A comparison of nursing tasks undertaken by regulated nurses and nursing support workers: a work sampling study

Roche, Michael; Friedman, Sarah; Duffield, Christine; Twigg, Di; Cook, Robyn

doi:10.1111/jan.13224

Cited by 22 publications

(33 citation statements)

References 33 publications

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“…Previous studies in the areas of perennial jobbing and priority recalculating highlight the detrimental effects of non‐nursing tasks and tasks left undone on staff satisfaction and retention (Bekker et al., 2015; Roche, Duffield, Friedman, Dimitrelis, & Rowbotham, 2016) and on skill mix and division of work (Kessler, Heron, & Dobson, 2015; Roche et al., 2017). Connections are made in the literature between the numerous tasks which fall under the nurse's remit and uncompleted nursing work (Bekker et al., 2015; Bludau, 2017; Furaker, 2008; Rheaume et al., 2015; Roche et al., 2017). The present study suggests that the origin of these tasks includes accommodating while perennial jobbing and priority recalculating conceptualize the way they detract from nursing activities.…”

Section: Discussionmentioning

confidence: 99%

“…The addition of non‐nursing tasks to nursing workload is also connected with failure to complete nursing work (Bekker, Coetzee, Klopper, & Ellis, 2015; Bludau, 2017; Furaker, 2008; Rheaume et al., 2015; Roche, Friedman, Duffield, Twigg, & Cook, 2017) and there is some concern with the focus on technical skills (Foth & Holmes, 2016; McKenzie & Brown, 2014) rather than holism and nursing theory.…”

Section: Introductionmentioning

confidence: 99%

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Nebulous Intentioning – Acute hospital nurses’ struggle to deliver core nursing care

Lane

Landers

Andrews

2020

Journal of Advanced Nursing

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Aim To explore the influences on nursing practice in acute hospital care. Design A Classic Grounded Theory study. Methods Data collection (2013–2015) was through interviews and non‐participant observations. Analysis was undertaken using constant comparative data analysis and theoretical sampling. Memo writing was used as an aid to understanding and conceptualizing data during analysis. Theoretical coding served to integrate emerging concepts. Results This theory explains core nursing as a nebulous intention, an idea which acute care nurses retain throughout each shift, that they will nurse their patients fully when they have the opportunity. It reveals this as the resolution of their main problem which is the constant deferral of core nursing care. This study explains its two sub‐core categories, accommodating and integrity eroding. Conclusion The theory highlights nurses’ attitudes towards their role, demonstrated by deferring it to accommodate the work of others, but offers a new perspective on the significant contribution nurses make to the safe and cohesive transition of patients through the acute healthcare system. Impact The theory adds a new understanding of the unique contribution nurses make to patient health and safety in acute care environments. It also provides insight into nurses’ attitudes towards their own professional work. It explains the consequences of attitudes which undermine core nursing when it competes for priority with accommodating. Accommodating indicates a greater workload for nurses than has been previously understood in explaining the activities, additional to core nursing care, which nurses undertake to contribute safety and cohesion to the patient's acute care journey. These new insights suggest a role for managers in recognizing accommodating in decisions about staffing and resources and for educators in improving the profession's regard for its theoretical underpinnings and for its self‐image.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nebulous Intentioning – Acute hospital nurses’ struggle to deliver core nursing care

Lane

Landers

Andrews

2020

Journal of Advanced Nursing

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“…Knowledge in HCA practice In the context of HCA practice, knowledge as a collective entity is fundamental to the provision of care and remains a core mechanism by which HCAs can evidence their developmental progression in the context of residential and primary care settings (Mislevy et al, 2017). Over the past five years, regulatory frameworks have shaped how the role of HCA has developed [Roche et al, 2017). and as a consequence this has changed perceptions of HCAs by both the general public and the other healthcare professions with whom they work.…”

Section: Application To Functional Practicementioning

confidence: 99%

The relevance of tacit knowledge to healthcare assistant practice

Hayes

Fox²,

Scott-Thomas³

et al. 2018

British Journal of Healthcare Assistants

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Person-centred care and the diverse array of contexts within which healthcare assistants work necessitate a commitment to being conscientious, self-aware and willing to raise issues of concern about vulnerable and sick patients and their families and carers. For the purposes of the article, tacit knowledge is defined as the intuitive knowledge that is not easy to articulate through dialogue or rational justification in the context of healthcare provision. It depends on a level of sensory awareness or feeling that transcends the need for formalised knowledge in terms of its potential impact on practice. Person-centred care and the diverse array of care contexts within which HCAs work necessitate a commitment to being conscientious, self-aware and willing to raise issues of concern about vulnerable and sick patients and their families and carers. The transferable skillset needed to undertake this role extends beyond the functional training that HCAs receive. Tacit knowledge cannot be readily articulated, but its implementation in practice lies at the heart of every human interaction. The article raises awareness of tacit knowledge and its implications for the context of healthcare provision.

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“…The proportions of total working time taken up by various individual tasks and the statistical confidence levels are calculated from a sample with an assumed random distribution. The technique was developed in the 1930s for use in industrial production processes (9) and has become an acknowledged method for the measurement of working time in the hospital setting (10)(11)(12)(13)(14)(15)(16)). Reviews of studies on physicians' (17) and nurses' (18) workloads show, however, that this method has not so far been widely used in European hospitals.…”

mentioning

confidence: 99%

Work-Time Distribution of Physicians at a German University Hospital

Wolff¹,

Auber²,

Schober³

et al. 2017

Deutsches Ärzteblatt International

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Deutsches Ärzteblatt International | Dtsch Arztebl Int 2017; 114: 705-11 16. Bee PE, Richards DA, Loftus SJ, et al.: Mapping nursing activity in acute inpatient mental healthcare settings. J Ment Health 2006; 15: 217-26. KEY MESSAGES• Inpatient care accounted for 53% of physicians' work-time. A total of 34% was spent on outpatient care and 13% on other activities, e.g., waiting, moving from place to place, and breaks.• Overall, 46% of working time on the wards in the participating departments was spent in direct contact with patients (e.g., rounds, operations, obtaining blood samples).• One third of inpatient work-time was occupied by indirect care, i.e., work in connection with particular patients but not in their presence (e.g., treatment documentation, discharge letters).• The departments of ophthalmology, dermatology, gynecology, pediatrics, oral and maxillofacial surgery, orthopedics and trauma surgery, and psychiatry and psychotherapy of the Medical Center-University of Freiburg took part in the study.• The knowledge that they were taking part in a study may have altered the physicians' behavior.

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A comparison of nursing tasks undertaken by regulated nurses and nursing support workers: a work sampling study

Abstract: Nursing support workers were given tasks that required substantial amounts of patient interaction. These staff may be associated with an increase in direct care tasks for licensed/regulated nurses, who may duplicate the direct care done by nursing support workers.

Cited by 22 publications

References 33 publications

Nebulous Intentioning – Acute hospital nurses’ struggle to deliver core nursing care

Nebulous Intentioning – Acute hospital nurses’ struggle to deliver core nursing care

The relevance of tacit knowledge to healthcare assistant practice

Work-Time Distribution of Physicians at a German University Hospital

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