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Keywords

Nursing assistant, registered nurse, teamwork

Disciplines

Nursing

Description

  • The teamwork between the registered nurse (RN) and the nurse assistant (NA) is essential in healthcare delivery.
  • Successful teamwork promotes clear role identification and job expectations. When these components are unclear, patient safety outcomes and role satisfaction can be negatively impacted.
  • Individual perceptions of RN-NA teamwork may negatively impact the environment of care.
  • Breakdown of care can contribute to missed nursing care such as ambulating, turning, hygiene, feeding, and intake and output (I&O) documentation.
  • One way to promote successful teamwork is to assess the relational quality between the members of the team. Relational quality is defined by the effectiveness of exchanges between the leader (RN) and the team members (NA). Additionally, a main factor in RN-NA teamwork and collaboration is relationship building.
  • The literature identifies that patient report is one way to build relational quality, improve teamwork, increase communication and decrease missed nursing care.
  • Promoting RN to NA report creates the opportunity to clarify roles, responsibilities, and expectations of the shift. Receiving report empowers the NA to feel like a valued member of the healthcare team.
  • Report also contributes to a shared model of teamwork and supports team-based problem solving, compared to the disjointed perception when each role receives report individually.

Publication Date

5-6-2024

Comments

Nurses Week at Corewell Health William Beaumont University Hospital, Royal Oak, MI, May 6-12, 2024.

Improving Relational Quality Between Nurses and Nurse Assistants

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