Factors Related to Non-Nursing Tasks Among Staff Nurses in Provincial Hospitals in Aceh
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Abstract
Background: Non-nursing tasks, frequently performed by nurses despite not requiring professional training, are common in healthcare facilities worldwide. These additional responsibilities increase workload, negatively affecting care quality, healthcare worker well-being, patient safety, satisfaction, and overall efficiency.
Objective: This study aimed to examine factors related to non-nursing tasks among staff nurses.
Material and Method:A cross-sectional study was conducted in three hospitals in Aceh Province from December 2024 to February 2025. A total of 244 nurses were selected using proportional sampling to ensure accurate representation of the nursing population in each hospital. The sample selection used accidental sampling, choosing odd-numbered nurses from the shift schedule, provided they met the inclusion criteria.
Results:The study found that 73% of nurses had performed non-nursing tasks, with the highest prevalence occurring during the night shift. The most frequently performed task was administrative duties (67.6%). Factors associated with non-nursing tasks included compensating the lack of resources, being pressed by the organizational culture, dealing unexpected clinical events, and protecting patients (p = 0.001), with compensating the lack of resources being the most dominant factor (OR = 4.2, 95% CI: 1.99–8.85, p = 0.001).
Conclusion: Compensating the lack of resources is the primary factor driving nurses to perform non-nursing tasks as an adaptation to workforce limitations, organizational culture, and unexpected clinical situations, ultimately impacting patient care quality and nurse well-being
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Al Amri SA, Dupo Jonas, Al Kindi MM, Al Tobi RS, BaniOraba SM, Torrano G, Mohammed Al Amri F, Al Aamri FI. The Extent of Non – Nursing Tasks and Their Impact on Quality Patient Care as Perceived by Nurses in Al Dakhliyah Governorate, Oman. Saudi Journal of Nursing and Health Care. 2019 Sep 30;02(09):308–13. https://doi.org/10.36348/sjnhc.2019.v02i09.005
Ayasreh IR, Hayajneh F, Al Awamleh R. The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession. Nurse Media Journal of Nursing. 2022 Aug 1;12(2):151–9. https://doi.org/10.14710/nmjn.v12i2.45075
Hammad M, Guirguis W, Mosallam R. Missed nursing care, non-nursing tasks, staffing adequacy, and job satisfaction among nurses in a teaching hospital in Egypt. Journal of the Egyptian Public Health Association. 2021 Dec 1;96(1). https://doi.org/10.1186/s42506-021-00083-0
Asghari E, Archibald M. It’s time to revisit non-nursing tasks performed by nurses. Vol. 10, Nursing Practice Today. Tehran University of Medical Sciences; 2023. p. 1–3. https://doi.org/10.18502/npt.v10i1.12250
Rokhafrooz D, Alborzi Z, Shustari SSGZ, Heydari M. Nursing Students’ Perception of the Educational Environment in a Public University in Ahvaz, Iran: A Study Based on DREEM Questionnaire. Nurse Media Journal of Nursing. 2022 Apr 27;12(1):88–99. https://doi.org/10.14710/nmjn.v12i1.41727
Grosso S, Longhini J, Tonet S, Bernard I, Corso J, de Marchi D, Dorigo L, Funes G, Lussu M, Oppio N, Grassetti L, Pais Dei Mori L, Palese A. Prevalence and reasons for non-nursing tasks as perceived by nurses: Findings from a large cross-sectional study. J Nurs Manag. 2021 Nov 1;29(8):2658–73. https://doi.org/10.1111/jonm.13451
Carsel S. MetodologiPenelitian Kesehatan dan Pendidikan - Google Books. Penebar Media Pustaka. 2018.
Naiem Z, Ahmed AE, Abdel-Sattar AL, Saleh M, Saleh M. Job satisfaction, non-nursing tasks and nursing tasks left undone among nurses at Zagazig University Hospitals in Egypt. Vol. 11, Original Article Egyptian Journal of Health Care. 2020. https://doi.org/10.21608/ejhc.2020.185708
Prosen M. Nursing students’ perception of gender-defined roles in nursing: a qualitative descriptive study. BMC Nurs. 2022 Dec 1;21(1). https://doi.org/10.1186/s12912-022-00876-4
Martin D, Weeres A. Building nursing role clarity on a foundation of knowledge and knowledge application. Healthc Manage Forum. 2016 May 1;29(3):107–10. https://doi.org/10.1177/0840470416633237
van den Oetelaar WFJM, van Stel HF, van Rhenen W, Stellato RK, Grolman W. Balancing nurses’ workload in hospital wards: study protocol of developing a method to manage workload. BMJ Open. 2016 Nov 10;6(11):e012148. https://doi.org/10.1136/bmjopen-2016-012148
Susilawati Y, Komariah M, Somantri I. Workload Measurement Models In Hospital: Literature Review. Journal Research of Social Science, Economics, and Management. 2023;02(6):957–67. https://doi.org/10.36418/jrssem.v2i06.357
Grosso S, Tonet S, Bernard I, Corso J, De Marchi D, Dorigo L, Funes G, Lussu M, Oppio N, Pais dei Mori L, Palese A. Non-nursing tasks as experienced by nurses: a descriptive qualitative study. Int Nurs Rev. 2019;66(2). https://doi.org/10.1111/jonm.13451
Tamata AT, Mohammadnezhad M. A systematic review study on the factors affecting shortage of nursing workforce in the hospitals. Vol. 10, Nursing Open. 2023.https://doi.org/10.1002/nop2.1434
Al-Akash H, Aldarawsheh A, Elshatarat R, Sawalha M, Saifan A, Al-Nsair N, Saleh Z, Almagharbeh W, Sobeh D, Eltayeb M. “We do others’ Jobs”: a qualitative study of non-nursing task challenges and proposed solutions. BMC Nurs. 2024 Jul 15;23(1):478. https://doi.org/10.1186/s12912-024-02059-9
Griffiths P, Saville C, Ball J, Jones J, Pattison N, Monks T. Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. Int J Nurs Stud. 2020 Mar 1;103. https://doi.org/10.1016/j.ijnurstu.2019.103487
Panjaitan RU, Keliat BA. Persepsi Perawat PelaksanaTentangBudayaOrganisasi Dan Kinerja. Vol. 17, JurnalKeperawatan Indonesia. 2014. https://doi.org/10.7454/jki.v17i1.376
Leuchter RK, Delarmente BA, Vangala S, Tsugawa Y, Sarkisian CA. Health Care Staffing Shortages and Potential National Hospital Bed Shortage. JAMA Netw Open. 2025 Feb 3;8(2):e2460645. https://doi.org/10.1001/jamanetworkopen.2024.60645
Kiptulon EK, Elmadani M, Limungi GM, Simon K, Tóth L, Horvath E, Szőllősi A, Galgalo DA, Maté O, Siket AU. Transforming nursing work environments: the impact of organizational culture on work-related stress among nurses: a systematic review. BMC Health Serv Res. 2024 Dec 2;24(1):1526. https://doi.org/10.1186/s12913-024-12003-x
El Desoky E, El Said N, El-Shaer A. Organizational Culture, Individual Innovation and their relation to Nursing Staff’s Work Engagement. Mansoura Nursing Journal. 2021 Feb 1;8(3):39–59. https://doi.org/10.21608/mnj.2021.213159
Griffiths P, Dall’Ora C. Nurse staffing and patient safety in acute hospitals: Cassandra calls again? Vol. 32, BMJ Quality and Safety. BMJ Publishing Group; 2023. p. 241–3. https://doi.org/10.1136/bmjqs-2022-015578
Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, Ellwood L. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020 Nov;111:103637. https://doi.org/10.1016/j.ijnurstu.2020.103637
Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, Xia L, Liu Z, Yang J, Yang BX. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020 Jun;8(6):e790–8. https://doi.org/10.1016/S2214-109X(20)30204-7
Primc N. Dealing with Scarcity of Resources in Nursing: The Scope and Limits of Individual Responsibility. European Journal for Nursing History and Ethics. 2020;(2):1–15. https://doi.org/10.25974/enhe2020-8en
Rees S, Farley H, Moloney C. How registered nurses balance limited resources in order to maintain competence: a grounded theory study. BMC Nurs. 2021 Dec 1;20(1). https://doi.org/10.1186/s12912-021-00672-6
Zhafira D. Peran Manajemen Sumber Daya Manusia Pada Kasus Burn Out PerawatSebagai Faktor PenentuKualitasPelayananDi Rumah Sakit: Literature Review. Jurnal Kesehatan Tambusai. 2024;5(2). https://doi.org/10.31004/jkt.v5i2.29223
Roth C, Breckner A, Krug K, Mahler C, Wensing M, Berger S. Integrating internationally qualified nurses: a qualitative exploration of nurse managers’ influence from nurses’ experiences. BMC Nursing. 2025;24(1):233. https://doi.org/10.1186/s12912-025-02875-7