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The Types and Causative Factors of Non-Value-Added Nursing Activities in Outpatient Departments

  • Global Health and Nursing
  • Abbr : Global Health Nurs
  • 2022, 12(1), pp.57-68
  • DOI : 10.35144/ghn.2022.12.1.57
  • Publisher : Research Institute of Nursing Science
  • Research Area : Medicine and Pharmacy > Nursing Science
  • Received : November 12, 2021
  • Accepted : January 5, 2022
  • Published : January 31, 2022

Ha, Mikyung 1 Kim, Dong-Hee 2

1양산부산대학교병원
2부산대학교

Accredited

ABSTRACT

Purpose: This study aimed to identify the types and causative factors of non-value-added nursing activities in outpatient departments. Methods: The participants were nurses working in the outpatient department of university hospitals located in two metropolitan cities. A total of 164 questionnaires were used for the final analysis. The research tool was a questionnaire composed of general characteristics, work-related characteristics, types of non-value-added nursing activities, and causes of non-value-added nursing activities in the outpatient department. These data were analyzed by frequency, percentage, and independent t-test and one-way ANOVA using SPSS 21.0. Results: The types of non-value-added nursing activities showed ‘repeating’ the most, followed by ‘reverse-proxy working’ and ‘waiting’. Answering phone calls for reservation confirmation or replying to irrelevant inquiries, providing guidance to hospital facilities or directing patients to the location of other departments, and providing information to not seeing patients was occurred always or frequently. The causes of non-value-added nursing activities were clients ignoring regulations, problems with computerized systems, and the absence of patients from designated locations. In terms of career in the current department, there was a statistically significant difference in the categories of ‘searching’ (t=-2.44, p=.016) and’reworking’ (t=-2.23, p=.027) among non-value�added nursing activities. There was a statistically significant difference between the number of aid nurses and ‘reverse-proxy working’ (t=-2.59, p=.010). There was a statistically significant difference between the number of patients and ‘repeating’ (F=3.39, p=.036), ‘reverse-proxy working’ (F=3.31, p=.039), and ‘duplicating’ (F=5.74, p=.004). Conclusion: This study is expected to be used as basic data to reduce non-value-added nursing activities and improve the efficiency of nursing activities in outpatient departments.

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