Health care assistant and registered nurse dyads, working together and apart – a qualitative study
2024

Understanding Health Care Assistants and Registered Nurses Working Together

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Carroll Rachael E., De Vries Kay, Goodman Claire, Brown Jayne

Primary Institution: University of Nottingham

Hypothesis

How do Health Care Assistants negotiate their roles and responsibilities with Registered Nurses in acute hospitals?

Conclusion

The close working relationship between Health Care Assistants and Registered Nurses can lead to task-driven impacts on care delivery.

Supporting Evidence

  • 148 hours of observations and 108 interviews were conducted.
  • Health Care Assistants worked both independently and interdependently with Registered Nurses.
  • Dyads relied on task demarcation established by ward culture.

Takeaway

Health Care Assistants and Registered Nurses work closely together, but sometimes they don't communicate well, which can make it hard to take care of patients.

Methodology

The study used focused ethnography, including non-participant observation and interviews with staff from four acute wards.

Limitations

The study did not include the patient voice, limiting insights into patient experiences and outcomes.

Participant Demographics

22 Health Care Assistants and 33 Registered Nurses from four acute wards in a UK hospital.

Digital Object Identifier (DOI)

10.1186/s12912-024-02619-z

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