An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID-19.
Worldviews Evid Based Nurs
; 18(4): 251-260, 2021 Aug.
Article
en En
| MEDLINE
| ID: mdl-34355844
ABSTRACT
BACKGROUND:
During the COVID-19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.PURPOSE:
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.METHODS:
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl's (2005) methodology.RESULTS:
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses' delegation knowledge, decision-making, and competency. LINKING EVIDENCE TO ACTION Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Admisión y Programación de Personal
/
Delegación Profesional
/
COVID-19
/
Grupo de Enfermería
Tipo de estudio:
Prognostic_studies
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Worldviews Evid Based Nurs
Asunto de la revista:
ENFERMAGEM
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos