Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A Convergence Investigation on Nursing Task Performance, Appropriate Performer, and Job Satisfaction of Nurses with Shift Work in General Ward

교대근무를 하는 일반병동 간호사의 간호업무 수행실태, 수행주체와 직무만족에 대한 융복합적 조사연구

  • Park, Kyongok (Department of Nursing, Gangneung-Wonju National University) ;
  • Yi, Yeojin (Division of Nursing, Hanyang University) ;
  • An, Jiwon (Department of Nursing, Far East University)
  • Received : 2021.04.24
  • Accepted : 2021.07.20
  • Published : 2021.07.28
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Abstract

This study is a secondary data analysis to investigate the nursing tasks performance, appropriate performer, and job satisfaction in the general wards with sift work. We found that nurses performed direct (45%) and indirect nursing (55%). The workload per shift was 37.2% in the day, 35.6% in the evening, and 27.2% at night. The tasks performed after handover were 'direct nursing (34.5%)' and 'documentation and notification (25.8%)'. Nurses responded that there were some tasks that could be delegated to nursing assistants or had ambiguous boundaries with other medical personnel. There was a significant correlation between compliance to the job description of the night shift and job satisfaction (rs=.43, p=.01). These results imply that it is necessary to establish strategies that will enhance work efficiency based on job analysis by shift work, reduce handover time using EMR system, stmart devices, and clarify appropriate performers.

본 연구는 일반병동에 근무하는 교대근무 간호사의 간호업무 수행실태와 직무만족도를 확인하기 위한 2차 자료 분석 연구이다. 연구 결과, 전체 간호 업무 중 대상자가 수행한 직접간호는 45%, 간접간호는 55%를 차지하였다. 교대 근무별로 주간에 수행한 업무량은 전체 업무량의 37.2%였고 인계 후 수행한 업무는 '직접간호(34.5%)'와 '기록과 보고(25.8%)'였다. 대상자들은 본인이 수행한 업무 중 일부분에 대해 간호보조 인력에게 위임 가능하거나, 타 의료인과 경계가 모호한 업무가 있다고 응답하였다. 야간근무의 직무이행도와 직무만족도 간의 유의한 상관관계(rs=.43, p=.01)가있었다. 이러한 결과는 교대근무별 직무분석에 근거한 업무효율성 제고 및 EMR적용, 스마트 기기 등을 활용한 인계시간 감소 전략, 업무 수행주체를 명확히 하는 방안이 필요함을 시사한다.

Keywords

Acknowledgement

This work was supported by Korean Health and Medical workers' Union grant(No.2020120324, No.2021120234).

References

  1. S. H. Cho et al. (2020). Estimation of Expected Nursing Hours Based on Patients' Nursing Care Needs and a Comparison with Actual Nursing Hours in Comprehensive Nursing Care Wards. Journal of Korean Academy of Nursing Administration, 26(4), 365-377. DOI : 10.11111/jkana.2020.26.4.365
  2. Y. S. Shin et al. (2018). Survey on healthcare workforce. Sejong : Korea Institute for Health and Social Affairs. https://www.kihasa.re.kr/publish/report/view?type=policy&seq=29090
  3. K. J. Hong & S. H. Cho. (2017). Comparison of Nursing Workforce Supply and Employment in South Korea and Other OECD Countries. Perspectives in Nursing Science, 14(2), 55-63. DOI : 10.16952/pns.2017.14.2.55
  4. T. W. Lee, K. H. Kang, Y. K. Ko, S. H. Cho & E. Y. Kim. (2014). Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication. Journal of Korean Academy of Nursing Administration, 20(1), 106-116. DOI : 10.11111/jkana.2014.20.1.106
  5. S. H. Yoon, C. W. Kang, D. H. Kee & H. J. Kim. (2018). Working time patterns and health among Korean nurses: a literature review. Journal of Korean Society of Occupational and Environmental Hygiene, 28(4), 331-345. DOI : 10.15269/JKSOEH.2018.28.4.331
  6. D. Y. Cho, H. M. Ko, J, K. Ahn & H. J. Jeong. (2019). Survey on working conditions of health and medical workers. Seoul : Korean Health and Medical workers' Union.
  7. J. H. Kim, H. J. Bae & H. J. Kwon. (2019). Shift work system for nursing workforce and direction of reorganization. Seoul : Federation of Korean Trade Unions.
  8. A. J. Choi, S. J. Choi, E. S. Kim, J. H. Park & S. Y. Won. (2020). Job Performance of Advanced Practice Nurses, Perceived Difficulty and Importance, and Willingness to Legally Delegate Clinical Practices to Advanced Practice Nurses by Health Care Professionals. Journal of Korean Clinical Nursing Research, 26(2), 217-231. DOI : 10.22650/JKCNR.2020.26.2.217
  9. Y. K. Ko & B. H. Park. (2014). The Relationship of the nursing work environment and nursing outcome among it's nurses and content Analysis of nurses' workload. Korea Journal of Hospital Management, 19(1), 54-67. http://www.ksha.net/html/sub03_01.asp
  10. J. H. Cho. (2015). A study on the limit of delegated legislation in Medical Law : focus on the Regulation of the Nurse's Aide. Korean Journal of Medicine and Law, 23(2), 91-111. DOI : 10.17215/kaml.2015.12.23.2.91
  11. M. S. Kim. (2013). A Study on the health & medical law concerning the prohibition of comprehensive mandate of legislative power. Korean Association of IACL, 20(1), 23-60.
  12. C. Dingley, K. Daugherty, M. K. Derieg & R. Persing. (2008). Improving patient safety through provider communication strategy enhancements. In Advances in patient safety: new directions and alternative approaches (Vol. 3: Performance and tools). Rockville : Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih. gov/books/NBK43663/
  13. E. J. Lim & Y. J. Yi. (2014). Comparison of operating room nurses and general ward nurses on communicative competence and interpersonal relationship ability within the medical team. Journal of Korean Academy of Nursing Administration, 20(3), 313-321. DOI : 10.11111/jkana.2014.20.3.313
  14. Y. R. Lee, S. K. Choi, I. S. Kim & S. J. Kang. (2018). A Study on reorganization of service and qualification management between nurse and nurse assistant: focusing on policy stream model by Kingdom. Health and Social Welfare Review, 38(1), 489-519. DOI : 10.15709/hswr.2018.38.1.489
  15. American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. [Online] https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-fornurses
  16. International Agency for Research on Cancer. (2006). Cobalt in hard metals and cobalt sulfate, gallium arsenide, indium phosphide and vanadium pentoxide. Lyon : IARC. https://www.ncbi.nlm.nih.gov/books/NBK321688/
  17. I. Kawachi et al. (1995). Prospective study of shift work and risk of coronary heart disease in women. Circulation, 92(11), 3178-3182. DOI : 10.1161/01.cir.92.11.3178
  18. B. Karlsson, L. Alfredsson, A. Knutsson, E. Andersson & K. Toren. (2005). Total mortality and cause-specific mortality of Swedish shift- and dayworkers in the pulp and paper industry in 1952-2001. Scandinavian Journal of Work, Environment & Health, 31(1), 30-35. DOI : 10.1161/01.cir.92.11.317810.5271/sjweh.845
  19. K. Segawa et al. (1987). Peptic ulcer is prevalent among shift workers. Digestive Diseases and Sciences, 32(5), 449-453. DOI : 10.1007/bf01296025
  20. T. Akerstedt, M. Nordin, L. Alfredsson, P. Westerholm & G. Kecklund. (2010). Sleep and sleepiness : impact of entering or leaving shiftwork - a prospective study. Chronobiology International, 27(5), 987-996. DOI : 10.3109/07420528.2010.489423
  21. J. C. Song. (2017). Survey on operation status of special health examination for night work. Ulsan : Korea Occupational Safety and Health Agency. https://url.kr/4rf9p3
  22. E. A. Kim. (2017). Results of 2015 special health examination of night work. In Seminar book on current status and future challenges of special health examination for night work. Ulsan : Korea Occupational Safety and Health Agency. https://url.kr/2e6n9c
  23. Ministry of Health and Welfare. (2019). Guidelines for night shift of nursing staffs. Sejong : Ministry of Health and Welfare. http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040102&CONT_SEQ=350963
  24. H. Y. Lee. (2011). The Effects of Professional Work Environments on Hospital Nurses. Master's dissertation. Hanyang University, Seoul.
  25. K. O. Park, Y. J. Yi & J. W. An. (2020). A study on the reduction of working hours by analyzing the work of shift nurses in the general ward. Seoul : Korean Health and Medical workers' Union.
  26. S. M. Lee, Y. H. Kim, U. M. Shim, J. S. Choi & M. Yu. (2017). Development of hospital nurses' job description based on DACUM method: focusing on general ward and intensive care unit. Journal of korean Academy of Nursing administration, 23(5), 535-547. DOI : 10.11111/jkana.2017.23.5.535
  27. H. J. Im, J. T. Shim & S. S. Lee. (2009). The study on impact of introduction characteristics factor of EMR system in perceived usefulness and ease of use and behavioral intentionto use. Journal of the Korean Society Industrial Information System, 14(2), 32-50.
  28. J. S. Park. (2015). Phase 1, System building and activating of healthcare information exchange for healthcare informatization : 2015 Survey on the current status of informatization of healthcare. Cheongju : Korea Health Indestry Development Institute. https://url.kr/ilsakp
  29. National Health Insurance Service. (2020). The Manual for standard operation of comprehensive nursing service. Wonju : National Health Insurance Service. https://www.nhis.or.kr/nhis/ together/wbhaea01000m01.do?mode=view&articleNo=10803732
  30. S. K. Park. (2005). Comparison of the implementation of universal precaution and work satisfaction of nuses in general wards and operation rooms. Master's dissertation. Catholic University, Seoul.
  31. B. J. Kim. (2007). The study on the job satisfaction of nurses in a 3-shift after the after the operation operation 5-day-a-week working system. Master's dissertation. Kyunghee University, Seoul.