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Joh, Lee, Choi, Kim, and Kim: Job Analysis Based on Working Hours and Activities of Oncology Advanced Practice Nurses
Original Article

Asian Oncology Nursing 2015; 15(1): 43-50.

Published online: 31 March 2015

DOI: https://doi.org/10.5388/aon.2015.15.1.43

Job Analysis Based on Working Hours and Activities of Oncology Advanced Practice Nurses

Hye Jin Joh, Jee Hyun Lee, Sun Hee Choi, Hye Kyung Kim, Kwang Sung Kim

Comprehensive Cancer Institute, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Kim, Kwang Sung. Comprehensive Cancer Institute, The Catholic University of Korea, Seoul St. Mary's Hospital, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-2786, Fax: +82-2-2258-2780, bm.coor@cmcnu.or.kr

Received 18 December 2014       Revised 24 February 2015       Accepted 24 March 2015

© 2015 Korean Oncology Nursing Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to analyze the actual working hours of an oncology advanced practice nurse (APN) at a university hospital according to the duties and tasks outlined in the job description.

Methods

An assessment tool for this study was created based on the job description of APN as defined by the Korean Nurses Association, and was later verified by a specialist party. Twenty-three oncology APNs recorded their nursing activity on the assessment tool. The working hours and distribution were analyzed according to specific duty and task.

Results

Average working hours per day for APNs totaled 9.3 hours. Time for duties was allocated as follows in order of priority: 28.0% for therapeutic intervention and 19.8% for clinical decision making. Time allotted for tasks was distributed as follows: 19.5% for special nursing care and 9.8% for planning treatment and nursing interventions.

Conclusion

This study allowed insight into the actual time spent by oncology APNs on duties and tasks outlined in the job description. These findings should contribute to management of the changing role of oncology APNs. Furthermore, the results may be used as a basic resource for the continued professional development of the work of oncology APNs.

Keywords: Advanced Practice Nursing, Job Description, Oncology Nursing

Figures and Tables

Table 1

Characteristics of Oncology APNs (N=23)

aon-15-43-i001
Characteristics Categories APN for solid tumor (n=14) APN for hematologic malignancy (n=9) Total (n = 23)
n (%) or M ± SD n (%) or M ± SD n (%) or M ± SD
Age (year) 34.0 ± 2.6 38.2 ± 2.2 35.7±3.2
Years in nursing 11.4 ± 2.7 15.8±2.5 13.1±3.4
Years in oncology nursing 11.2 ± 2.5 15.6±2.4 13.0±3.3
Years as APN 4.7 ± 1.5 5.1 ± 3.0 4.9 ± 2.2
Educational level Masters course 3 (21.4) 0 (0.0) 3 (13.0)
Master 11 (78.6) 9 (100.0) 20 (87.0)
Education Graduate school of nursing 2 (14.3) 7 (77.8) 9 (39.1)
Graduate school of oncologic nursing 11 (78.6) 1 (11.1) 12 (52.2)
Others 1 (7.1) 1 (11.1) 2 (8.7)
Marital status Married 10 (71.4) 8 (88.9) 18 (78.3)
Unmarried 4 (28.6) 1 (11.1) 5 (21.7)
Certification Oncology APN 10 (71.4) 9 (100.0) 19 (82.6)
Pending 4 (28.6) 0 (0.0) 4 (17.4)
Primary practice setting Inpatient 5 (35.7) 1 (11.1) 6 (26.1)
Outpatient 5 (35.7) 1 (11.1) 6 (26.1)
Inpatient & outpatient 4 (28.6) 5 (55.6) 9 (39.1)
Others 0 (0.00) 2 (22.2) 2 (8.7)
Major practice area* Hematology/medical oncology 10 (50.0) 7 (58.3) 17 (53.1)
Surgical oncology 6 (30.0) 6 (18.8)
Pediatric oncology 5 (41.7) 5 (15.6)
Gynecologic oncology 2 (10.0) 2 (6.3)
Thoracic surgical department 1 (5.0) 1 (3.1)
Others 1 (5.0) 1 (3.1)

*Multiple select.

Table 2

Analysis by Duty of Oncology APN (N=23)

aon-15-43-i002
Duty APN for solid tumor (n=14) APN for hematologic malignancy (n=9) Total (n = 23)
M ± SD (min) % M ± SD (min) % M ± SD (min) %
Data collection 29.38 ± 21.03 5.3 15.00 ± 15.32 2.6 23.75 ± 19.96 4.3
Clinical decision making: Diagnosis, plan, evaluation 95.27 ± 36.31 17.2 135.86 ± 72.96 23.8 111.15 ± 55.90 19.8
Therapeutic intervention 136.81 ± 58.29 24.6 188.84 ± 127.70 33.1 157.17 ± 92.80 28.0
Management of emergency 2.60 ± 3.26 0.5 0.00 ± 0.00 0.0 1.58 ± 2.82 0.3
Education & counseling 84.38 ± 51.16 15.2 74.11 ± 22.73 13.0 80.36 ± 41.96 14.3
Management environment and resource 25.50 ± 45.22 4.6 17.11 ± 31.15 3.0 22.21 ± 39.74 3.9
Consultation, coordination, cooperation 112.40 ± 48.40 20.3 92.11 ± 56.17 16.2 104.46 ± 51.32 18.6
Development of expertise 46.28 ± 22.65 8.3 28.11 ± 33.17 4.9 39.17 ± 28.03 7.0
Research 22.47 ± 25.46 4.0 19.44 ± 30.62 3.4 21.28 ± 26.95 3.8
Total 555.11 ± 48.80 100.0 570.60 ± 54.32 100.0 561.17 ± 50.29 100.0
Table 3

Analysis by Task of Oncology APN (N=23)

aon-15-43-i003
Duty Task APN for solid tumor (n = 14) APN for hematologic malignancy (n = 9) Total (n = 23)
M ± SD (min) % M ± SD (min) % M ± SD (min) %
Data collection Assesses health history 10.01 ± 13.23 1.8 7.44 ± 12.58 1.3 9.01 ± 12.75 1.6
Examines physical status 7.63 ± 8.20 1.4 2.00 ± 4.24 0.3 5.43 ± 7.36 1.0
Continuous monitors patients health status 11.24 ± 8.50 2.0 4.89 ± 7.08 0.9 8.76 ± 8.42 1.6
Assess social, psychological, spiritual status 0.50 ± 1.16 0.1 0.67 ± 1.00 0.1 0.57 ± 1.08 0.1
Subtotal 29.38 ± 21.03 5.3 15.00 ± 15.32 2.6 23.75 ± 19.96 4.3
Clinical decision making: diagnosis, plan, evaluation Identifies/interprets test results 30.89 ± 16.05 5.6 48.20 ± 37.69 8.4 37.66 ± 27.27 6.7
Determines nursing diagnosis 1.73 ± 3.07 0.3 0.00 ± 0.00 0.0 1.05 ± 2.51 0.2
Plans treatment & nursing intervention 45.73 ± 32.89 8.2 68.89 ± 55.37 12.1 54.79 ± 43.45 9.8
Plans follow-up system 4.79 ± 6.62 0.9 3.44 ± 8.32 0.6 4.26 ± 7.18 0.7
Modifies nursing contents based on evaluation 12.14 ± 6.28 2.2 15.33 ± 23.58 2.7 13.39 ± 15.10 2.4
Subtotal 95.27 ± 36.31 17.2 135.86 ± 72.96 23.8 111.15 ± 55.90 19.8
Therapeutic intervention Neoplasm prevention & Early detection 0.14 ± 0.53 0.0 0.00 ± 0.00 0.0 0.09 ± 0.42 0.0
Implements diagnostic test & nursing care related to test 12.51 ± 16.59 2.3 11.89 ± 17.40 2.1 12.27 ± 16.51 2.2
Provides therapeutic procedures 5.57 ± 7.15 1.0 1.67 ± 5.00 0.3 4.04 ± 6.57 0.7
Provides implements medication 20.41 ± 13.55 3.7 40.71 ± 62.12 7.1 28.36 ± 40.18 5.1
Provides special nursing care 93.46 ± 45.19 16.8 133.69 ± 133.97 23.4 109.20 ± 90.20 19.5
Provides palliative care 1.14 ± 2.03 0.2 0.22 ± 0.67 0.1 0.78 ± 1.68 0.1
Provides terminal care 3.57 ± 4.50 0.6 0.67 ± 2.00 0.1 2.43 ± 3.94 0.4
Subtotal 136.81 ± 58.29 24.6 188.84 ± 127.70 33.1 157.17 ± 92.80 28.0
Management of emergency Assesses oncology emergencies status 2.03 ± 2.82 0.4 0.00 ± 0.00 0.0 1.23 ± 2.39 0.2
Implements first aid & procedures 0.57 ± 1.22 0.1 0.00 ± 0.00 0.0 0.35 ± 0.98 0.1
Subtotal 2.60 ± 3.26 0.5 0.00 ± 0.00 0.0 1.58 ± 2.82 0.3
Education & counseling Manages health promotion project 2.71 ± 5.90 0.5 0.89 ± 2.67 0.2 2.00 ± 4.90 0.3
Provides education 49.20 ± 38.69 8.9 41.00 ± 24.82 7.2 45.99 ± 33.55 8.2
Provides counseling 30.54 ± 17.86 5.5 32.22 ± 13.53 5.6 31.20 ± 15.99 5.6
Provides coaching 1.93 ± 3.97 0.3 0.00 ± 0.00 0.0 1.17 ± 3.20 0.2
Subtotal 84.38 ± 51.16 15.2 74.11 ± 22.73 13.0 80.36 ± 41.96 14.3
Management environment and resource Human resource management 4.71 ± 9.34 0.8 3.78 ± 9.92 0.7 4.35 ± 9.35 0.8
Information management 19.86 ± 42.74 3.6 13.00 ± 29.80 2.3 17.17 ± 37.60 3.1
Environment, safety management 0.07 ± 0.27 0.0 0.33 ± 1.00 0.0 0.17 ± 0.65 0.0
Infection management 0.43 ± 1.34 0.1 0.00 ± 0.00 0.0 0.26 ± 1.05 0.0
Resource management 0.43 ± 0.94 0.1 0.00 ± 0.00 0.0 0.26 ± 0.75 0.0
Subtotal 25.50 ± 45.22 4.6 17.11 ± 31.15 3.0 22.21 ± 39.74 3.9
Consultation, coordination, cooperation Provides consultation 21.79 ± 11.02 4.0 21.22 ± 18.89 3.7 21.57 ± 14.20 3.8
Requests consultation & patient 7.23 ± 7.14 1.3 2.44 ± 4.30 0.5 5.36 ± 6.52 1.0
Monitors cooperative behavior relationship 54.53 ± 30.11 9.8 17.11 ± 19.55 3.0 39.89 ± 31.99 7.1
Case management 28.86 ± 20.70 5.2 51.33 ± 43.59 9.0 37.65 ± 32.71 6.7
Subtotal 112.40 ± 48.40 20.3 92.11 ± 56.17 16.2 104.46 ± 51.32 18.6
Development of expertise Develops standards of oncology nursing 2.43 ± 3.55 0.4 3.00 ± 6.00 0.5 2.65 ± 4.54 0.5
Manages quality of nursing 22.93 ± 17.18 4.1 5.78 ± 12.02 1.0 16.22 ± 17.33 2.9
Participates in the development & establishment of oncology policy 0.93 ± 2.16 0.2 0.89 ± 2.67 0.2 0.91 ± 2.31 0.2
Teaches & coaches for Human resource related to health 0.00 ± 0.00 0.0 0.00 ± 0.00 0.0 0.00 ± 0.00 0.0
Improves Self-development & speciality 20.00 ± 9.45 3.6 18.44 ± 23.21 3.2 19.39 ± 15.79 3.4
Subtotal 46.28 ± 22.65 8.3 28.11 ± 33.17 4.9 39.17 ± 28.03 7.0
Research Utilizes nursing theory in providing clinical care 0.00 ± 0.00 0.0 0.00 ± 0.00 0.0 0.00 ± 0.00 0.0
Implements & attends nursing research 22.43 ± 25.50 4.0 19.44 ± 30.62 3.4 21.26 ± 26.97 3.8
Provides evidence-based practice 0.04 ± 0.16 0.0 0.00 ± 0.00 0.0 0.03 ± 0.13 0.0
Subtotal 22.47 ± 25.46 4.0 19.44 ± 30.62 3.4 21.28 ± 26.95 3.8
Total 555.11 ± 48.80 100.0 570.60 ± 54.32 100.0 561.17 ± 50.29 100.0

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