Regulated and unregulated nurses in the acute hospital setting: Tasks performed, delayed or not completed

Journal of Clinical Nursing

Volumn 25, Issue 1-2, 2016, Pages 153-162

  Roche, Michael A ^a   Duffield, Christine ^a   Friedman, Sarah ^a   Dimitrelis, Sofia ^a   Rowbotham, Samantha ^a  

^a UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

Author keywords

Assistant in nursing; Nurse staffing; Nursing support worker; Nursing tasks delayed or not done; Skill mix

Indexed keywords

CLINICAL PRACTICE; DOCTOR PATIENT RELATION; EMPLOYMENT; HOSPITAL; HUMAN; MAJOR CLINICAL STUDY; NONPARAMETRIC TEST; NURSE; NURSING CARE; NURSING UNIT; REST; SCOPE OF PRACTICE; STAFF; ADULT; AUSTRALIA; CLINICAL COMPETENCE; FEMALE; HEALTH CARE QUALITY; MALE; NURSING ASSISTANT; NURSING PROCESS; NURSING STAFF; PERSONNEL MANAGEMENT; PROFESSIONAL DELEGATION; QUESTIONNAIRE; STANDARDS; WORKLOAD;

ADULT; AUSTRALIA; CLINICAL COMPETENCE; DELEGATION, PROFESSIONAL; FEMALE; HUMANS; MALE; NURSES' AIDES; NURSING PROCESS; NURSING STAFF, HOSPITAL; PERSONNEL STAFFING AND SCHEDULING; QUALITY ASSURANCE, HEALTH CARE; SURVEYS AND QUESTIONNAIRES; WORKLOAD;

EID: 84955439063     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/jocn.13118     Document Type: Article

References (37)

1. Alcorn J & Topping AE (2009) Registered nurses' attitudes towards the role of the healthcare assistant. Nursing Standard 23, 39-45.
2. Algoso M & Peters K (2012) The experiences of undergraduate Assistants in Nursing (AIN). Nurse Education Today 32, 197-202.
3. Australian Institute of Health and Welfare (AIHW) (2012) Nursing and Midwifery Workforce 2011. In National health workforce series no. 2. Cat. no. HWL 48. AIHW, Canberra.
4. Barter M, McLaughlin FE & Thomas SA (1997) Registered nurse role changes and satisfaction with unlicensed assistive personnel. Journal of Nursing Administration 27, 29-38.
5. Baruch Y & Holtom BC (2008) Survey response rate levels and trends in organizational research. Human Relations 61, 1139-1160.
6. Bostrom J & Zimmerman J (1993) Restructuring nursing for a competitive health care environment. Nursing Economics 11, 35-41, 54.
7. Bureau of Labor Statistics (2013) Occupational Outlook Handbook. Department of Labor, Washington, DC.
8. Bureau of Labor Statistics (2014) Occupational Outlook Handbook, 2014-15 Edition, Nursing Assistants and Orderlies. U.S. Department of Labor, Washington, DC.
9. Butler M, Collins R, Drennan J, Halligan P, O'Mathuna DP, Schultz TJ, Sheridan A & Vilis E (2011) Hospital nurse staffing models and patient and staff-related outcomes. Cochrane Database of Systematic Reviews 7, CD007019.
10. Canadian Nurses Association (2013) RN & Bacclaureate Education. Available at: http://www.cna-aiic.ca/en/becoming-an-rn/education/rn-baccalaureate-education-table (accessed 20 March 2015).
11. Duffield C, Roche MA, Diers D, Catling-Paull C & Blay N (2010) Staffing, skill mix and the model of care. Journal of Clinical Nursing 19, 2242-2251.
12. Duffield C, Diers D, O'Brien-Pallas LL, Aisbett C, Roche MA, King M & Aisbett K (2011) Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research 24, 244-255.
13. Duffield C, Roche MA & Twigg D (2014) The use of unregulated staff: time for regulation? Policy, Politics, and Nursing Practice 15, 42-48.
14. Dunn OJ (1964) Multiple comparisons using rank sums. Technometrics 6, 241-252.
15. Eastaugh S (1990) Hospital nursing technical efficiency: nursing extenders and enhanced productivity. Hospital and Health Services Administration 35, 561-573.
16. Ford BM (2010) Hourly rounding: a strategy to improve patient satisfaction scores. Medsurg Nursing 19, 188-191.
17. Garfink CM, Kirby KK, Bachman SS & Starck P (1991) The university hospital nurse extender model. Part III, Program evaluation. Journal of Nursing Administration 21, 21-27.
18. Gillen P & Graffin S (2010) Nursing delegation in the United Kingdom. The Online Journal of Issues in Nursing 15, Manuscript 6.
19. Health Workforce Australia (2012) Health Workforce 2025 - Doctors, Nurses and Midwives, Vol. 1. Health Workforce Australia, Adelaide.
20. Jacob ER, McKenna L & D'Amore A (2015) The changing skill mix in nursing: considerations for and against different levels of nurse. Journal of Nursing Management 23, 421-426.
21. Keeney S, Hasson F, McKenna HP & Gillen P (2005) Nurses', midwives' and patients' perceptions of trained health care assistants. Journal of Advanced Nursing 50, 345-355.
22. McGillis Hall L, Doran D, Baker GR, Pink GH, Sidani S, O'Brien-Pallas L & Donner GJ (2003) Nurse staffing models as predictors of patient outcomes. Medical Care 41, 1096-1109.
23. McKenna HP, Hasson F & Keeney S (2004) Patient safety and quality of care: the role of the health care assistant. Journal of Nursing Management 12, 452-459.
24. Meade CM, Bursell AL & Ketelsen L (2006) Effects of nursing rounds: on patients' call light use, satisfaction, and safety. American Journal of Nursing 106, 58-70.
25. National Health Service (2013a) Health Care Assistant. Available at: http://www.nhscareers.nhs.uk/explore-by-career/wider-healthcare-team/careers-in-the-wider-healthcare-team/clinical-support-staff/healthcare-assistant/ (accessed 20 March 2015).
26. National Health Service (2013b) NHS Careers: Nursing. Available at: http://www.nhscareers.nhs.uk/explore-by-career/nursing (accessed 20 March 2015).
27. Needleman J, Beurhause P, Pankratz V, Leibson C, Stevens S & Harris M (2011) Nurse staffing and inpatient hospital mortality. New England Journal of Medicine 364, 1037-1045.
28. O'Brien-Pallas LL, Thomson D, McGillis-Hall L, Pink GH, Kerr M, Wang S, Li X & Meyer R (2004) Evidence-Based Standards for Measuring Nurse Staffing and Performance. Canadian Health Services Research Foundation, Toronto, ON.
29. Plawecki L & Amrhein D (2010) A question of delegation: unlicensed assistive personnel and the professional nurse. Journal of Gerontological Nursing 36, 18-21.
30. Potter P, Deshields T & Kuhrik M (2010) Delegation practices between registered nurses and nursing assistive personnel. Journal of Nursing Management 18, 157-165.
31. Powers PH, Dickey CA & Ford A (1990) Evaluating an RN/co-worker model. Journal of Nursing Administration 20, 11-15.
32. Rimmer D & Hand T (2010) Ask the Board: HCA or AP: what's the difference?... healthcare assistant...assistant practitioner. British Journal of Healthcare Assistants 4, 97.
33. Roche MA, Duffield C, Aisbett C, Diers D & Stasa H (2012) Nursing work directions in Australia: does evidence drive the policy? Collegian 19, 231-238.
34. Shepard LH (2013) Stop going in circles! Break the barriers to hourly rounding. Nursing Management 44, 13-15.
35. Spilsbury K & Meyer J (2004) Use, misuse and non-use of health care assistants: understanding the work of health care assistants in a hospital setting. Journal of Nursing Management 12, 411-418.
36. Tourangeau AE, White P, Scott J, McAllister M & Giles L (1999) Evaluation of a partnership model of care delivery involving registered nurses and unlicensed assistive personnel. Canadian Journal of Nursing Leadership 12, 4-20.
37. Twigg D, Duffield C, Bremner A, Rapley P & Finn J (2011) The impact of the nursing hours per patient day (NHPPD) staffing method on patient outcomes: a retrospective analysis of patient and staffing data. International Journal of Nursing Studies 48, 540-548.