‘Doing the writing’ and ‘working in parallel’: How ‘distal nursing’ affects delegation and supervision in the emerging role of the newly qualified nurse

Johnson, Martin; Magnusson, Carin; Allan, Helen; Evans, Karen; Ball, Elaine; Horton, Khim; Curtis, Kathy; Westwood, Sue

doi:10.1016/j.nedt.2014.11.020

Cited by 22 publications

(59 citation statements)

References 25 publications

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“…More clarity in role responsibility would benefit the application of IR, and greater and more accessible education to all staff involved. Delegation to less qualified staff may be beneficial in basic nursing care aspects, but ineffective delegation can lead to missed care instances and unsafe practice (Gravlin & Bittner, ; Johnson et al., ). Delegation skill, though not mentioned in the literature, may be something that needs to be addressed from the perspective of the pre‐registration nurse and other staff delegated to the role in relation to IR (Blevins & Millen, ; Hasson, McKenna, & Keeney, ).…”

Section: Discussionmentioning

confidence: 99%

Intentional rounding – An integrative literature review

Ryan

Jackson

Woods

et al. 2018

Journal of Advanced Nursing

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Aims To establish current knowledge about the efficacy and acceptance of intentional rounding in current practice, from the perspective of nurses, patients, patient satisfaction and safety indicators. Background Intentional rounding is a formal means of nursing staff checking care needs of patients in hospital settings on a regular basis. Design An integrative literature review conducted following the Joanna Briggs Institute manual. Data sources A literature search from 2000 – 2017 was conducted using the following electronic databases: The Cumulative Index to Nursing and Allied Health Literature, ProQuest, PubMed, Informit, Sage and Scopus. Review methods Articles were assessed for quality and rigor using the Critical Appraisal Skills Program tool and the Effective Public Health Practice Project Quality Assessment tool for Quantitative Studies. A sequential explanatory mixed studies approach was used to combine qualitative and quantitative evidence in a single review. In‐depth parallel reviews of the quantitative and qualitative evidence were undertaken, and then a synthesis of the combined qualitative and quantitative evidence conducted. Results Intentional rounding has positive outcomes on patient satisfaction and safety. Nurses perceive benefits related to intentional rounding; however, some nurses perceive it as an additional, unnecessary task. The effectiveness of intentional rounding is influenced by external factors including leadership and formal rounding education, workload, ward layout, staffing and experience level. Conclusion Intentional rounding is a positive intervention in patient safety and satisfaction generally, but needs further research and consideration about actual impact, staff delegation, education and engagement, student nurse involvement, documentation and specializing the structure of intentional rounding.

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Section: Discussionmentioning

confidence: 99%

Intentional rounding – An integrative literature review

Ryan

Jackson

Woods

et al. 2018

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Both RNs and UAPs should know their corresponding roles, based on the different characteristics of nursing tasks (Johnson et al . ).…”

Section: Discussionmentioning

confidence: 97%

“…Organisational culture, individual working style, communication effectiveness and different nursing tasks have an impact on successful delegation (Johnson et al . ). Inconsistencies between expected nursing tasks and required nursing tasks may diminish patient outcomes (McNeese‐Smith ).…”

Section: Discussionmentioning

confidence: 97%

“…Unlicensed nursing personnel should receive education on documentation and the importance of reporting significant changes in patients (Johnson et al . ). Nationally standardized delegation regulations for nursing tasks would maintain the safety of patients.…”

Section: Discussionmentioning

confidence: 97%

“…Leaders delegate to unlicensed nursing personnel (UAP, also nursing assistants, nursing auxiliaries, care assistants, care aides, health aides and support workers; Johnson et al . ) to use their skills and competencies (Bystedt et al . ).…”

Section: Introductionmentioning

confidence: 99%

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