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

Crevacore, C; Coventry, L; Duffield, C; Jacob, E

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

Crevacore, C Coventry, L Duffield, C

Jacob, E

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: J Clin Nurs, 2024, 33, (6), pp. 2153-2164
Issue Date:: 2024-06

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Field	Value	Language
dc.contributor.author	Crevacore, C
dc.contributor.author	Coventry, L
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743
dc.contributor.author	Jacob, E
dc.date.accessioned	2024-12-16T05:00:09Z
dc.date.available	2024-03-11
dc.date.available	2024-12-16T05:00:09Z
dc.date.issued	2024-06
dc.identifier.citation	J Clin Nurs, 2024, 33, (6), pp. 2153-2164
dc.identifier.issn	0962-1067
dc.identifier.issn	1365-2702
dc.identifier.uri	http://hdl.handle.net/10453/182580
dc.description.abstract	AIMS: To investigate the experience of nursing assistants being delegated nursing tasks by registered nurses. DESIGN: Mixed method explanatory sequential design. METHODS: A total of 79 nursing assistants working in an acute hospital in Australia completed surveys that aimed to identify their experience of working with nurses and the activities they were delegated. The survey data were analysed using descriptive statistics. Interviews with 11 nursing assistants were conducted and analysed using Braun and Clarke's thematic analysis. Results were triangulated to provide a richer understanding of the phenomena. RESULTS: Most nursing assistants felt supported completing delegated care activities. However, there was confusion around their scope of practice, some felt overworked and believed that they did not have the right to refuse a delegation. Factors impacting the nursing assistant's decision to accept a delegation included the attitude of the nurses, wanting to be part of the team and the culture of the ward. Nursing assistants who were studying to be nurses felt more supported than those who were not. CONCLUSIONS: Delegation is a two-way relationship and both parties need to be cognisant of their roles and responsibilities to ensure safe and effective nursing care is provided. Incorrectly accepting or refusing delegated activities may impact patient safety. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Highlights the need for implementing strategies to support safe delegation practices between the registered and unregulated workforce to promote patient safety. IMPACT: Describes the experiences of nursing assistants working in the acute care environment when accepting delegated care from nurses. Reports a range of factors that inhibit or facilitate effective delegation practices between nurses and nursing assistants. Provides evidence to support the need for stronger education and policy development regarding delegation practices between nurses and unregulated staff. REPORTING METHOD: Complied with the APA Style JARS-MIXED reporting criteria for mixed method research. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	J Clin Nurs
dc.relation.isbasedon	10.1111/jocn.17127
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Nursing Assistants
dc.subject.mesh	Australia
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Delegation, Professional
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Middle Aged
dc.subject.mesh	Nursing Staff, Hospital
dc.subject.mesh	Humans
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Nursing Staff, Hospital
dc.subject.mesh	Delegation, Professional
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Nursing Assistants
dc.subject.mesh	Humans
dc.subject.mesh	Nursing Assistants
dc.subject.mesh	Australia
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Delegation, Professional
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Middle Aged
dc.subject.mesh	Nursing Staff, Hospital
dc.title	Factors impacting nursing assistants to accept a delegation in the acute care settings: A mixed method study.
dc.type	Journal Article
utslib.citation.volume	33
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Nursing and Midwifery
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2024-12-16T05:00:07Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	33
utslib.citation.issue	6

Abstract:

AIMS: To investigate the experience of nursing assistants being delegated nursing tasks by registered nurses. DESIGN: Mixed method explanatory sequential design. METHODS: A total of 79 nursing assistants working in an acute hospital in Australia completed surveys that aimed to identify their experience of working with nurses and the activities they were delegated. The survey data were analysed using descriptive statistics. Interviews with 11 nursing assistants were conducted and analysed using Braun and Clarke's thematic analysis. Results were triangulated to provide a richer understanding of the phenomena. RESULTS: Most nursing assistants felt supported completing delegated care activities. However, there was confusion around their scope of practice, some felt overworked and believed that they did not have the right to refuse a delegation. Factors impacting the nursing assistant's decision to accept a delegation included the attitude of the nurses, wanting to be part of the team and the culture of the ward. Nursing assistants who were studying to be nurses felt more supported than those who were not. CONCLUSIONS: Delegation is a two-way relationship and both parties need to be cognisant of their roles and responsibilities to ensure safe and effective nursing care is provided. Incorrectly accepting or refusing delegated activities may impact patient safety. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Highlights the need for implementing strategies to support safe delegation practices between the registered and unregulated workforce to promote patient safety. IMPACT: Describes the experiences of nursing assistants working in the acute care environment when accepting delegated care from nurses. Reports a range of factors that inhibit or facilitate effective delegation practices between nurses and nursing assistants. Provides evidence to support the need for stronger education and policy development regarding delegation practices between nurses and unregulated staff. REPORTING METHOD: Complied with the APA Style JARS-MIXED reporting criteria for mixed method research. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

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http://hdl.handle.net/10453/182580