Journal List > Korean J Women Health Nurs > v.25(3) > 1133344

Son and Cho: Job Analysis of the Nursing Unit Managers of Women’s Hospital Using DACUM Analysis

Abstract

Purpose

To analyze the job of nursing unit managers working at women’s hospital, using DACUM (developing a curriculum), DACUM is a method for analyzing job-focused competency.

Methods

This study involved a descriptive survey. A DACUM workshop was held to define wom-en’s hospital nursing unit managers’ role and identify their duties and tasks. For the workshop, a committee was formed consisting of 5 women’s hospital nursing unit managers. Finally, after validation, the developed contents were made into a survey asking about nursing unit manager’s duties and tasks.

Results

Sixteen duties and 83 tasks were identified on the DACUM chart. The importance, difficulty, and frequency of the tasks were ranked in terms of A, B, and C, with A being the highest degree. Eight tasks received A’s all in importance, difficulty, and frequency of performance. The 8 tasks were: ‘taking over’, ‘taking care of seriously ill patients on handover’, ‘ward rounding’, ‘analyzing and resolving demands identified during handover and patient tour’, ‘reporting patient status during rounding’, ‘promoting breast-feeding’, ‘uterine contraction, and training for breast-feeding’. The duty with the biggest determinant coefficient (DC) was ‘patients complaint management’ (DC=7.09). Based on tasks, the one with the biggest DC was ‘solving patient and patient guardian’s complaints’ (DC=7.53), followed by ‘making infection control guidelines’ (DC=7.5).

Conclusion

When expanding the nursing staff of the hospital, women’s hospitals nursing unit managers also need to use administrative functions as intermediaries to focus on the operation management of the entire hospital rather than direct nursing to suit their role.

REFERENCES

1.Health Insurance Review & Assessment Service (KR). Search hospitals and pharmacies: search detailed condition [Internet]. Wonju: Health Insurance Review & Assessment Service;2018. [cited 2018 Jan 28]. Available from:. https://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002020000.
2.Organisation for Economic Co-operation and Development (OECD). OECD health database [Internet]. Paris: OECD;2018. [cited 2019 Jun 10]. Available from:. http://www.oecd.org/health/healthdata.
3.Lee TW., Kang KH., Ko YK., Cho SH., Kim EY. Issues and challenges of nurse workforce policy: a critical review and implication. Journal of Korean Academy of Nursing Administration. 2014. 20(1):106–116. CROSSREF.
crossref
4.Kim YM., June KJ., Cho SH. Factors related to nurse staffing levels in tertiary and general hospitals. Journal of Korean Academy of Nursing. 2005. 35(8):1493–1499.
crossref
5.Kim YM., Cho SH., Jun KJ., Go SK. The effect of institutional and market factors on nurse staffing in acute care hospitals. Korean Journal of Health Policy and Administration. 2007. 17(2):68–90. CROSSREF.
6.Cho SJ., Kim JH. Determinants of registered nurse skill mix & staffing level in Korea. Journal of Korean Academy of Nursing Administration. 2014. 20(1):10–21.
7.Lin L., Liang BA. Addressing the nursing work environment to promote patient safety. Nursing Forum. 2007. 42(1):20–30.
crossref
8.Kane RL., Shamliyan T., Mueller C., Duval S., Wilt TJ. Nurse staffing and quality of patient care. Evidence Report/Technology Assessment. 2007. 151(151):1–115. PUBMED.
9.Aiken LH., Sermeus W., Van den Heede K., Sloane DM., Busse R., McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012. 344:e1717.
crossref
10.Kim YH. Penalties for medical malpractice of obstetrics and gynecology director and nursing assistant. Gwangju: Namdomail;2011. March 13. Available from:. http://www.namdomail.com/16362.
11.Song SC. Newborn child hurts by mistake of nursing assistant. The obstetrician and gynecology director is also responsible [Internet]. Seoul: Doctors news;2017. [cited 2018 May 15]. Available from:. http://www.doctorsnews.co.kr/news/articleView.html?idxno=117247.
12.Kim HJ., Lim JS., Choi SM., Park SH., Park SH., An SE, et al. Analysis of activities and services of delivery room nurses based on DACUM technique. Journal of Korean Clinical Nursing Research. 2015. 21(3):319–334.
13.Korean Statistical Information Service (KOSIS). Population trend survey, [Internet]. Daejeon: Korean Statistical Information Service;2018. [cited 2019 Aug 30]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A077312&vw_cd=MT_ZTITLE&list_id=350_35001_6&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
14.Jung MS., Park GO., Kim SY., Kim EK., Kim EY., Kim JK, et al. Nursing management. Seoul: Hyunmoonsa;2016.
15.Sherrill WW., Keels-Williams F. Mapping competencies for the multiskilled health care professional: an allied health curriculum reform project. Journal of Allied Health. 2005. 34(4):185–191. PUBMED.
16.DeOnna J. DACUM: a versatile competency-based framework for staff development. Journal for Nurses in Staff Development. 2002. 18(1):5–11.
17.Kim IS. Analysis of the work of the head nurse and a work model for the head nurse in university hospitals in Korea. The Journal of Nurses Academic Society. 1989. 19(2):212–222.
crossref
18.Lee BS., Ko HJ., Kwon YS., Kim JN., Park YS., Park JS, et al. Activities of head nurses and charge nurses in a general hospital. Keimyung Journal of Nursing Science. 2001. 5(1):151–161.
19.Son JT. A study on the nursing activities of head nurses in hospitals. In: Gimcheon University Collection of Dissertation. Vol. 9. Gimcheon: Gimcheon University;1981. p. 133–160.
20.Malan E., Muller M. Function analysis of the job responsibilities of head nurses. Curationis. 1997. 20(3):47–53. PUBMED.
21.Cho KS. Job analysis of school health teachers working at high school using DACUM technique. The Journal of the Korean Society of School Health. 2016. 29(3):167–179. CROSSREF.
crossref
22.Kim HS., Kim SK., Kang JS. The study on education course for exercise instructors for dementia by DACUM job analysis. Journal of the Korean Gerontological Society. 2008. 28(2):357–375.
23.Norton RE., Moser J. DACUM handbook. 4th ed.Columbus: Center on Education and Training for Employment, The Ohio State University;2013.
24.Hong KJ., Kim SY., Park YS., Lee KJ., Lee HY. A study on the job analysis of nurse's position. Korean Nurse. 1986. 25(3):46–59. PUBMED.
25.Byeon HS., Jang MS. A study on the nursing managerial competency of head nurses in the general hospitals. Chonnam Journal of Nursing Sciences. 2000. 5(1):135–150.
26.Drach-Zahavy A., Dagan E. From caring to managing and beyond: an examination of the head nurse's role. Journal of Advanced Nursing. 2002. 38(1):19–28.
crossref
27.Cho DB. Identifying current state of medical malpractice in obstetric department and causes of medical malpractice through an analysis of court decisions on medical disputes [master's thesis]. Seoul: Yonsei University;2015. p. 32.
28.Korean Medical Dispute Mediation and Arbitration Agency. Medical case accident compensation case due to force majeure [Internet]. Seoul: Korean Medical Dispute Mediation and Arbitration Agency;2016. [cited 2018 Jun 24]. Available from:. https://www.k-medi.or.kr/lay1/bbs/S1T27C97/A/26/view.do?article_seq=2623.
29.American Organization of Nurse Executives (AONE). AONE nurse executive competencies: system CNE [Internet]. Chicago: AONE;2015. [cited 2018 Jun 12]. Available from:. http://www.aone.org/resources/sys-tem-cne-competencies.pdf.
30.Bondas T. Self-organizing development teams for innovative nursing care. Nursing Administration Quarterly. 2018. 42(3):269–277.
crossref

Figure 1.
Work Performance Table of Women’s Hospital Ward Manager. A (high), B (moderate), and C (low) indicate the degree of importance, difficulty, and frequency. DC=determinant coefficient; V/S=vital sign; EM=electronic medical record; SNS=social network service; QI=quality improvement. Work Performance Table of Women’s Hospital Ward Manager. A (high), B (moderate), and C (low) indicate the degree of importance, difficulty, and frequency. DC=determinant coefficient; V/S=vital sign; EM=electronic medical record; SNS=social network service; QI=quality improvement.
kjwhn-25-239f1.tifkjwhn-25-239f2.tif
Table 1.
DC Scores for Duties and Tasks of Women’s Hospital Ward Manager
Duty (DC) Task DC
Daily major work Handing over the work 6.40
(5.68) Identifying discharge (recognize the vacancy and adjust the admission and discharge) 5.56
Identifying severely ill patients during takeover 7.20
Reporting to physician (bedside availability) 5.40
Rounding the ward 6.23
Analyzing and resolving the needs identified during handover and patient rounding 7.20
Assisting physician’s rounds 5.23
Reporting patient condition during rounding (laboratory data, emergency surgery results, V/S, patient needs, etc.) 6.23
Inserting into EMR of additional order (verbal order) 5.03
Carrying out additional order 5.33
Reporting results of additional orders immediately (EMR, memo, SNS, face to face, etc.) 5.06
Admission guide (hospital facilities, parking, fire, visiting, infection control, nurse calls, etc.) 4.06
General nurse’s work (5.59) Nursing history taking (gastrointestinal disorders, dyspnea, sensation, headache, sputum, flu symptoms, pain, check for first urine after delivery, urinary difficulties, etc.) 5.63
Auscultating (bowel sound, pulmonary edema) 5.80
Palpating (breast, uterine contraction, pitting edema, etc.) 6.16
checking vaginal bleeding abnormality (pad) 5.40
Nursing mothers in the delivery room during rush hour of work 5.10
Direct nursing activity (5.58) Educating breastfeeding 6.50
Breast management (breast massage, breast care training) 6.23
Accessing uterine contraction 5.90
Intravenous injection 5.43
Nursing operating patients during rush hour of work in the delivery room (disinfection, rounding) 5.13
Assessing fetal sound 7.20
Inspecting (general condition, breast, anemia, etc.) 5.13
Taking a blood sample 5.06
Nursing record work (5.01) Input of EMR nursing record 5.33
Handwriting nursing records (nurse’s aide does not have permission to nursing record) 5.40
Organizing discharge patient charts 4.46
Meal management (4.03) Checking the number of patients to be eaten (patient, patient guardian) 3.76
Identifying individual patient meal types 4.03
Coordinating meal changes with nutritionists 4.30
Environmental management (4.79) Managing room temperature, humidity, and ventilation 5.00
Training for health and safety management 5.26
Training fire safety management 5.43
Checking the cleaning status of the patient room 4.53
Requesting facility repair (fault) 4.63
Checking and record the results of the facility’s repair 4.13
Environmental improvement work (4.39) Checking problems for the patient room interior improvement 4.56
Having a meeting to improve the interior of the patient room 4.36
Advising on improving the interior of the patient room (to management team) 4.66
Conference work (4.30) Having a meeting of senior officials 4.40
Attending regular meeting 4.20
Attending the nursing manager conference 4.26
Happy Call (post-discharge telephone management) (4.44) Determining Happy Call needs 4.00
Conducting Happy Call 5.16
Writing Happy Call result 4.16
Adjustment work (5.64) Adjusting the health insurance review related issues 5.66
Adjusting the occurrence problems related to the department of hospital administration 5.53
Adjusting the incidence problems related to other nursing parts 6.13
Patients complaint management (7.09) Checking for patient and patient guardian’s complaints 6.83
Solving patient and patient guardian’s complaints 7.53
Identifying malicious complaints 7.16
Reporting on malicious complaints 7.50
Interviewing with employees based on complaints 6.46
Infection control (5.87) Making infection control guidelines 7.50
Training on how to disinfect the breast pump 5.00
Managing breast infection prevention 5.50
Caring the perineum (sitz bath, lochial discharge check, pad check, hematoma, sitz bath tub check etc.) 5.73
Checking the surgical wound 5.93
Managing mother-infant room (entry control, hand wash check) 5.86
Drug and commodity management (5.03) Advising on purchased goods (medical consumables, equipment) 4.80
Checking the medication management checklist (psychotropics, narcotics, high-priced medicine etc.) 5.40
Checking the commodity management checklist 5.06
Checking the equipment management checklist 5.33
Staff management (5.49) Making duty schedule 6.40
Adjusting duty schedules according to changes in workload (number of deliveries and operation) 6.16
Reporting on annual leave usage management 4.43
Interviewing with distress-related staff 5.76
Meeting employees with the retire intention of their jobs 5.20
Educational work (5.57) Educating discharged patients (individual breastfeeding education, group breastfeeding education, explanation of individual discharge procedures, explanation of group discharge procedures etc.) 5.46
Training for new nurses 6.33
Training for nursing students 5.50
Training for nurse aides 5.60
Training for nurse aide students 4.26
Educating pregnant women (breastfeeding) 5.63
Teaching on the Hospital Culture Center Program 5.00
Making discharge education brochures for each patient’s disease 6.23
Writing guidelines for nursing duty 6.86
Self-improvement (5.62) Collecting the latest information on women’s hospitals 5.70
Attending a meeting of women’s hospitals 5.33
Participating in the women’s hospital-related academic society and continuing education 5.70
Training on how to use equipment related to women’s hospitals 5.26
Working on quality improvement activities of nursing (QI) 6.20

Bold-maximum value for each duties.

DC=determinant coefficient; V/S=vital signs; EMR=electronic medical record; SNS=social network service; QI=quality improvement.

Table 2.
DC Scores of Tasks of Women’s Hospital Ward Manager
Duty Task DC
DC in highest
1 Patients complaint management Solving patient and patient guardian’s complaints 7.53
2 Infection control Making infection control guidelines 7.50
2 Patients complaint management Reporting on malicious complaints 7.50
4 Direct nursing activity Assessing fetal sound 7.20
4 Daily major work Analyzing and resolving the needs identified during handover and patient rounding 7.20
4 Daily major work Identifying severely ill patients during takeover 7.20
7 Patients complaint management Identifying malicious complaints 7.16
8 Educational work Writing guidelines for nursing duty 6.86
9 Patients complaint management Checking for patient and patient guardian’s complaints 6.83
10 Direct nursing activity Educating breastfeeding 6.50
DC in lowest
1 Meal management Checking the number of patients to be eaten (patients, patient guardian) 3.76
2 Happy Call (post-discharge telephone management) Determining Happy Call needs 4.00
3 Meal management Identifying individual patient meal types 4.03
4 Daily major work Admission guide (hospital facilities, parking, fire, visiting, infection control, nurse calls, etc.) 4.06
5 Environmental management Checking and record the results of the facility’s repair 4.13
6 Happy Call (post-discharge telephone management) Writing Happy Call result 4.16
7 Conference work Attending regular meeting 4.20
8 Conference work Attending the nursing manager conference 4.26
8 Educational work Training for nurse aide students 4.26
10 Meal management Coordinating meal changes with nutritionists 4.30

DC=determinant coefficient.

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