Integrative review : Factors impacting effective delegation practices by registered nurses to assistants in nursing

Journal article

Crevacore, Carol, Jacob, Elisabeth, Coventry, Linda L. and Duffield, Christine. (2022). Integrative review : Factors impacting effective delegation practices by registered nurses to assistants in nursing. Journal of Advanced Nursing. pp. 1-11. https://doi.org/10.1111/jan.15430
AuthorsCrevacore, Carol, Jacob, Elisabeth, Coventry, Linda L. and Duffield, Christine
Abstract

Aim
To identify the evidence on factors that impact delegation practices by Registered Nurses to Assistants in Nursing in acute care hospitals.

Design
An integrative review.

Data Sources
Database searches were conducted between July 2011 and July 2021.

Review Methods
We used the 12-step approach by Kable and colleagues to document the search strategy. The (Whittemore & Knafl. 2005. Journal of Advanced Nursing, 52(5), 546–553) integrative review framework method was adopted and the methodological quality of the studies was assessed using Joanna Briggs critical appraisal instruments.

Results
Nine studies were included. Delegation between the Registered Nurse and the Assistant in Nursing is a complex but critical leadership skill which is impacted by the Registered Nurse's understanding of the Assistant in Nursing's role, scope of practice and job description. Newly qualified nurses lacked the necessary leadership skills to delegate. Further education on delegation is required in pre-registration studies and during nurses' careers to ensure Registered Nurses are equipped with the skills and knowledge to delegate effectively.

Conclusion
With increasing numbers of Assistants in Nursing working in the acute care environment, it is essential that Registered Nurses are equipped with the appropriate leadership skills to ensure safe delegation practice.

Keywordsassistant in; decision making; decision making; delegation; healthcare assistants; integrative review; nurse; nursing; unregulated healthcare worker
Year2022
JournalJournal of Advanced Nursing
Journal citationpp. 1-11
PublisherJohn Wiley & Sons Ltd
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.15430
Scopus EID2-s2.0-85137345799
Open accessPublished as ‘gold’ (paid) open access
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusIn press
Publication dates
Online05 Sep 2022
Publication process dates
Accepted20 Aug 2022
Deposited20 Jan 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8y9w5/integrative-review-factors-impacting-effective-delegation-practices-by-registered-nurses-to-assistants-in-nursing

Log in to edit

Download files

Publisher's version
OA_Crevacore_2022_Integrative_review_factors_impacting_effective_delegation.pdf
License: CC BY-NC 4.0
File access level: Open

  • 2
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Factors impacting delegation decision making by registered nurses to assistants in nursing in the acute care setting: A mixed method study
Crevacore, Carol, Coventry, Linda, Duffield, Christine and Jacob, Elisabeth. (2022). Factors impacting delegation decision making by registered nurses to assistants in nursing in the acute care setting: A mixed method study. International Journal of Nursing Studies. 136, p. Article 104366. https://doi.org/10.1016/j.ijnurstu.2022.104366
Impact of pre-registration extended immersive ward-based simulation on student learning in preparation for clinical placement
Davies, Hugh, Robertson, Sue, Sundin, Deb and Jacob, Elisabeth. (2022). Impact of pre-registration extended immersive ward-based simulation on student learning in preparation for clinical placement. Nurse Education Today. 119, p. Article 105575. https://doi.org/10.1016/j.nedt.2022.105575
Impact of nurse-surgeons on patient-centred outcomes : A systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2022). Impact of nurse-surgeons on patient-centred outcomes : A systematic review. International Journal of Nursing Studies Advances. 4, p. Article 100086. https://doi.org/10.1016/j.ijnsa.2022.100086
A translational research framework for nurse practitioners
Ryder, Mary and Jacob, Elisabeth. (2022). A translational research framework for nurse practitioners. Journal of Nursing Management. 30(2), pp. 421-427. https://doi.org/10.1111/jonm.13496
Extended immersive simulation to develop nontechnical skills : Content analysis of students' views
Jacob, Elisabeth R., Sundin, Deb, Robertson, Sue and Davies, Hugh. (2021). Extended immersive simulation to develop nontechnical skills : Content analysis of students' views. Collegian. pp. 1-7. https://doi.org/10.1016/j.colegn.2021.09.009
Clinical readiness
Jacob, Elisabeth and Davies, Hugh. (2021). Clinical readiness. In In Harrison, Helena, Birks, Melanie and Mills, Jane (Ed.). Transition to nursing practice : From student to professional pp. 185-202 Oxford University Press.
The impact of blood sampling technique, including the use of peripheral intravenous cannula, on haemolysis rates : A cohort study
Jacob, Elisabeth, Jacob, Alycia, Davies, Hugh, Jacob, Darren, Jenkins, Mark, Husain, Margaret and Coventry, Linda. (2021). The impact of blood sampling technique, including the use of peripheral intravenous cannula, on haemolysis rates : A cohort study. Journal of Clinical Nursing. 30(13-14), pp. 1916-1926. https://doi.org/10.1111/jocn.15744
Current methods of nurse-surgeon training and education : Systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2021). Current methods of nurse-surgeon training and education : Systematic review. International Journal of Nursing Studies Advances. 3, p. Article 100048. https://doi.org/10.1016/j.ijnsa.2021.100048
Peripheral intravenous cannulas for blood drawing : Nurses' views through content analysis
Jacob, Elisabeth R., Jacob, Alycia M., Davies, Hugh T., Stoneman, Laurita J. and Coventry, Linda. (2021). Peripheral intravenous cannulas for blood drawing : Nurses' views through content analysis. Collegian. 28(4), pp. 408-414. https://doi.org/10.1016/j.colegn.2020.12.002
Measuring attitudes of those caring for people living with dementia : A quantitative survey
Vafeas, Caroline, Jacob, Elisabeth and Jacob, Alycia. (2021). Measuring attitudes of those caring for people living with dementia : A quantitative survey. Contemporary Nurse. 56(5-6), pp. 491-504. https://doi.org/10.1080/10376178.2021.1894958
Does participation in extended immersive ward-based simulation improve the preparedness of undergraduate bachelor’s degree nursing students to be ready for clinical practice as a registered nurse? An integrative literature review
Davies, Hugh, Sundin, Deborah, Robinson, Suzanne and Jacob, Elisabeth. (2021). Does participation in extended immersive ward-based simulation improve the preparedness of undergraduate bachelor’s degree nursing students to be ready for clinical practice as a registered nurse? An integrative literature review. Journal of Clinical Nursing. 30(19-20), pp. 2897-2911. https://doi.org/10.1111/jocn.15796
Experiences of Western Australian rural nursing graduates : A mixed method analysis
Graf, Amanda C., Nattabi, Barbara, Jacob, Elisabeth and Twigg, Di. (2021). Experiences of Western Australian rural nursing graduates : A mixed method analysis. Journal of Clinical Nursing. 30(23-24), pp. 3466-3480. https://doi.org/10.1111/jocn.15849
Contemporary nursing graduates’ transition to practice : A critical review of transition models
Graf, Amanda C., Jacob, Elisabeth, Twigg, Diane and Nattabi, Barbara. (2020). Contemporary nursing graduates’ transition to practice : A critical review of transition models. Journal of Clinical Nursing. 29(15-16), pp. 3097-3107. https://doi.org/10.1111/jocn.15234
Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study
Jacob, Alycia, Coventry, Linda, Davies, Hugh and Jacob, Elisabeth. (2020). Are current clinical guidelines on the use of Peripheral Intravenous Cannula for blood draws supported by evidence? An organizational case study. Nursing Open. 7(6), pp. 1746-1754. https://doi.org/10.1002/nop2.559
An integrative review to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes
Ryder, Mary, Jacob, Elisabeth and Hendricks, Joyce. (2020). An integrative review to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes. International Journal of Nursing Practice. 26(6), p. e12901. https://doi.org/10.1111/ijn.12901
A survey identifying leadership and research activities among nurse practitioners
Ryder, Mary, Jacob, Elisabeth and Hendricks, Joyce. (2020). A survey identifying leadership and research activities among nurse practitioners. Contemporary Nurse. 56(5-6), pp. 441-454. https://doi.org/10.1080/10376178.2020.1835508
A younger onset dementia toolkit: Innovative practice
Vafeas, Caroline, Jacob, Elisabeth and Jacob, Alycia M. (2020). A younger onset dementia toolkit: Innovative practice. Dementia. 19(4), pp. 1299 - 1307. https://doi.org/10.1177/1471301217738402
‘Ward for the day’: A case study of extended immersive ward-based simulation
Davies, Hugh, Schultz, Rebecca, Sundin, Deborah and Jacob, Elisabeth. (2020). ‘Ward for the day’: A case study of extended immersive ward-based simulation. Nurse Education Today. 90, pp. 1 - 8. https://doi.org/10.1016/j.nedt.2020.104430
Estimation of body fluid status by fluid balance and body weight in critically ill adult patients : A systematic review
Davies, Hugh, Leslie, Gavin, Jacob, Elisabeth and Morgan, David. (2019). Estimation of body fluid status by fluid balance and body weight in critically ill adult patients : A systematic review. Worldviews on Evidence-Based Nursing. 16(6), pp. 470-477. https://doi.org/10.1111/wvn.12394
Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia
Davies, Hugh, Coventry, Linda L., Jacob, Alycia M., Stoneman, Laurita and Jacob, Elisabeth. (2019). Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia. Collegian. 27(2), pp. 219 - 225. https://doi.org/10.1016/j.colegn.2019.07.010
A quantitative systematic review of the association between nurse skill mix and nursing-sensitive patient outcomes in the acute care setting
Twigg, Diane E., Kutzer, Yvonne, Jacob, Elisabeth and Seaman, Karla. (2019). A quantitative systematic review of the association between nurse skill mix and nursing-sensitive patient outcomes in the acute care setting. Journal of Advanced Nursing. 75(12), pp. 3404 - 3423. https://doi.org/10.1111/jan.14194
An inductive qualitative approach to explore nurse practitioners views on leadership and research: An international perspective
Ryder, Mary, Jacob, Elisabeth and Hendricks, Joyce. (2019). An inductive qualitative approach to explore nurse practitioners views on leadership and research: An international perspective. Journal of Clinical Nursing. 28(13-14), pp. 2644 - 2658. https://doi.org/10.1111/jocn.14853
The role of the family in supporting the self-management of chronic conditions : A qualitative systematic review
Whitehead, Lisa, Jacob, Elisabeth, Towell, Amanda, Abu-qamar, Ma'en and Cole-Heath, Amanda. (2018). The role of the family in supporting the self-management of chronic conditions : A qualitative systematic review. Journal of Clinical Nursing. 27(1-2), pp. 22-30. https://doi.org/10.1111/jocn.13775
Intentional rounding in acute adult healthcare settings : A systematic mixed-method review
Christiansen, Angela, Coventry, Linda, Graham, Renée, Jacob, Elisabeth, Twigg, Di and Whitehead, Lisa. (2018). Intentional rounding in acute adult healthcare settings : A systematic mixed-method review. Journal of Clinical Nursing. 27(9-10), pp. 1759-1792. https://doi.org/10.1111/jocn.14370
An integrative review of rural and remote nursing graduate programmes and experiences of nursing graduates
Fowler, Amanda C., Twigg, Diane, Jacob, Elisabeth and Nattabi, Barbara. (2018). An integrative review of rural and remote nursing graduate programmes and experiences of nursing graduates. Journal of Clinical Nursing. 27(5-6), pp. e753-e766. https://doi.org/10.1111/jocn.14211
Is it time to consider a four year Nursing Bachelor Degree in Australia? A discussion paper
Angela Christiansen, Elisabeth Jacob and Di Twigg. (2018). Is it time to consider a four year Nursing Bachelor Degree in Australia? A discussion paper. Collegian. 25(5), pp. 567-571. https://doi.org/10.1016/j.colegn.2018.01.004
Influence of perceptions and stereotypes of the nursing role on career choice in secondary students: A regional perspective
Raymond, Anita, James, Ainsley, Jacob, Elisabeth and Lyons, Judith. (2018). Influence of perceptions and stereotypes of the nursing role on career choice in secondary students: A regional perspective. Nurse Education Today. 62, pp. 150 - 157. https://doi.org/10.1016/j.nedt.2017.12.028
Development of an Australian nursing critical thinking tool using a Delphi process
Jacob, Elisabeth, Duffield, Christine and Jacob, Darren. (2018). Development of an Australian nursing critical thinking tool using a Delphi process. Journal of Advanced Nursing. 74(9), pp. 2241 - 2247. https://doi.org/10.1111/jan.13732
A protocol for the development of a critical thinking assessment tool for nurses using a Delphi technique
Jacob, Elisabeth, Christine Duffield and Darren Jacob. (2017). A protocol for the development of a critical thinking assessment tool for nurses using a Delphi technique. Journal of Advanced Nursing. 73(8), pp. 1982-1988. https://doi.org/10.1111/jan.13306
Peer learning a pedagogical approach to enhance online learning: A qualitative exploration
Raymond, Anita, Jacob, Elisabeth, Jacob, Darren and Lyons, Judith. (2016). Peer learning a pedagogical approach to enhance online learning: A qualitative exploration. Nurse Education Today. 44, pp. 165 - 169. https://doi.org/10.1016/j.nedt.2016.05.016
Cultural desire need not improve with cultural knowledge: A cross-sectional study of student nurses
Isaacs, Anton Neville, Raymond, Anita, Jacob, Elisabeth, Jones, Janet, McGrail, Matthew and Drysdale, Marlene. (2016). Cultural desire need not improve with cultural knowledge: A cross-sectional study of student nurses. Nurse Education in Practice. 19, pp. 91 - 96. https://doi.org/10.1016/j.nepr.2016.05.009
Exploration of nursing degree students’ content expectations of a dedicated Indigenous health unit
Jacob, Elisabeth, Raymond, Anita, Jones, Janet, Jacob, Alycia M., Drysdale, Marlene and Isaacs, Anton Neville. (2016). Exploration of nursing degree students’ content expectations of a dedicated Indigenous health unit. Collegian. 23(3), pp. 313 - 319. https://doi.org/10.1016/j.colegn.2015.06.001
Infection control : It's not just what you wear -it's how you take it off
Mata, Gina, Oliver, Kim, Geale, Sara and Jacob, Elisabeth. (2015). Infection control : It's not just what you wear -it's how you take it off. Australian Nursing and Midwifery Journal. 23(3), p. 39.
The changing skill mix in nursing: Considerations for and against different levels of nurse
Beth Jacob, Lisa McKenna and Angelo D'Amore. (2015). The changing skill mix in nursing: Considerations for and against different levels of nurse. Journal of Nursing Management. 23(4), pp. 421-426. https://doi.org/10.1111/jonm.12162
Senior nurse role expectations of graduate registered and enrolled nurses on commencement to practice
Jacob, Elisabeth R., McKenna, Lisa and D’Amore, Angelo. (2014). Senior nurse role expectations of graduate registered and enrolled nurses on commencement to practice. Australian Health Review. 38(4), pp. 432-439. https://doi.org/10.1071/AH13216
Senior nurse role expectations of graduate registered and enrolled nurses in Australia : Content analysis of open-ended survey questions
Jacob, Elisabeth R., McKenna, Lisa and D’Amore, Angelo. (2014). Senior nurse role expectations of graduate registered and enrolled nurses in Australia : Content analysis of open-ended survey questions. Contemporary Nurse. 48(2), pp. 212-218. https://doi.org/10.1080/10376178.2014.11081943
Comparisons of the educational preparation of registered and enrolled nurses in Australia : The educators' perspectives
Jacob, Elisabeth R., McKenna, Lisa and D'Amore, Angelo. (2014). Comparisons of the educational preparation of registered and enrolled nurses in Australia : The educators' perspectives. Nurse Education in Practice. 14(6), pp. 648-653. https://doi.org/10.1016/j.nepr.2014.07.005
Similarities and differences in educational preparation of registered and enrolled nurses in Australia: An examination of curricula content
Elisabeth Jacob, Lisa McKenna and Angelo D'Amore. (2014). Similarities and differences in educational preparation of registered and enrolled nurses in Australia: An examination of curricula content. Contemporary Nurse. 48(2), pp. 199-211. https://doi.org/10.1080/10376178.2014.11081942