Redesigning the RN and NA Roles

Nurses’, midwives’ and patients’ perceptions of trained health care assistants

“…In Hong Kong, Chang (1997) reported high levels of nurse and patient satisfaction with the contribution of HCAs, with most respondents asserting that HCAs should be full members of clinical teams. Similarly in America, a number of studies have reported that patient satisfaction increased after the introduction of 'unlicensed assistive personnel' (Neidlinger et al 1993, Kostovich et al 1994, Gould et al 1996.…”

Nursing staff mix models and outcomes

“…(1996) identified that nurses expressed concern about their degree of involvement in decisions about their future employment settings. While a number of publications have acknowledged that RNs experience role conflict when URWs are introduced, most are descriptive reports, with no evidence of a significant relationship between the variables reported (Kirby & Garfink 1991, Fritz & Cheeseman 1994, Gould et al. 1996).…”

Adding unregulated nursing support workers to ward staffing: Exploration of a natural experiment

“…Thus, the addition of nursing support workers may lead to improvements in the quality of emotional care provided to patients. Although this has not been explored previously, early studies in Hong Kong (Chang & Lam, 1997) and the USA (Gould, Thompson, Rakel, & Jensen, 1996;Kostovich, Mahneke, Meyer, & Healy, 1994;Neidlinger, Bostrom, Stricker, Hild, & Zhang, 1993) have shown increased patient satisfaction as a result of the introduction of nursing support workers, suggesting there may indeed be a positive impact.…”