J Korean Acad Nurs Adm.  2017 Jun;23(3):301-311. 10.11111/jkana.2017.23.3.301.

Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital

• Kim EK
• Choi EH

• KMID: 2386843
• DOI: http://doi.org/10.11111/jkana.2017.23.3.301

Abstract

PURPOSE
The purpose of this study was to identify effects of moving from a functional method of nursing care delivery to a modified team nursing delivery system.
METHODS
A structured self-report questionnaire was used to measure satisfaction with the nursing delivery system, self-efficacy, job stress and nursing performance. Participants were 72 nurses working at a university hospital and data were collected three times; before, one month and three months after the modification to a modified team nursing delivery system. Data were analyzed using repeated measure ANOVA.
RESULTS
Satisfaction with the nursing delivery system increased significantly after the change to the modified team nursing method. There were no significant differences in self-efficacy, job stress, or nursing performance. However, satisfaction with the nursing delivery system and nursing performance increased and job stress decreased significantly in new nurses with less than 1 year experience.
CONCLUSION
Results indicate that a modified team nursing method has positive results on nurses' satisfaction, self-efficacy, job stress, and nursing performance compared to the functional method. Effect of changing the nursing delivery system in the hospital suggests possibilities and directions for a modified nursing delivery system that would be useful in hospitals presently using the functional method.

Keyword

Nursing performance; Satisfaction of nursing delivery system; Self-efficacy; Job stress

MeSH Terms

Methods
Nursing Care
Nursing*
Nursing, Team

Figure

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  Figure 1 Functional method of nursing care delivery system in study hospital.

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  Figure 2 Modified team nursing method of nursing care delivery system in study hospital.

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