Thomas L H
Nurs Times. 1993;89(38):45-8.
This paper describes the contribution of nursing auxiliaries (NAs) compared with qualified nurses (QNs) in terms of activities performed. It also examines how this was affected by three organisational types, namely primary, team and functional nursing. Twelve QNs and 12 NAs were chosen randomly in each organisational type. Data were collected using non-participant observation and a computerised event recorder. The most interesting findings were found across organisational type, with QNs and NAs within each type engaging in similar patterns of work. Both grades of nursing staff in primary wards spent a greater amount of time in direct patient care but less time in supplementary patient care and staff activities. Team and functional nursing staff spent more time with patients in domestic and administrative activities. The implications of these findings for the employment of NAs in care of the elderly wards are discussed.
本文描述了护理辅助人员（NAs）与注册护士（QNs）在工作活动方面的贡献。同时，研究了这是如何受到三种组织类型影响的，即初级护理、团队护理和功能护理。在每种组织类型中随机选取了12名注册护士和12名护理辅助人员。通过非参与观察和计算机化事件记录器收集数据。最有趣的发现是在不同组织类型中，每种类型的注册护士和护理辅助人员的工作模式相似。初级病房的两个护理级别人员在直接护理患者上花费的时间更多，但在辅助患者护理和员工活动上花费的时间较少。团队护理和功能护理人员在家庭和行政活动中与患者相处的时间更多。讨论了这些发现对老年病房护理辅助人员聘用的影响。
