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Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals

Journal of Korean Academy of Nursing 2021³â 51±Ç 1È£ p.27 ~ 39
KMID : 0806120210510010027
¹ÚÁÖ¿µ ( Park Ju-Young ) - Kunjang University Department of Nursing

ȲÁöÀΠ( Hwang Jee-In ) - Kyung Hee University College of Nursing Science

Abstract

Purpose: This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses¡¯ burnout, job satisfaction, turnover intentions, and medical errors.
Methods: A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program.

Results: The mean score for non-nursing tasks was 7.32¡¾1.71, and that for nursing care left undone was 4.42 ¡¾ 3.67. An increase in non-nursing tasks (¥â = .12, p = .021) and nursing care left undone (¥â = .18, p < .001) led to an increase in nurses¡¯ burnout (F = 6.26, p < .001). As nursing care left undone (¥â = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15).
Conclusion: Non-nursing tasks and nursing care left undone are positively associated with nurses¡¯ burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.
KeyWords
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Nurses, Burnout, Job Satisfaction, Personnel Turnover, Medical Errors
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