Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
BMC Health Serv Res. 2024 May 7;24(1):592. doi: 10.1186/s12913-024-11054-4.
Considering the significance of care delegation in enhancing the quality of nursing care and ensuring patient safety, it is imperative to explore nurses' experiences in this domain. As such, this study aimed to explore the experiences of Iranian nurses regarding the delegation of care.
This qualitative study was conducted between 2022 and 2023, employing the content analysis method with a conventional approach. The study utilized purposeful sampling method to select qualified participants. Data collection was carried out through in-depth and semi-structured interviews utilizing open-ended questions. The data analysis process followed the steps proposed by Graneheim and Lundman (2004) and involved the use of MAXQDA version 12 software. To ensure the trustworthiness of the data, the study employed the four rigor indices outlined by Lincoln and Guba (1985).
In the present study, a total of 15 interviews were conducted with 12 participants, the majority of whom were women. The age range of the participants fell between 25 and 40 years. Through qualitative data analysis, eight subcategories and three main categories of "insourcing of care", "outsourcing of care" and "delegating of care to non-professionals" were identified. Additionally, the overarching theme that emerged from the analysis was "delegation of care, a double-edged sword".
The results of the study revealed that the delegation of care occurred through three distinct avenues: to colleagues within the same unit, to colleagues in other units, and to non-professionals. Delegating care was found to have potential benefits, such as reducing the nursing workload and fostering teamwork. However, it was also observed that in certain instances, delegation was not only unhelpful but also led to missed nursing care. Therefore, it is crucial to adhere to standardized principles when delegating care to ensure the maintenance of high-quality nursing care.
考虑到护理分工在提高护理质量和确保患者安全方面的重要性，探讨护士在这方面的经验是当务之急。因此，本研究旨在探讨伊朗护士在护理分工方面的经验。
本定性研究于 2022 年至 2023 年期间进行，采用常规方法的内容分析法。研究采用目的抽样法选择合格的参与者。通过开放式问题的深入和半结构化访谈进行数据收集。数据分析过程遵循 Graneheim 和 Lundman（2004）提出的步骤，并使用 MAXQDA 版本 12 软件。为了确保数据的可信度，研究采用了 Lincoln 和 Guba（1985）提出的四个严谨性指标。
在本研究中，共对 12 名参与者进行了 15 次访谈，其中大多数为女性。参与者的年龄范围在 25 岁至 40 岁之间。通过定性数据分析，确定了“护理内包”、“护理外包”和“将护理委托给非专业人员”三个主要类别下的 8 个子类别。此外，分析得出的总体主题是“护理分工，一把双刃剑”。
研究结果表明，护理分工通过三种不同途径进行：同一单位内的同事、其他单位的同事和非专业人员。护理分工被认为具有潜在的益处，例如减少护理工作量和促进团队合作。然而，也观察到在某些情况下，分工不仅没有帮助，反而导致护理缺失。因此，在委托护理时遵循标准化原则至关重要，以确保维持高质量的护理。
