Improving patient care outcomes through better delegation-communication among nurses and assistive personnel

2.50
Hdl Handle:
http://hdl.handle.net/10755/612249
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Quasi-Experimental Study, Other
Research Approach:
Pilot/Exploratory Study
Title:
Improving patient care outcomes through better delegation-communication among nurses and assistive personnel
Author(s):
Wagner, Elissa A.; O'Connor, Nancy A.; Hasenau, Susan M.
Additional Author Information:
Elissa A. Wagner, DNP; email: ewagner451 at my.madonna.edu or jayeli72 at gmail.com
Advisors:
O'Connor, Nancy A.
Degree:
DNP
Degree Year:
2016
Grantor:
Madonna University
Abstract:

In acute care settings, registered nurses must depend on and delegate to unlicensed assistive personnel when providing direct care to patients. The nurses’ ability to effectively delegate can affect the safety and quality outcomes obtained by patients. For the health care industry and acute care settings to meet national patient safety outcomes registered nurses will need to evaluate their delegation methods for effectiveness in order to provide safe, patient-centered, and efficient care. In this single-group pretest-posttest study, nurses and unlicensed assistive personnel’s (UAP) learning was measured following an intervention on delegation-communication techniques. Pre-intervention surveys were conducted with nurses and UAP’s to establish preparedness to delegate, supervise, and use mindful communication. Pre-intervention analysis revealed a tendency for nurses to delay the decision to delegate. Post-intervention surveys measured delegation-communication learning within the domains of the pre-intervention survey topics. Of the twenty-two data points examined, four items showed significant learning improvement in the RN sample and two items in the UAP sample. Patient specific outcomes following the learning intervention revealed that hospital acquired pressure ulcers, stage II, decreased and Press-Ganey patient satisfaction, promptness to call button, improved.

Keywords:
delegation; communication; Patient Outcomes
MeSH:
Communication; Patient Outcome Assessment
CINAHL Headings:
Delegation of Authority
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.; Manuscript submitted to the Journal of Healthcare Quality
Repository Posting Date:
2016-06-08T19:34:37Z
Date of Publication:
2016-06-08

Full metadata record

DC FieldValue Language
dc.contributor.advisorO'Connor, Nancy A.en
dc.contributor.authorWagner, Elissa A.en
dc.contributor.authorO'Connor, Nancy A.en
dc.contributor.authorHasenau, Susan M.en
dc.date.accessioned2016-06-08T19:34:37Z-
dc.date.available2016-06-08T19:34:37Z-
dc.date.issued2016-06-08-
dc.identifier.urihttp://hdl.handle.net/10755/612249-
dc.description.abstract<p>In acute care settings, registered nurses must depend on and delegate to unlicensed assistive personnel when providing direct care to patients. The nurses’ ability to effectively delegate can affect the safety and quality outcomes obtained by patients. For the health care industry and acute care settings to meet national patient safety outcomes registered nurses will need to evaluate their delegation methods for effectiveness in order to provide safe, patient-centered, and efficient care. In this single-group pretest-posttest study, nurses and unlicensed assistive personnel’s (UAP) learning was measured following an intervention on delegation-communication techniques. Pre-intervention surveys were conducted with nurses and UAP’s to establish preparedness to delegate, supervise, and use mindful communication. Pre-intervention analysis revealed a tendency for nurses to delay the decision to delegate. Post-intervention surveys measured delegation-communication learning within the domains of the pre-intervention survey topics. Of the twenty-two data points examined, four items showed significant learning improvement in the RN sample and two items in the UAP sample. Patient specific outcomes following the learning intervention revealed that hospital acquired pressure ulcers, stage II, decreased and Press-Ganey patient satisfaction, promptness to call button, improved.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectdelegationen
dc.subjectcommunicationen
dc.subjectPatient Outcomesen
dc.subject.meshCommunicationen
dc.subject.meshPatient Outcome Assessmenten
dc.titleImproving patient care outcomes through better delegation-communication among nurses and assistive personnelen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorMadonna Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.description.noteManuscript submitted to the Journal of Healthcare Qualityen
dc.primary-author.detailsElissa A. Wagner, DNP; email: ewagner451 at my.madonna.edu or jayeli72 at gmail.comen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelQuasi-Experimental Study, Otheren
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlDelegation of Authorityen
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