'Doing the writing' and 'working in parallel': how 'distal nursing' affects delegation and supervision in the emerging role of the newly qualified nurse

Johnson, Martin and Magnusson, Carin and Allan, Helen T. and Evans, Karen and Ball, Elaine and Horton, Khim and Curtis, Kathy and Westwood, Sue (2015) 'Doing the writing' and 'working in parallel': how 'distal nursing' affects delegation and supervision in the emerging role of the newly qualified nurse. Nurse Education Today, 35 (2). e29-e33. ISSN 0260-6917

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Abstract

Background: The role of the acute hospital nurse has moved away from the direct delivery of patient care and more towards the management of the delivery of bedside care by healthcare assistants. How newly qualified nurses delegate to and supervise healthcare assistants is important as failures can lead to care being missed, duplicated and/or incorrectly performed.
Objectives: The data described here form part of a wider study which explored how newly qualified nurses recontextualise knowledge into practice, and develop and apply effective delegation and supervision skills. This article analyses team working between newly qualified nurses and healthcare assistants, and nurses' balancing of administrative tasks with bedside care.
Methods and Analysis: Ethnographic case studies were undertaken in three hospital sites in England, using a mixed methods approach involving: participant observations; interviews with 33 newly qualified nurses, 10 healthcare assistants and 12 ward managers. Data were analysed using thematic analysis, aided by the qualitative software NVivo. Findings:Multiple demands upon the newly qualified nurses' time, particularly the pressures tomaintain records, can influence how effectively they delegate to, and supervise, healthcare assistants. While some nurses and healthcare assistants work successfully together, others work ‘in parallel’ rather than as an efficient team.
Conclusions: While some ward cultures and individual working styles promote effective team working, others lead to less efficient collaboration between newly qualified nurses and healthcare assistants. In particular the need for qualified nurses to maintain records can create a gap between them, and between nurses and patients. Newly qualified nurses require more assistance in managing their own time and developing successful working relationships with healthcare assistants.

Item Type: Article
Additional Information: Available online 2 December 2014
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 14722
Notes on copyright: This is a RoMEO green journal - Author's post-print on open access repository after an embargo period of 12 months
Useful Links:
Depositing User: Helen Allan
Date Deposited: 22 Apr 2015 14:43
Last Modified: 05 Sep 2018 23:57
URI: http://eprints.mdx.ac.uk/id/eprint/14722

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