Nurses’, midwives’ and patients’ perceptions of trained health care assistants

Keeney, Sinead; Hasson, Felicity; McKenna, Hugh; Gillen, Patricia

doi:10.1111/j.1365-2648.2005.03399.x

Cited by 36 publications

(38 citation statements)

References 38 publications

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“…The two mixed method studies were exploratory in nature using surveys (Lankshear et al., ; Oelke et al., ). The quantitative studies used the following designs: descriptive cross‐sectional study (McLaughlin et al., ), cross‐sectional observational study (Mueller et al., ) and survey (Butler‐Williams et al, ; James et al, ; Keeney et al., ; Alcorn & Topping, ). Two articles were from the same study (Butler‐Williams et al, ; James et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Two articles were from the same study (Butler‐Williams et al, ; James et al, ). The studies were conducted in four different countries; UK ( n = 7) (Butler‐Williams et al., ; James et al, ; Keeney et al., ; McLaughlin et al., ; Perry et al., ; Spilsbury & Meyer, ; Alcorn and Topping ()); Canada ( n = 3) (Dahlke & Baumbusch, ; Lankshear et al., ; Oelke et al., ); USA ( n = 3) (Kalisch et al., ; Mueller et al., ; Standing & Anthony, ) and Australia ( n = 1) (Schluter et al., ). The majority of the studies were carried out in hospital settings (acute care units, medical units, surgical units, maternity and a geriatrics ward) with the remaining from home care and community settings.…”

Section: Resultsmentioning

confidence: 99%

“…A majority of the studies reported on RNs’ and HCAs’ perceptions of their own and each other's roles (Butler‐Williams et al., ; James et al., ; Keeney et al., ; McLaughlin et al. ; Perry et al., ; Spilsbury & Meyer, ; Standing & Anthony, ; Alcorn & Topping, ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Nursing care providers’ perceptions on their role contributions in patient care: An integrative review

Kusi-Appiah

Dahlke

Wall

2018

Journal of Clinical Nursing

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Nursing care providers’ perceptions on their role contributions in patient care: An integrative review

Kusi-Appiah

Dahlke

Wall

2018

Journal of Clinical Nursing

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“…Research to date has looked mainly at comparisons between registered nurses and HCAs (Chang & Lam, 1998;Keeney, Hasson, McKenna, & Gillen, 2005;Pearcey, 2008;Workman, 1996) between student nurses and HCAs (Wakefield, 2000) or it has concentrated on describing HCA roles using case study approaches (Daykin & Clarke, 2000;James, Butler-Williams, Hunt, & Cox, 2010;Kessler et al, 2010;Spilsbury & Meyer, 2004). There is a need for more high quality research to generate knowledge to inform future development of the paid carer workforce, in order to maximise the benefits for patients and service users.…”

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confidence: 99%

Paid carers: a new research challenge

Schneider

2016

Aging & Mental Health

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“…The responsibilities of the UAP are a combination of clinical (such as vital signs, baths, mouth care, ambulation, turning, and toileting) and nonclinical (such as keeping the environment orderly) work. 2,[4][5][6][7][8][9][10][11][12] The aim of this study was to determine the barriers that inhibit effective RN-UAP teamwork and then to ascertain if and how dysfunctional teamwork leads to problems in quality of care and patient safety. The specific study questions addressed were:…”

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confidence: 99%

The impact of RN-UAP relationships on quality and safety

Kalisch¹

2011

Nursing Management

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Nursing Management R i s k M a n a g e m e n t N ursing assistive personnel support RNs in carrying out their responsibilities and completing their work. These individuals typically have a short training program of several weeks to 3 months, although some have no formal preparation, not even a high school diploma. 1,2 The assumed model is that the RN retains responsibility and accountability for the entire care of the patient but delegates specific tasks to the unlicensed assistive personnel (UAP). The American Nurses Association points out that RNs retain ultimate responsibility, accountability, and legal liability not only for delegated work, but also for any associated errors. 3 As is true of teamwork among all members of the healthcare team, the relationship among UAP, RNs, and LPNs has implications for quality of care and patient safety.For purposes of parsimony, all of the various job titles for assistive personnel (such as unlicensed assistive personnel, certified nursing assistants, nurse techs, nurse aides, healthcare assistants, and others) will be referred to in this article by the abbreviation UAP. Nurse refers to RNs. Because there were few LPNs practicing in the hospitals involved in the study, they weren't included. The responsibilities of the UAP are a combination of clinical (such as vital signs, baths, mouth care, ambulation, turning, and toileting) and nonclinical (such as keeping the environment orderly) work. 2,[4][5][6][7][8][9][10][11][12] The aim of this study was to determine the barriers that inhibit effective RN-UAP teamwork and then to ascertain if and how dysfunctional teamwork leads to problems in quality of care and patient safety. The specific study questions addressed were:• What are the specific teamwork problems in the working relationships of RNs and UAP in acute care hospital settings? • How do these problems lead to diminished quality of care and patient errors? Method SampleThe study took place in three acute care hospitals (one academic medical center and two community hospitals) in two states. Data were collected on 15 medical-surgical patient-care units. In the first wave of data collection, a series of nine focus groups were completed with 81 RNs and 12 focus groups with 118 UAP. International Review Board approval for the study was obtained in all three facilities. Participants signed an informed consent before initiating the focus groups, which included staff from all shifts. The RNs and UAP were in separate focus groups to maximize open discussion. The second wave of data collection involved 19 individual interviews with 10 staff nurses, six UAP, and three nurse managers. These individuals worked on the study units in phase 1 of the study. Data collectionA semistructured design was employed in the focus group interviews in phase 1 of data collection, which were 60 to 90 minutes in length. Focus group participants were asked to commit to confidentiality (to not quote the others in the group outside the focus group). They were assured of the confidentiality of their com...

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Nurses’, midwives’ and patients’ perceptions of trained health care assistants

Cited by 36 publications

References 38 publications

Nursing care providers’ perceptions on their role contributions in patient care: An integrative review

Nursing care providers’ perceptions on their role contributions in patient care: An integrative review

Paid carers: a new research challenge

The impact of RN-UAP relationships on quality and safety

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