in Satisfaction, Self-Efficacy, Job Stress and Nursing Performance according to Time (N=72)

    Pre=Functional method; Post 1M=Modified team nursing method 1 month later; Post 3M=Modified team nursing method 3 months later.

    Table 3 Differences in Satisfaction, Self-Efficacy, Job Stress, and Nursing Performance according to Time Series (N=72)

    Pre=functional method; Post 1M=modified team nursing method 1 month later; Post 3M=modified team nursing method 3 months later; †a, b>c; ‡a<c.

    Table 1

    Table 2

    Table 3

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