目的:调查护理助理被注册护士委派护理任务的经历。
方法:混合方法说明序贯设计。
方法:在澳大利亚一家急症医院工作的79名护理助理完成了调查,旨在确定他们与护士一起工作的经验以及他们被委派的活动。调查数据采用描述性统计分析。使用Braun和Clarke的主题分析对11名护理助理进行了访谈和分析。对结果进行了三角剖分,以提供对现象的更丰富的理解。
结果:大多数护理助理认为支持完成委托护理活动。然而,他们的实践范围很混乱,有些人感到工作过度,认为他们无权拒绝代表团。影响护理助理决定接受一个代表团的因素包括护士的态度,想成为团队和病房文化的一部分。正在学习成为护士的护理助理比没有成为护士的护士受到更多的支持。
结论:委派是一种双向关系,双方需要认识到自己的角色和责任,以确保提供安全有效的护理。不正确接受或拒绝委托活动可能会影响患者安全。
■强调需要实施策略,以支持注册和不受监管的劳动力之间的安全委派实践,以促进患者安全。
结论:描述了护理助理在接受护士委托护理时在急性护理环境中工作的经历。报告了一系列抑制或促进护士和护理助理之间有效授权实践的因素。提供证据,以支持需要加强有关护士和不受监管的工作人员之间的委派做法的教育和政策制定。
■符合APAStyleJARS-Mixed混合方法研究的报告标准。
■没有患者或公众捐款。
OBJECTIVE: To investigate the experience of nursing assistants being delegated nursing tasks by registered nurses.
METHODS: 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.
UNASSIGNED: Highlights the need for implementing strategies to support safe
delegation practices between the registered and unregulated workforce to promote patient safety.
CONCLUSIONS: 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.
UNASSIGNED: Complied with the APA Style JARS-MIXED reporting criteria for mixed method research.
UNASSIGNED: No patient or public contribution.