GROUP

Is this an Evidence Based Article? Name of Journal and Year article was written?

Yes/No

Name of Journal:

Nursing Inquiry

Year: 2021

.2 points

State the problem

What was the goal of the project in the article?

Does this project correlate with your problem? State how?

What are you trying to achieve? Does this article support this goal?

Problem:

The problem is how supervision and delegation of a NA position are practiced in a multi-tier nursing team.

Goal:

To promote the development of transparent nursing practices and mutual understanding in the multi-tier nursing team to facilitate effective supervision and delegation based on informed decision-making and a culture of openness and trust.

State how this article correlates with your group problem and goal.

The article correlates with the problem and goal because it discusses how to enhance teamwork across care provider levels. It outlines how transparent nursing practices can lead to effective supervision and delegation, leading to high-quality patient care. The article shows how effective communication between RNs and NAs, can lead to teamwork, which is what our group project is aiming for. Our goal is to propose a plan to enhance teamwork between the RNs and PCTs on a med/surg unit and that correlates with the article.

.2 points

Strengths (Internal)

What’s was good about your article?

Why was this project successful?

Participants: It was successful because it included NA, nurses and nursing leaders who were policymakers, managers, supervisors, and educators whom all supported the study. Participants had to have direct involvement in the development or implementation of the NA model, worked directly with a NA, or worked in the role of a NA and they were to reflect the stakeholder population. The participants were familiar with the organization’s objectives and policies due to 1+ years of employment.

Research Methods: Data was collected through individual interviews, focus groups, and documentary evidence. Interview and focus groups were audio-recorded and transcribed verbatim and for the interviews, participants had to verify their transcripts sent to them. To verify conclusions from the data analysis, triangulation of multiple sources was used. The researcher made sure to utilize documents that were from a variety of sources, audiences, and purposes. The various methods contributed to preventing any bias.

Efficiency:

The results of the study proved that a clear understanding of roles, transparency from the RNs when delegating and supervising NAs, along with trusting and open communication empowered teamwork. This would enable both parties to provide quality patient care and patient satisfaction.

List attributes of the article, i.e. support from administration, councils, colleagues, institutions.

Attributes of this article included honest opinions gathered from senior managers, nurse educators, clinical nurse specialists, RNs, ENs, and policymakers during their individual interviews.

Did this implementation take place on a unit or area like yours?

It took place at a tertiary hospital and an acute setting that included 13 medical, surgical, and specialty wards.

.4 points

Weakness (Internal)- issues

Participants: Based on the researcher the interpretation of the NAs’ role and boundaries by RNs were the most pertinent issues. There was no transparency in communication when RNs delegated and supervised. RNs had an issue with having to take accountability for the NA when delegating to them, which resulted in a communication breakdown. Styles of the delegation were also something else that hindered teamwork leading to negative outcomes and the NAs not being receptive to what was asked of them. Some nurses also disagreed with them needing additional education.

Sample: The sample of RNs, nursing leaders and NAs were all members of the same hospital, so this would not provide evidence for the RN and NA’s teamwork in a nursing care facility.

.4 points

Opportunities (External)

Participants: There is a need for improving supervision, delegation, roles, and responsibilities through education. The research showed that successful delegation depended on effective communication, teamwork, positive interpersonal relationship, and sharing of knowledge. Since there seemed to not be enough education about each other roles, this would be a good opportunity to include that.

Baseline data: This study showed that mutual understanding, ward culture, workload, mutual understanding, knowledge, skills, and competence influenced delegation and supervision like previous research on this topic. research supports that multi factors affect the practices of nursing supervision and delegation within a multi-tiered nursing team.

.4 points

Threats - (External)

Barriers: Researchers found that some nurses had issues with accountability. The interpretations and how it was practiced differed based on the units’ environment. Improving delegation and supervision through additional education was rejected by some nurses who felt their delegation was at a satisfactory level already. They also found that some new grads lacked confidence in delegation and supervision of NAs because they felt like they had not received the proper training on it. Ultimately if the RNs and NAs can’t exhibit cohesive teamwork it reflects in the unit, and patient care leading to complaints from them and the patients.

Sample: The article argues that education on the roles, communication, and transparency are major key factors for effective teamwork, but it does not address if it could provide the same results in a more efficiently run hospital. Participants also were from acute settings and none were from outpatient, or hospice.

.4 points