Factors impacting delegation decision making by registered nurses to assistants in nursing in the acute care setting: A mixed method study

Factors impacting nursing assistants to accept a delegation in the acute care settings: A mixed method study

“…Conflicting reports existed between the nursing assistants with some stating that they would refuse a delegation if it jeopardised patient safety, and others suggesting they would accept a delegation knowing that they would not have the capacity to complete the delegation but would prefer this rather than saying no to a registered nurse. A potential result of this is missed care leading to negative patient outcomes and decreased satisfaction in care provision (Crevacore, Coventry, et al., 2022). There was no literature identified that mirrors this issue experienced by the nursing assistant in this study.…”

“…Indirect patient care includes clerical activities, such as transportation of specimens, reports and requisitions within departments and cleaning activities such as making beds and maintaining the ward environment (Bureau of Labor Statistics – U.S. Department of Labor, 2023; Government of Western Australia, 2022). Direct care includes monitoring and recording patient observations, showering, dressing of wounds, last offices and assessing and monitoring health of clients (Blay & Roche, 2020; Crevacore, Coventry, et al., 2022).…”

“…Recently, there has been a growing interest in examining delegation practices in the acute setting in Australia (Blay & Roche, 2020; Crevacore, Coventry, et al., 2022), the USA (Campbell et al., 2020; Wagner, 2018) and Jordan (Saqer & AbuAlRub, 2018). The focus of the literature is on the registered nurse experience, and there is a lack of research regarding the experience of nursing assistants working with the registered nurse in the acute care environment and acceptance of delegated activities.…”

Exploring the core competencies of clinical nurses in chinese tertiary hospitals: a qualitative content analysis

“…Furthermore, the shift in mindset aids in the development of competencies and increases motivation for behavior change. As a result, the future focus and difficulty will be how to fully use critical thinking in nursing decision-making and train the shift in mindset [ 39 ].…”

A nurse by any other name? An international comparison of nomenclature and regulation of healthcare assistants

“…The lack of clarity around educational preparation and scope of practice means that teamwork with registered nurses can be difficult to navigate ( Bellury et al, 2016 ; Duffield et al, 2019 ; Roche et al, 2016 ; Wilberforce et al, 2017 ). Healthcare assistants report that they must navigate what they understand their scope of practice to be, the expectations of their employer, and the expectations of nurses (which varied person to person) ( Cowan et al, 2015 ; Crevacore et al, 2022 ; Roche et al, 2021 ; Wilberforce et al, 2017 ). The addition of unregulated workers has been found to increase the supervision responsibilities for registered nurses, which could delay care ( Duffield et al, 2018 ; Roche et al, 2016 ).…”