The purpose of this research was fourfold (a) to identify the use rate of the indirect care interventions performed by nurses, (b) to estimate the time to perform each intervention, (c} to identify the indirect care interventions to be delegated to others, and (d) to determine the level of provider preparation needed to delegate indirect care interventions. The sample consisted of 199 nurses working in three hospitals. The Indirect Care Survey developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean and validated by nurse experts.
Each of the 26 indirect care interventions were used several times a day. Four interventions (i.e..Docosmentation, Shift Report. Specimen Management, and Transport) were performed several times a. day by 50% or more of the nurses. The most frequently used intervention was Documentation. followed by the interventions Shift report. Environmental Management. Transport. and Examination Assistance. The least used intervention was Quality Monitoring, followed by the interventions Order Transcription, Referral. Health Care Inform~ction Exchange. Multidisciplinary Care Conference, and Product Evaluation.
The intervention taking the most time to per-form was Technology Management (155.3 minutes) , followed by the interventions Documentation, (122.2 minutes). Delegation (84.4 minutes). Supply management (83.4 minutes), and Preceptor Stu-dent (79.9 minutes). Overall. the nurses reported that they would not delegate to others the majority of the interventions. More than 50% of the nurses would not delegate 21 interventions. Shift Re-port would not be delegated by 95% of the nurses and Documentation would not be delegated by 92 % of the nurses.
Caregiver Support would be delegated by 68% of the nurses to family. Three interventions (i. e.. Environmental Management, Examination Assistance. and Transport) would be delegated by more than 50% of the nurses to Nursing Assistant.
This study will contributes to determining costs of nursing services and enhancing quality of nursing care. Replication study will be needed with large sample.
|