Author Identifier
Carol Crevacore
https://orcid.org/0000-0003-4008-1418
Elisabeth Jacob
https://orcid.org/0000-0002-3506-8422
Linda Coventry
https://orcid.org/0000-0002-3598-9942
Christine Duffield
Document Type
Journal Article
Publication Title
Journal of Advanced Nursing
Publisher
Wiley
School
School of Nursing and Midwifery / Centre for Research in Aged Care
RAS ID
45448
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.
DOI
10.1111/jan.15430
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Comments
Crevacore, C., Jacob, E., Coventry, L. L., & Duffield, C. (2023). Integrative review: Factors impacting effective delegation practices by registered nurses to assistants in nursing. Journal of Advanced Nursing, 79(3), 885-895.
https://doi.org/10.1111/jan.15430