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