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Delegation within municipal healthcare
Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.ORCID-id: 0000-0001-7082-6834
2011 (engelsk)Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, nr 4, s. 534-541Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim To describe how registered nurses (RNs) perceive delegation to unlicensed personnel (UP) in a municipal healthcare context in Sweden. Background Within municipal health care RNs often delegate tasks to UP. The latter have practical training, but lack formal competence. Method Twelve RNs were interviewed and the material was analysed using a phenomenographic approach. Results Owing to a shortage of RNs, delegation is seen as a prerequisite for a functioning organization. This necessity also involves a number of perceived contradictions in three areas: (1) the work situation of RNs - facilitation and relief vs. lack of control, powerlessness, vagueness regarding responsibility, and resignation; (2) the relationship with unlicensed personnel - stimulation, possibility for mentoring, use of UP competence and the creation of fairness vs. questioning UP competence; and (3) The patients - increase in continuity, quicker treatment, and increased security vs. insecurity (with respect to, for example, the handling of medicine). Conclusion Registered nurses perceptions of delegation within municipal healthcare involve their own work situation, the UP and the patients. Implications for nursing management Registered nurses who delegate to UP must be given time for mentoring such that the nursing care is safe care of high quality.

sted, utgiver, år, opplag, sider
2011. Vol. 19, nr 4, s. 534-541
Emneord [en]
delegation, municipal healthcare, registered nurses, unlicensed personnel
HSV kategori
Forskningsprogram
Omvårdnad
Identifikatorer
URN: urn:nbn:se:kau:diva-10145DOI: 10.1111/j.1365-2834.2010.01202.xISI: 000290583800013PubMedID: 21569150OAI: oai:DiVA.org:kau-10145DiVA, id: diva2:493666
Tilgjengelig fra: 2012-02-08 Laget: 2012-02-08 Sist oppdatert: 2018-01-17bibliografisk kontrollert

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