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Types and Causes of Non-Value-Added Activities in Nursing Practice in Korea

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KMID : 1004620110170030363
ÃÖÁÖ¼ø ( Choi Joo-Soon ) - ´Ü±¹´ëÇб³º´¿ø °£È£ºÎ

¾ç¿µÈñ ( Yang Young-Hee ) - ´Ü±¹´ëÇб³ ÀÇ°ú´ëÇÐ °£È£Çаú
¹éÇý¼ø ( Baek Hae-Soon ) - ´Ü±¹´ëÇб³º´¿ø °£È£ºÎ

Abstract

Purpose: The purpose of this study was to identify the types and causes of non-value-added (NVA) activities in
nursing practice, and to determine the frequency of each NVA type and causes of NVA in clinical area.

Methods: This study was conducted using Delphi technique. First, in order to identify NVA and their causes, 24 nurses with 7 years or more of clinical experience were recruited from medical/surgical units in six general hospitals in Korea. Then the NVA types and causes were tested using a larger sample of 130 nurses with more than 3 years of clinical
experience at two general hospitals in Korea.

Results: NVA was categorized into 6 different types, which are repeating, duplicating, waiting, reverse-proxy working, reworking, and searching. The most prevalent NVAs were repeating and duplicating works. Reworking and searching were less frequent types than others. The causes of NVA were classified into personnel-related, supporting departments, records, regulations, information, materials or instruments, and others. Among them, personnel-related and supporting departments were reported with the highest scores.

Conclusion: NVA leads to waste cost and time. These results demonstrated the situations and causes of NVA occurred in nursing practice. Further studies on the typology and moderation of NVA activities are warranted to improve the efficiency and quality of nursing care in day-to-day practice.
KeyWords
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Nurses, Non-value-added nursing activity
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