Use, misuse and non-use of health care assistants: Understanding the work of health care assistants in a hospital setting

Journal of Nursing Management

Volumn 12, Issue 6, 2004, Pages 411-418

  Spilsbury, Karen ^a   Meyer, Julienne ^b  

^a UNIVERSITY OF YORK   (United Kingdom)

^b CITY UNIVERSITY   (United Kingdom)

Author keywords

Case study research; Division of nursing work; Health care assistant; Nursing roles

Indexed keywords

ADULT; ARTICLE; CASE STUDY; CLINICAL PRACTICE; COMPREHENSION; CONTROLLED STUDY; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH SURVEY; HOSPITAL; HUMAN; INFORMATION PROCESSING; INTERVIEW; LITERATURE; MALE; MEDICAL DOCUMENTATION; MENTAL STRESS; MONITORING; MOTIVATION; NATIONAL HEALTH SERVICE; NURSING; OBSERVATION; PATIENT CARE; REGISTER; RESPONSIBILITY; TEAMWORK; UNITED KINGDOM;

ADULT; FEMALE; GREAT BRITAIN; HUMANS; MALE; MIDDLE AGED; NURSE'S ROLE; NURSES' AIDES; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CASE STUDIES; PERSONNEL STAFFING AND SCHEDULING; TASK PERFORMANCE AND ANALYSIS;

EID: 9444220846     PISSN: 09660429     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2834.2004.00515.x     Document Type: Article

References (46)

1. Ahmed L.B. & Kitson A. (1993) Complementary roles of nurse and health-care assistant (research in community hospitals and units for learning disabilities). Journal of Clinical Nursing 2, 287-297.
2. Allen D. (2001) The Changing Shape of Nursing Practice: The Role of Nurses in the Hospital Division of Labour. Routledge, London, UK.
3. Audit Commission (2001) Review of National Findings: Ward Staffing. Audit Commission, London, UK.
4. Badger F., Cameron E. & Evers H. (1989) The nursing auxiliary service and the care of elderly patients. Journal of Advanced Nursing 14, 471-477.
5. Bond S., Fall M. & Thomas L.H. (1990) Primary Nursing and Primary Medical Care: A Comparative Study in Community Hospitals. University of Newcastle upon Tyne (Health Care Research Unit), Newcastle upon Tyne.
6. Boyes A. (1995) Health care assistants: delegation of tasks. Emergency Nurse 3, 6-9.
7. Buchan J. & Dal Poz M.R. (2002) Skill mix in the healthcare workforce: reviewing the evidence. Bulletin of the World Health Organization 80 (7), 575-580.
8. Buchan J. & Seccombe I. (2002) Behind the Headlines: A Review of the UK Nursing Labour Market in 2001. Royal College of Nursing, London, UK.
9. Buchan J. & Seccombe I. (2003) More Nurses, Working Differently? UK Nursing Labour Market Commentary 2002/3. Queen Margaret University College, Edinburgh, UK.
10. Carr-Hill R., Currie L. & Dixon P. (2003) Scoping Exercise: Skill Mix in Secondary Care. Centre for Health Economics, University of York, UK.
11. Chang A. (1995) Perceived functions and usefulness of health service support workers. Journal of Advanced Nursing 21, 64-74.
12. Chang A.M. & Lam L. (1998) Can health care assistants replace student nurses? Journal of Advanced Nursing 27, 399-405.
13. Davies S. (1992) Consequences of the division of nursing labour for elderly patients in a continuing care setting. Journal of Advanced Nursing 17, 582-589.
14. Daykin N. & Clarke B. (2000) 'They'll still get the bodily care'. Discourses of care and relationships between nurses and health care assistants in the NHS. Sociology of Health and Illness 22 (3), 349-363.
15. Department of Health (1999) Making a Difference. Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Healthcare. Department of Health, London, UK.
16. Department of Health (2000a) A Health Service of all the Talents: Developing the NHS Workforce. Consultation Document on the Review of Workforce Planning. Department of Health, London, UK.
17. Department of Health (2000b) The NHS Plan: A Plan for Investment. A Plan for Reform. The Stationery Office Limited, London, UK.
18. Department of Health (2000c) An Organisation with a Memory. Report of an Expert Group on Learning from Adverse Events in the NHS. Chaired by the Chief Medical Officer. The Stationery Office, London, UK.
19. Department of Health (2004) Regulation of Health Care Staff in England and Wales: A Consultation Document. Department of Health, London, UK.
20. Dewar B.J. (1992) Skill muddle? Nursing Times 88 (3), 24-27.
21. Dingwall R., Rafferty A.M. & Webster C. (1988) An Introduction to the Social History of Nursing. Routledge, London, UK.
22. Glaser B.G. & Strauss A.L. (1967) The Discovery of Grounded Theory. Aldine, Chicago.
23. Hammersley M. & Atkinson P. (1995) Ethnography: Principles in Practice. Routledge, London, UK.
24. Hardie M. (1978) The international background: United Kingdom. In Nursing Auxiliaries in Health Care (M. Hardie & L. Hockey eds), pp. 130-131. Croom Helm, London, UK.
25. Hewitt C., Lankshear A., Maynard A., Sheldon T. & Smith K. (2003) Health Service Workforce and Health Outcomes: A Scoping Study. Department of Health Sciences, University of York, UK.
26. Johnson M.R.D., Allsop J., Clark M.D. et al. (2002) Regulation of Health Care Assistants. IPPR (Future Health Worker Project), Available at: http://www.ippr.org.uk/research/files/ team40/project13/ RegulationHealthCareAssis.PDF (accessed 23 September 2004).
27. Kinnersley P., Anderson E., Parry K. et al. (2000) Randomised control trial of nurse practitioner versus general practitioner care for patients requesting same day consultation in primary care. British Medical Journal 320 (7241), 1043-1048.
28. Kitzinger J. (1994) The methodology of focus groups: the importance of interactions between research participants. Sociology of Health and Illness 16, 103-121.
29. Krippendorff K. (1980) Content Analysis: An Introduction to its Methodology. Sage, Newbury Park.
30. Kuper A. (1991) Anthropology and Anthropologists: The Modern British School. Routledge, London, UK.
31. Malby R. (1990) Helping hands: vocational support. Nursing Times 86, 31-33.
32. McKenna H. & Hasson F. (2002) A study of skill mix issues in midwifery: a multimethod approach. Journal of Advanced Nursing 31 (1), 52-61.
33. Perry M., Carpenter I., Challis D. & Hope K. (2003) Understanding the roles of registered nurses and care assistants in UK nursing homes. Journal of Advanced Nursing 42 (5), 497-505.
34. Redfern L. (1994) Health care assistants: the challenge for nursing staff. Nursing Times 90 (48), 31-33.
35. Richards A., Carley J., Jenkins C.S. & Richards D.A. (2000) Skill mix between nurses and doctors working in primary care - delegation or allocation: a review of the literature. International Journal of Nursing Studies 37, 185-197.
36. Richardson G., Maynard A., Cullum N. & Kindig K. (1998) Skill mix changes: substitution or service development? Health Policy 45, 11-132.
37. Robinson J., Stilwell J., Hawley C. & Hempstead N. (1989) The Role of the Support Worker in the Ward Healthcare Team. Nursing Policy Studies Centre and Health Services Research Unit, University of Warwick.
38. Spilsbury K. (2004) Who Cares? A Case Study to Explore Health Care Assistants' Jurisdiction in a Hospital Setting. PhD thesis, City University, London, UK.
39. Spilsbury K. & Meyer J. (2001) Defining the nursing contribution to patient outcomes: lessons from a review of the literature examining nursing outcomes, skill mix and changing roles. Journal of Clinical Nursing 10, 3-14.
40. Thomas L.H. (1992) Qualified nurse and nursing auxiliary perceptions of their work environment in primary, team and functional nursing wards. Journal of Advanced Nursing 17, 373-383.
41. Thornley C. (2000) A question of competence? Re-evaluating the roles of the nursing auxiliary and health care assistant in the NHS. Journal of Clinical Nursing 9, 451-458.
42. Wanless D. (2002) Securing our Future Health: Taking a Long-term View. HM Treasury, London, UK.
43. Warr J.G. (1998) An evaluative study into the effectiveness of level 3 National Vocational Qualification support staff to nurses. Nurse Education Today 18, 505-516.
44. Warr J. (2002) Experiences and perceptions of newly prepared health care assistants (level 3 NVQ). Nurse Education Today 22, 241-250.
45. Workman B. (1996) An investigation into how the health care assistants perceive their role as 'support workers' to the qualified staff. Journal of Advanced Nursing 23 (3), 612-619.
46. Yin R.K. (2003) Case Study Research: Designs and Methods, 3rd edn. Sage, Thousand Oaks.