2.50
Hdl Handle:
http://hdl.handle.net/10755/335156
Category:
Full-text
Type:
Presentation
Title:
Nursing Support Workers and Tasks Performed, Delayed or Not Completed
Other Titles:
Staff Related Clinical Nursing Leadership
Author(s):
Roche, Michael A.; Duffield, Christine
Lead Author STTI Affiliation:
Non-member
Author Details:
Michael A. Roche, RN, PhD, MHSc, BHSc, DipAppSc, CertMHN, michael.roche@uts.edu.au; Christine Duffield, RN, PhD
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Direct patient care has been undertaken by a combination of licensed and unlicensed nurses for many years. However, persistent nursing workforce shortages and increased patient acuity and throughput has led to increased employment of large numbers of nursing support workers internationally (Bureau of Labor Statistics, 2013; Health Workforce Australia, 2012; NHS, 2013). Concurrently, tasks formerly completed by registered nurses have moved to the nursing support worker (Gillen & Graffin, 2010; Plawecki & Amrheim, 2010). This change has raised questions regarding the role and effective utilization of support workers. However, there has been limited research on the impact of these workers in the acute hospital workplace. This paper compares the nature of tasks performed, delayed or not completed by nursing support workers and licensed nurses, and the factors associated with these outcomes. Methods: This paper reports a secondary analysis of data collected in three studies of medical and surgical units across three states of Australia. Data from a recently completed project were combined with that from two previously reported studies (Duffield et al., 2011; Roche, Duffield, Aisbett, Diers, & Stasa, 2012). In total, data were collected on 132 randomly selected units in 25 public general acute hospitals across three Australian states between 2004 and 2010. Data collection procedures in all studies were similar. All direct personal care workers on the selected wards were asked to complete a survey anonymously. An overall response rate of 60.4% was achieved (3945 of 6528 potential consenting respondents). The survey included demographic items, employment characteristics, six questions on specific tasks performed, and 11 questions on direct-care interventions delayed or left undone at the end of the most recent shift. The survey also included the Practice Environment Scale (Lake, 2002) and the Environmental Complexity Scale (O'Brien-Pallas, Irvine, Peereboom, & Murray, 1997; O'Brien-Pallas, Meyer, & Thomson, 2005). In addition, a profile of each unit that included bed numbers, support services and other characteristics was obtained. Analyses explored differences between groups and potential explanatory factors via regression models. Results: Significant differences were found between nursing support workers and licensed nurses in tasks undertaken, delayed and not completed. As expected, nursing support workers undertook more tasks such as delivering meal trays and housekeeping, although also undertaking some tasks that may have been out of their scope of practice. Nursing support workers also reported fewer tasks delayed (completion of vital signs, responses to call bell, routine mobilization and documenting nursing care). Unit support services, the practice environment, violence towards nurses and overtime were important explanatory factors in relation to tasks delayed or not completed for both licensed nurses and support workers. Conclusion: Increasingly, nursing support workers are providing direct care to patients in the acute hospital setting and this may have implications for patient safety and quality of care. Along with effective delegation of tasks, an important consideration is the model of care (i.e. a substitutive or supportive model) adopted when support workers are included in the staff mix. The ongoing shortage of registered nurses and increased use of support workers challenges nursing unit managers to effectively integrate these staff into their workplace and to confirm these support workers are operating within their scope of practice.
Keywords:
Hospital Nursing Staff; Scope Of Practice; Nursing Support Workers
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14L10
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNursing Support Workers and Tasks Performed, Delayed or Not Completeden
dc.title.alternativeStaff Related Clinical Nursing Leadershipen
dc.contributor.authorRoche, Michael A.en
dc.contributor.authorDuffield, Christineen
dc.contributor.departmentNon-memberen
dc.author.detailsMichael A. Roche, RN, PhD, MHSc, BHSc, DipAppSc, CertMHN, michael.roche@uts.edu.au; Christine Duffield, RN, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/335156-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Direct patient care has been undertaken by a combination of licensed and unlicensed nurses for many years. However, persistent nursing workforce shortages and increased patient acuity and throughput has led to increased employment of large numbers of nursing support workers internationally (Bureau of Labor Statistics, 2013; Health Workforce Australia, 2012; NHS, 2013). Concurrently, tasks formerly completed by registered nurses have moved to the nursing support worker (Gillen & Graffin, 2010; Plawecki & Amrheim, 2010). This change has raised questions regarding the role and effective utilization of support workers. However, there has been limited research on the impact of these workers in the acute hospital workplace. This paper compares the nature of tasks performed, delayed or not completed by nursing support workers and licensed nurses, and the factors associated with these outcomes. Methods: This paper reports a secondary analysis of data collected in three studies of medical and surgical units across three states of Australia. Data from a recently completed project were combined with that from two previously reported studies (Duffield et al., 2011; Roche, Duffield, Aisbett, Diers, & Stasa, 2012). In total, data were collected on 132 randomly selected units in 25 public general acute hospitals across three Australian states between 2004 and 2010. Data collection procedures in all studies were similar. All direct personal care workers on the selected wards were asked to complete a survey anonymously. An overall response rate of 60.4% was achieved (3945 of 6528 potential consenting respondents). The survey included demographic items, employment characteristics, six questions on specific tasks performed, and 11 questions on direct-care interventions delayed or left undone at the end of the most recent shift. The survey also included the Practice Environment Scale (Lake, 2002) and the Environmental Complexity Scale (O'Brien-Pallas, Irvine, Peereboom, & Murray, 1997; O'Brien-Pallas, Meyer, & Thomson, 2005). In addition, a profile of each unit that included bed numbers, support services and other characteristics was obtained. Analyses explored differences between groups and potential explanatory factors via regression models. Results: Significant differences were found between nursing support workers and licensed nurses in tasks undertaken, delayed and not completed. As expected, nursing support workers undertook more tasks such as delivering meal trays and housekeeping, although also undertaking some tasks that may have been out of their scope of practice. Nursing support workers also reported fewer tasks delayed (completion of vital signs, responses to call bell, routine mobilization and documenting nursing care). Unit support services, the practice environment, violence towards nurses and overtime were important explanatory factors in relation to tasks delayed or not completed for both licensed nurses and support workers. Conclusion: Increasingly, nursing support workers are providing direct care to patients in the acute hospital setting and this may have implications for patient safety and quality of care. Along with effective delegation of tasks, an important consideration is the model of care (i.e. a substitutive or supportive model) adopted when support workers are included in the staff mix. The ongoing shortage of registered nurses and increased use of support workers challenges nursing unit managers to effectively integrate these staff into their workplace and to confirm these support workers are operating within their scope of practice.en
dc.subjectHospital Nursing Staffen
dc.subjectScope Of Practiceen
dc.subjectNursing Support Workersen
dc.date.available2014-11-17T13:45:40Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:45:40Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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