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. (2023). Integrative review : Factors impacting effective delegation practices by registered nurses to assistants in nursing. Journal of Advanced Nursing. 79(3), pp. 885-895. 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
Year2023
JournalJournal of Advanced Nursing
Journal citation79 (3), pp. 885-895
PublisherJohn Wiley & Sons Ltd
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.15430
PubMed ID36062891
Scopus EID2-s2.0-85137345799
Open accessPublished as ‘gold’ (paid) open access
Page range885-895
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Sep 2022
Publication process dates
Accepted20 Aug 2022
Deposited20 Jan 2023
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