A systematic review of activities undertaken by the unregulated nursing assistant

Blay, N; Roche, M

A systematic review of activities undertaken by the unregulated nursing assistant

Blay, N Roche, M

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2020, 76, (7), pp. 1538-1551
Issue Date:: 2020-03-19

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Field	Value	Language
dc.contributor.author	Blay, N
dc.contributor.author	Roche, M https://orcid.org/0000-0002-3831-537X
dc.date.accessioned	2020-07-28T05:08:34Z
dc.date.available	2020-03-09
dc.date.available	2020-07-28T05:08:34Z
dc.date.issued	2020-03-19
dc.identifier.citation	Journal of Advanced Nursing, 2020, 76, (7), pp. 1538-1551
dc.identifier.issn	0309-2402
dc.identifier.issn	1365-2648
dc.identifier.uri	http://hdl.handle.net/10453/141892
dc.description.abstract	AIM:To identify activities performed by Nursing Assistants in acute and primary healthcare. DESIGN:Systematic review. DATA SOURCES:The databases MedLine/PubMed, ProQuest and Google Scholar were searched for empirical studies published in the English language between 2008 and 2018 that addressed the work of Nursing Assistants. REVIEW METHODS:From an initial yield of 2,944 publications, 71 publications were retained for full text review and 20 publications included in this review. Activities undertaken by Nursing Assistants from eight countries were extracted and categorized into one of six categories. RESULTS:Over 200 activities were identified as being delegated to Nurse Assistants globally. Many of these activities are beyond the training of the Nurse Assistant and are being performed with limited Registered Nurse supervision. CONCLUSION:Patient safety is at risk. Nurse Assistants' roles vary widely, with some seeing their role as similar to that of a regulated nurse, while recognizing their need for additional training. IMPACT:Over 31% of activities delegated to Nurse Assistants require skill and comprehension beyond their level of training. Patients and regulated nurses need to have confidence that Nursing Assistants responsible for care provision are appropriately trained and practicing within regulatory standards.
dc.format	Print-Electronic
dc.language	en
dc.publisher	Wiley
dc.relation.ispartof	Journal of Advanced Nursing
dc.relation.isbasedon	10.1111/jan.14354
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	A systematic review of activities undertaken by the unregulated nursing assistant
dc.type	Journal Article
utslib.citation.volume	76
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-07-28T05:08:29Z
pubs.issue	7
pubs.publication-status	Published online
pubs.volume	76
utslib.citation.issue	7

Abstract:

AIM:To identify activities performed by Nursing Assistants in acute and primary healthcare. DESIGN:Systematic review. DATA SOURCES:The databases MedLine/PubMed, ProQuest and Google Scholar were searched for empirical studies published in the English language between 2008 and 2018 that addressed the work of Nursing Assistants. REVIEW METHODS:From an initial yield of 2,944 publications, 71 publications were retained for full text review and 20 publications included in this review. Activities undertaken by Nursing Assistants from eight countries were extracted and categorized into one of six categories. RESULTS:Over 200 activities were identified as being delegated to Nurse Assistants globally. Many of these activities are beyond the training of the Nurse Assistant and are being performed with limited Registered Nurse supervision. CONCLUSION:Patient safety is at risk. Nurse Assistants' roles vary widely, with some seeing their role as similar to that of a regulated nurse, while recognizing their need for additional training. IMPACT:Over 31% of activities delegated to Nurse Assistants require skill and comprehension beyond their level of training. Patients and regulated nurses need to have confidence that Nursing Assistants responsible for care provision are appropriately trained and practicing within regulatory standards.

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http://hdl.handle.net/10453/141892