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Original Article

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

Mi Young Kim1, Sung Ae Park2
Journal of Korean Academy of Nursing Administration 2011;17(3):315-326.
Published online: September 30, 2011

1Unit Manager, Department of Nursing, Samsung Medical Center, Korea.

2Professor, College of Nursing, Seoul National University, Korea.

Correspondence: Park, Sung Ae. College of nursing, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. Tel: 82-2-740-8821, sungaepa@snu.ac.kr
• Received: May 24, 2011   • Revised: August 1, 2011   • Accepted: September 8, 2011

Copyright © 2011 Korean Academy of Nursing Administration

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  • 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.
  • Key Words: Non-value-added nursing activity; Nursing time; Focus group
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Table 1
Major categories of activity and definition of non-value-added activity
jkana-17-315-i001.jpg
Table 2
Non-value-added nursing activities (drawn from focus group discussion)
jkana-17-315-i002.jpg
Table 3
Proportion of time spent in all nursing activities (n=42)
jkana-17-315-i003.jpg

DNA : direct nursing activity, IDNA : indirect nursing activity,

NVANA : non-value-added nursing activity, VANA : value-added nursing activity

Table 4
Reported nurse time in each activity (n=42)
jkana-17-315-i004.jpg

VANA : value-added nursing activity, NVANA : non-value-added nursing activity

Table 5
Reported nurse time in non-value-added nursing activities drawn from focus group discussion (n=42, time=min)
jkana-17-315-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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      Quality Improvement in Health Care.2013; 19(2): 68.     CrossRef

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    Study on Non-Value-Added Nursing Activities in a Tertiary Hospital
    J Korean Acad Nurs Adm. 2011;17(3):315-326.   Published online September 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.3.315
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    Study on Non-Value-Added Nursing Activities in a Tertiary Hospital
    J Korean Acad Nurs Adm. 2011;17(3):315-326.   Published online September 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.3.315
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    Study on Non-Value-Added Nursing Activities in a Tertiary Hospital
    Study on Non-Value-Added Nursing Activities in a Tertiary Hospital

    Major categories of activity and definition of non-value-added activity

    Non-value-added nursing activities (drawn from focus group discussion)

    Proportion of time spent in all nursing activities (n=42)

    DNA : direct nursing activity, IDNA : indirect nursing activity,

    NVANA : non-value-added nursing activity, VANA : value-added nursing activity

    Reported nurse time in each activity (n=42)

    VANA : value-added nursing activity, NVANA : non-value-added nursing activity

    Reported nurse time in non-value-added nursing activities drawn from focus group discussion (n=42, time=min)
    Table 1 Major categories of activity and definition of non-value-added activity

    Table 2 Non-value-added nursing activities (drawn from focus group discussion)

    Table 3 Proportion of time spent in all nursing activities (n=42)

    DNA : direct nursing activity, IDNA : indirect nursing activity,

    NVANA : non-value-added nursing activity, VANA : value-added nursing activity

    Table 4 Reported nurse time in each activity (n=42)

    VANA : value-added nursing activity, NVANA : non-value-added nursing activity

    Table 5 Reported nurse time in non-value-added nursing activities drawn from focus group discussion (n=42, time=min)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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