Qualitative Investigation of RN and Assistive Personnel Working Relationships

2.50
Hdl Handle:
http://hdl.handle.net/10755/156636
Type:
Presentation
Title:
Qualitative Investigation of RN and Assistive Personnel Working Relationships
Abstract:
Qualitative Investigation of RN and Assistive Personnel Working Relationships
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Potter, Patricia, RN, MSN, PhD
P.I. Institution Name:Barnes-Jewish Hospital
Title:Research-Scientist
Co-Authors:Eileen Grant
Objective: To understand how Registered Nurses (RNs) and unlicensed assistive personnel (UAP) work together in delivering patient care. Design: A qualitative investigation using phenomenologic analytical techniques examined the stories of RNs and UAPs, who participated in focus sessions to discuss how they work together in the practices of patient care. Sample: A convenience sample of 24 staff members (13 RNs and 11 UAPs) were recruited from 32 nursing units within an 870 bed tertiary teaching hospital. Each worked a minimum of 1 year in their current position. Method: A total of 15 focus sessions were conducted: 7 with RNs and 8 with UAP. The RNs and UAP participated in separate groups to ensure that each group would feel comfortable in discussing issues relevant to how work is conducted on nursing units. Focus sessions were audiotaped and transcribed verbatim. Transcripts were analyzed and interpreted to reveal the meanings of RN and UAP patient care practices. Findings: Three themes emerged from the data: working relationships, care delivery practices, and knowing patients. Qualities of good RN-UAP relationships include initiative, good communication, an appreciaiton of contributions, and demonstration of a willingness to help each other with tasks. The assignment of UAP to multiple RNS creates significant problems in regards to the communication of care activities, appropriate collaboration and delegation, and the understanding of roles. Experienced UAP demonstrated a practical level of knowing patients that allowed UAP to make important contributions to the patient care process. Implications: The manner in which the work of patient care is organized and delivered by RNs and UAPs has implications for the quality of working relationships, the efficiency in care delivery, and ultimately patient care outcomes.<!--Abstract 13523 modified by 159.251.12.248 on 11-4-2002-->
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQualitative Investigation of RN and Assistive Personnel Working Relationshipsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156636-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Qualitative Investigation of RN and Assistive Personnel Working Relationships</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Potter, Patricia, RN, MSN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Barnes-Jewish Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research-Scientist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pap1212@bjc.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Eileen Grant</td></tr><tr><td colspan="2" class="item-abstract">Objective: To understand how Registered Nurses (RNs) and unlicensed assistive personnel (UAP) work together in delivering patient care. Design: A qualitative investigation using phenomenologic analytical techniques examined the stories of RNs and UAPs, who participated in focus sessions to discuss how they work together in the practices of patient care. Sample: A convenience sample of 24 staff members (13 RNs and 11 UAPs) were recruited from 32 nursing units within an 870 bed tertiary teaching hospital. Each worked a minimum of 1 year in their current position. Method: A total of 15 focus sessions were conducted: 7 with RNs and 8 with UAP. The RNs and UAP participated in separate groups to ensure that each group would feel comfortable in discussing issues relevant to how work is conducted on nursing units. Focus sessions were audiotaped and transcribed verbatim. Transcripts were analyzed and interpreted to reveal the meanings of RN and UAP patient care practices. Findings: Three themes emerged from the data: working relationships, care delivery practices, and knowing patients. Qualities of good RN-UAP relationships include initiative, good communication, an appreciaiton of contributions, and demonstration of a willingness to help each other with tasks. The assignment of UAP to multiple RNS creates significant problems in regards to the communication of care activities, appropriate collaboration and delegation, and the understanding of roles. Experienced UAP demonstrated a practical level of knowing patients that allowed UAP to make important contributions to the patient care process. Implications: The manner in which the work of patient care is organized and delivered by RNs and UAPs has implications for the quality of working relationships, the efficiency in care delivery, and ultimately patient care outcomes.&lt;!--Abstract 13523 modified by 159.251.12.248 on 11-4-2002--&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T14:58:37Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T14:58:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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