Non-nursing tasks as experienced by nursing students: Findings from a phenomenological interpretative study

Palese, Alvisa; Gnech, Denise; Pittino, Daniel; Capretta, Franco; Cossalter, Ornella; Tonet, Saverio; Mori, Luigi Pais dei; Grosso, Silvia

doi:10.1016/j.nedt.2019.02.005

Cited by 7 publications

(7 citation statements)

References 25 publications

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“…Similar to other studies on shadowing (Chen et al, 2020;Johnson et al, 2020;Nolte, 2018;Palese et al, 2019;Schuler, 2016), findings from this study support shadowing as a useful tool for understanding the role of the nurse. Unlike other studies, this study looked at shadowing through the eyes of nursing faculty shadowing one of their recently graduated nurses rather than a nursing student or medical student shadowing a nurse.…”

Section: Discussionsupporting

confidence: 89%

“…Shadow experiences provide participants with a unique opportunity to see and experience the actual work being done and to talk to those doing the job. Literature was found on students shadowing experienced nurses (Palese et al, 2019; Schuler, 2016) and physicians/medical students shadowing nurses (Chen et al, 2020; Johnson et al, 2020; Nolte, 2018), but research on academic faculty shadowing new graduate nurses was not found. This study attempts to address this gap.…”

Section: Introductionmentioning

confidence: 99%

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Academic Faculty Shadowing Their Graduate Nurses

et al. 2022

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The purpose of this study was to describe insights gained by academic nursing faculty after shadowing one of their new graduate nurses. BACKGROUND Shadowing experiences have been successfully used to orient students and new nurses to the role and reality of clinical practice. However, no studies were found on the experience of faculty shadowing a new graduate. This study addressed that gap. METHOD A case series design and methodology used both qualitative and quantitative data collection procedures. Qualitative data were derived from faculty during a debriefing session; quantitative data were obtained from a short survey completed by new graduates and faculty. RESULTS Faculty identified challenges faced by new graduates and opportunities to modify their nursing programs by addressing patient care delivery, time management, communication, and role ambiguity in more detail. CONCLUSION A shadowing experience for academic faculty leaders can help bridge the academic-practice gap and promote collaborative efforts to improve preparation for practice.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Academic Faculty Shadowing Their Graduate Nurses

et al. 2022

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“…In this context, alongside the moral obligation, there is also the need to be recognised as a ‘ good nurse’ . This can explain why, in the Italian context, despite the poor nurse-to-patient ratios (around 1:13 or more as documented in medical units, [ 27 ]), the MNC occurrence has been reported as similar to that documented in other countries where a more favourable nurse-to-patient ratio has been reported [ 13 , 15 , 48 , 55 – 57 ]. Moreover, with the increased number of patients, Italian nurses have been reported to reduce the MNC occurrence [ 27 ]: this paradox can be explained by the effect of some compensatory mechanisms relying on anticipating nursing care when faced with increased workloads.…”

Section: Discussionmentioning

confidence: 84%

Anticipated nursing care: findings from a qualitative study

Bottega

Palese

2020

BMC Nurs

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Background Contrary to Missed Nursing Care, some anecdotal data and sparse evidence has documented the tendency of nurses to anticipate some nursing interventions. However, no study has been conducted to date with the purpose of understanding this phenomenon and its underlying mechanisms and consequences. The aim of this study was to describe the phenomenon of delivering anticipated nursing care, its antecedents and consequences as perceived by nurses. Method A descriptive qualitative study. The Consolidated Criteria for Reporting Qualitative Research guidelines were followed. A purposeful sample of 17 clinical nurses and nurse managers working in three Italian hospitals were interviewed in depth in 2019. The audio-recorded interviews were verbatim transcribed and thematically analysed. Results ‘Anticipated Nursing Care’ is delivered significantly earlier than when expected by nurses in their care plan, by patients, by caregivers and by other members of the team. Medication administration, mobilisation of patients, hygiene care, changes of dressing, vital parameter monitoring, blood sampling and administrative activities were reported as interventions delivered before rather than when expected. Clinically stable patients have been reported to be at risk of receiving anticipated nursing care. Individual values and attitudes, group attitudes of being always ready for the “unexpected”, implicit group norms to “leave the patients and the unit in order”, high workloads, intertwined activities and work processes inside the units, have been reported as reasons for Anticipated Nursing Care. Effects of this phenomenon have been reported at the patients’ and at the nurses’ level. Conclusion Anticipated Nursing Care occurs when nurses perform interventions earlier than expected according to an implicit or explicit decision and not as a consequence of a request. The phenomenon requires future studies to detect its diffusion and to accumulate evidence. Its presence in daily practice, if confirmed, suggests that Missed Nursing Care studies should also consider the combined effect of these two phenomena as, on one hand, there may be the tendency to postpone and, on the other hand, the tendency to anticipate interventions.

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“…Moreover, research available has focused mainly on those activities delegable to nurses' aides, assistants and unlicensed health workers (Hewko et al, 2015;Palese, Gnech, et al, 2019). However, to our best knowledge, no studies have explored antecedents of non-nursing tasks as perceived by nurses, thus preventing the full identification of interventions aimed at minimizing the occurrence of the phenomenon and its negative consequences.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the recognized relevance, differences across countries on the scope of nursing education and practice and the heterogeneous perceptions among nurses with regard to what nursing care is and is not, as well as the continuous development of the nursing role (Benton et al, 2017 ), still prevent a full understanding of the factors promoting or hindering the occurrence of the phenomenon. Moreover, research available has focused mainly on those activities delegable to nurses' aides, assistants and unlicensed health workers (Hewko et al, 2015 ; Palese, Gnech, et al, 2019 ). However, to our best knowledge, no studies have explored antecedents of non‐nursing tasks as perceived by nurses, thus preventing the full identification of interventions aimed at minimizing the occurrence of the phenomenon and its negative consequences.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and reasons for non‐nursing tasks as perceived by nurses: Findings from a large cross‐sectional study

Grosso¹,

Longhini

Tonet³

et al. 2021

J Nursing Management

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Aim The aim of this study is to describe the prevalence and reasons for non‐nursing tasks as perceived by nurses. Background Four types of non‐nursing tasks have been identified to date: (a) auxiliary; (b) administrative, (c) expected by allied health care professionals; and (d) medical. However, no studies on a large scale have been performed with the aim of identifying the prevalence of all of these non‐nursing tasks, and factors promoting or hindering their occurrence, given that they represent a clear waste of nurses' time. Methods A cross‐sectional study in 2017, following The Strengthening the Reporting of Observational studies. All active nurses registered in an Italian provincial Nursing Board (=1331) willing to participate were involved. A questionnaire survey exploring the nature of the nursing tasks performed in daily practice and the underlying reasons was administered via paper/pencil and e‐mail. Results A total of 733 nurses participated of which 94.5% performed at least one type of non‐nursing task, mainly administrative and auxiliary. Auxiliary tasks are less likely among nurses working in a community (odds ratio [OR] 0.43, 95% CI 0.29–0.63, p < .01) or in a residential (OR 0.41, 95% CI 0.23–0.72, p < .01) setting, in critical (OR 0.29, 95% CI 0.16–0.54, p < .01) or surgical (OR 0.37, 95% CI 0.19–0.75, p < .01) hospital settings, and when they deal with unexpected clinical events (OR 0.58, 95% CI 0.44–0.77, p < .01). Greater adequacy of nursing resources decreases the occurrence of auxiliary tasks (OR 0.98, 95% CI 0.97–0.99, p < .01), whereas the need to compensate for a lack of resources (OR 1.44, 95% CI 1.07–1.93, p < .01) increases it. Conclusions Around one‐third of shift time is devoted to non‐nursing tasks; working in a hospital, in medical units, with lack of resources and with patients with predictable clinical conditions might increase the occurrence of auxiliary tasks. Implications for nursing management Strategies to increase the time available for nursing care should consider the type of tasks performed by nurses, their antecedents and the value added to care in terms of patient' benefits.

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Non-nursing tasks as experienced by nursing students: Findings from a phenomenological interpretative study

Cited by 7 publications

References 25 publications

Academic Faculty Shadowing Their Graduate Nurses

Academic Faculty Shadowing Their Graduate Nurses

Anticipated nursing care: findings from a qualitative study

Prevalence and reasons for non‐nursing tasks as perceived by nurses: Findings from a large cross‐sectional study

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