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[The activities/tasks performed by health care aids in hospital settings: a mixed-methods study]. / Le attività degli Operatori Socio-Sanitari
nei contesti ospedalieri:
uno studio mixed-method.
Assist Inferm Ric ; 38(1): 6-14, 2019.
Article em It | MEDLINE | ID: mdl-30933185
ABSTRACT
. The nurses' tasks performed by aids in hospital settings a mixed-methods study.

INTRODUCTION:

The role of Nurses' aides (NAs) in the clinical practice has been widely debated to date.

AIMS:

To describe the activities/tasks performed by NAs and the dedicated time; to identify the activities/tasks shifted from nurses to NAs and to investigate the motivations.

METHODS:

A multi-center mixed-methods study was conducted. Fifty-six NAs working in 17 hospitals in the North-Italy were observed during daily practice and then interviewed about the motivations associated with task shifting.

RESULTS:

NAs mainly performed direct care tasks (67.7% of the observed time), such as helping with personal hygiene, feeding and mobilization. Larger hospitals (p = 0.034), surgical units (p = 0.001), a skill mix> 40% (p = 0.044) and a reduced nurse to patient ratio (p = 0.041), were significantly associated with a higher amount of indirect care activities/tasks performed by NAs. The tasks shifted most frequently from nurses to NAs were mobilization (22; 39.3%) and personal hygiene (21; 37.5%) of unstable patients, feeding patients with dysphagia (19; 34%), intra-venous set replacement (16; 28.6%) and pressure ulcers' dressing (11; 19.6%). NAs reported that they chose to act autonomously because of their experience and the trust-based relationship with nurses, in order to promptly respond to patients needs and to reduce nurse workload.

CONCLUSIONS:

It is necessary to further assess the development of the NAs role in the hospital setting to understand their inclusion in the nursing care.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Carga de Trabalho / Papel do Profissional de Enfermagem / Assistentes de Enfermagem / Recursos Humanos de Enfermagem Hospitalar Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: It Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Carga de Trabalho / Papel do Profissional de Enfermagem / Assistentes de Enfermagem / Recursos Humanos de Enfermagem Hospitalar Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: It Ano de publicação: 2019 Tipo de documento: Article