Paper
Saturday, July 24, 2004
Supervision of Nursing Care Provided by Others: Preparation and Practice
Lynda H. Crawford, PhD, RN, CAE, Research Services Department, Research Services Department, National Council of State Boards of Nursing, Chicago, IL, USA
| Learning Objective #1: Identify issues related to the provision of nursing care through assistive personnel |
| Learning Objective #2: Synthesize information necessary for improving the preparation of nurses for effectively supervising care provided by nursing assistive personnel |
Objective: The National Council of State Boards of Nursing (NCSBN) has initiated a study of nursing practice in the US during the first five years post-licensure. This study will discover not only how nursing practice in the US changes post-entry, but also characteristics of post-entry nursing practice over time. The purpose of this presentation is to report findings gathered during the first year of the study regarding the delegation and supervision of care provided by others. Methods: Data are being collected using a cross-sequential design, which incorporates aspects of both cross-section and longitudinal designs, to survey nine different cohorts each of registered and practical nurses. Each cohort was selected based on years since initial licensure. Data are analyzed with a qualitative, grounded-theory methodology. Subjects: Approximately 1,200 nurses are participating in the study. The educational preparation and work settings of study subjects is proportionate to the rest of the nation. Findings: Some of the earliest themes identified from the data have related to delegation of care to others, particularly assistive personnel. Participants have indicated little involvement in the care provided by others, and have not felt responsible for the care provided by assistive personnel. These new nurses have expressed a lack of preparation for, or comfort with, supervision of care provided by others. Implications: Knowledge of these issues and an understanding of related regulatory issues are important to educators, nurses in practice, and employers of nurses.
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