Nurse preparation and organizational support for supervision of unlicensed assistive personnel in nursing homes: a qualitative exploration

The Gerontologist
Elena O SiegelSarah E Shannon

Abstract

Nursing supervision of the routine daily care (e.g., grooming, feeding, and toileting) that is delegated to unlicensed assistive personnel (UAP) is critical to nursing home service delivery. The conditions under which the supervisory role is organized and operationalized at the work-unit level, taking into account workloads, registered nurse/licensed practical nurse staffing, and role expectations, are not well understood. The purpose of this paper is to describe the organizational, managerial, and nurse-level factors associated with the nurse's role as supervisor of UAP in nursing homes. An ethnographic approach to data collection included 31 interviews, 170 hr of observation, and organizational document review at three nursing homes. Analysis included micro-coding and content analysis. Findings revealed (a) considerable variation in organizational resources, systems, and processes to support organization and operationalization of the supervisory role; and (b) limited evidence of nurses' estimation of the potential benefits of training and organizational systems to support supervisory practice and the complexity of the supervisory role. Delivery of high-quality nursing home care is a matter of national importance, and these fi...Continue Reading

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Citations

Nov 30, 2011·BMC Health Services Research·Anders Kvale HavigTor Inge Romøren
Aug 4, 2012·Journal of Health Organization and Management·Nicola North, Frances Hughes
Aug 24, 2013·The Gerontologist·Judith E WalshJennifer L Troyer
Dec 15, 2011·Nursing Research·Kirsten N CorazziniEleanor S McConnell
Sep 13, 2011·Nurse Education Today·Katarzyna E SzczerbińskaBarbara Niedźwiedzka
Jul 16, 2011·Nursing Outlook·Mark Toles, Ruth A Anderson
Jul 31, 2010·Journal of Gerontological Nursing·Elena O Siegel, Heather M Young
Nov 17, 2011·Journal of Gerontological Nursing·Amy A VogelsmeierGinette A Pepper
Jul 31, 2013·Worldviews on Evidence-based Nursing·Katherine S McGiltonAngela Robinson
Jan 21, 2012·Research in Nursing & Health·JiSun Choi, Meg Johantgen
Jul 20, 2013·Journal of Nursing Management·Katherine S McGiltonWalter P Wodchis
Aug 28, 2014·Gerontology & Geriatrics Education·Kim NoletBarbara J Bowers
Jul 28, 2016·Worldviews on Evidence-based Nursing·Charlene H ChuKatherine S McGilton
Sep 13, 2018·Journal of Nursing Management·Tova Band-WintersteinAnna Zisberg
May 13, 2014·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Zuwang Shen
Aug 31, 2016·Critical Care Nursing Quarterly·Darcie M Brady
May 29, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Sandy Pin Pin ChoiJoseph Kok Long Lee
Sep 6, 2020·Home Healthcare Now·Natasha Bryant, Geralyn Magan

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