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KMID : 0948220010050010151
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Keimyung Journal of Nursing Science
2001 Volume.5 No. 1 p.151 ~ p.161
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Activities of Head Nurses and Charge Nurses in a General Hospital
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Lee Byoung-Sook
Park Jeong-Sook
Park Cheong-Ja
Shin Yeong-Hee
Lee Kyung-Hee
Ko Hyo-Jung
Kwon Young-Sook
Kim Jung-Nam
Park Young-Sook
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Abstract
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The purpose of this study was to analyze the activities of head nurses and charge nurses of a general hospital in Taegu, Korea, Subjects of this study were 24 head nurses and charge nurses from 8 medical, and surgical nursing units. Instrument for the analysis of the activities was developed by authors based on the previous activity studies. The instrument consisted of 121 activities which were classified to 21 activity subcategories, and finally 4 activity categories.
Data collection was done for 2 week, from 9th Feb, 1997 to 22th Feb., 1997 by observation. Raters for the study were trained for observation of the activities and method of recording the observation on the paper. The raters performed observation for one or two subjects every 10 minutes. Data were analyzed with SPSS 8.0 for Window program.
The results of the study were
(1) The average working time of the subjects for 1 shift were 420.22min. in head nurses and 453.17min. in charge nurses.
(2) The average working time by the categories of activities were 153.83min.(36.61%) for the indirect nursing care, 150.64min.(35.85%) for the administration, 69.36min (16350%) for the personal affairs, 46.39min (11.04%), for the direct nursing care in head nurses, and 237.21min (52.35%) for the indirect nursing care, 108.04min (223.84%) for the administration, 54.02min (11.92%) for direct nursing care, 53.90min.(11.89%) for the personal affairs in charge nurses.
(3) The average working time for the 3 subcategories of activities which were performed most by the subjects were 97.4min.(21.19%) for management or patient records, 80.00min.(19.04%) for meeting and reporting, 69.36min.(16.50%) for personal affairs in head nurses, and 166.47min.(36.74%) for management of patient records, 70.85min.(15.63%) for meeting and reporting, 53.90min.(11.89%) for personal affairs in charge nurses.
(4) The 3 activities which were performed most during the work time by the subjects were ´communication for exchange of duties´(36.60min), ´communication with medical professionals about the patients´(32.34min), ´recording and reviewing nursing records´(24.89min.) in head nurses, and ´communication for the exchange of duties´(45.85min), ´recording and reviewing nursing records´(43.17%), ´communication with medical professionals about the patients´(35.49%) in charge nurses.
By the results of this study, it was identified that head nurses and charge nurses in the hospital performed indirect nursing care and administration more than direct nursing care.
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KEYWORD
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Activity, Head nurse, Charge nurse
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