Wagner Elissa A
University of Michigan School of Nursing, Ann Arbor, Michigan.
J Nurs Care Qual. 2018 Apr/Jun;33(2):187-193. doi: 10.1097/NCQ.0000000000000282.
In acute care settings, registered nurses need to delegate effectively to unlicensed assistive personnel to provide safe care. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Findings revealed a tendency for nurses to delay the decision to delegate. However, nurses' ability to explain performance appraisals, facilitate clearer communication, and seek feedback improved. Patient outcomes revealed decreased falls and improved patient satisfaction.
在急症护理环境中,注册护士需要有效地向无执照辅助人员进行任务分配,以提供安全护理。本项目探讨了护士与无执照辅助人员之间改善任务分配沟通对压疮发生率、跌倒、患者满意度和任务分配实践的影响。研究结果显示,护士有延迟任务分配决策的倾向。然而,护士解释绩效评估、促进更清晰沟通和寻求反馈的能力有所提高。患者结果显示跌倒减少,患者满意度提高。