The Delegation and Supervisory Skills of Clinical Nurses Working in a Registered Nurse-unlicensed Assistive Personnel Care Delivery Model
Author | : Susan Roth Allen |
Publisher | : |
Total Pages | : 97 |
Release | : 1998 |
Genre | : Nurse practitioners |
ISBN | : |
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Increased use of unlicensed assistive personnel (UAP) has precipated the need for skill development in leadership, supervision, and delegation by RNs. RN competence in these areas is a critical factor to successful implementation of RN-UAP care delivery models. The study sought to answer the following questions: What are the delegation and supervisory experiences of RNs working in RN-UAP care delivery models, and what are the perceived barriers to delegation and supervision of UAP by RNs? Descriptive data were collected at focus group sessions from a convenience sample of 34 RNs. Participants reported competence in delegation and supervision and their perceived barriers, through use of written checklists, and through group discussion. Focus group transcriptions were content analyzed. The majority (94.1%) indicated there were occasions they wished to delegate to UAP, and did not, and 85.3% said this occurred at least daily. Barriers to delegation and supervision were RN and UAP role confusion, accountability without authority, lack of supervisory preparation, and personal barriers of mistrust, anger and loss, lack of energy, and perceived inadequacies. Continued exploration of RN experiences in delegation and supervision may assist nurse administrators, educators, and researchers to identify needed interventions to support development of RN competence in delegation and supervisory skills.