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Cited by 40Nursing education and managementNursing Roles and PracticesHealthcare Education and Workforce Issues

A comparison of nursing tasks undertaken by regulated nurses and nursing support workers: a work sampling study

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Roche, Michael A., Friedman, Sarah, Duffield, Christine, Twigg, Diane E., Cook, Rebecca·2017·Journal of Advanced Nursing
DOI 10.1111/jan.13224
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Abstract

Aims: The aim of this study was to determine which tasks unregulated nursing support staff spend their work time undertaking and to determine differences between the work undertaken by licensed/regulated nurses on units which have nursing support workers and those on units which do not. Background: Acute hospital nursing teams often include nursing support staff; little is known about what kinds of tasks these unregulated support workers do and how it affects the work tasks of their licensed/regulated team members. Design: Cross‐sectional analysis of nurse work sampling data. Methods: Data collection took place between March–October 2013. The proportion of time spent on 25 work activities by nursing support staff and licensed/regulated nursing staff was compared. Logistic regression models estimated whether nursing support staff or licensed/regulated nurses were more likely to conduct direct and indirect patient care tasks and whether licensed/regulated nurses on units with nursing support staff were more likely to conduct direct or indirect tasks compared with those on units without nursing support workers. Results: Nursing support staff spent the majority of their time engaged in direct care tasks, e.g. admission and assessment, hygiene and mobility. Although licensed/regulated nurses were less likely to undertake direct care tasks compared with support workers, those who worked on units with support workers undertook more direct care compared with those who worked on units without support workers. Conclusions: Nursing support workers were given tasks that required substantial amounts of patient interaction. These staff may be associated with an increase in direct care tasks for licensed/regulated nurses, who may duplicate the direct care done by nursing support workers.

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Authors
Roche, M. A., Friedman, S., Duffield, C., Twigg, D. E., & Cook, R.
Affiliations
  • University of Technology Sydney (AU)
  • School of Nursing and Midwifery Edith Cowan University Joondalup Western Australia Australia
Corresponding author
Roche, Michael A.
ORCID
Venue
Journal of Advanced Nursing
Publisher
Wiley
Published
2016-12-22
Volume
73
Issue
6
Pages
1421-1432
ISSN
  • 0309-2402 (ISSN-L)
  • 1365-2648
DOI
10.1111/jan.13224
OpenAlex
W2550360762
Cited by
40
References
40
Citations by year
2026: 1 · 2025: 6 · 2024: 16 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 2
FWCI
4.57
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Advanced Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Australasian Journal of Paramedicine (submittedVersion)
  • UTS ePRESS (University of Technology Sydney) (submittedVersion)
Funders
  • Australian Research Council (LP110200271)
  • Department of Health, Government of Western Australia
Topics
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
Keywords
nursing workload, direct patient care, indirect patient care, task duplication, acute hospital nursing, working time distribution
MeSH terms
Cross-Sectional Studies, Humans, Licensure, Nursing Assistants, Nursing Process, Nursing Staff, Hospital

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