Relationship between Unit-Level Nurses' Expectations from Nursing Assistant Roles and Individual Nursing Assistants’ Information-Sharing Behaviors: A Multilevel Mediation Analysis

IF 2.1 3区 医学 Q2 NURSING
Masatoshi Saiki , Yukie Takemura , Keiko Kunie
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引用次数: 1

Abstract

Purpose

This study aimed to investigate the relationship between the expectations of unit-level nurses from nursing assistants (NAs), frequency of individual NAs' information-sharing behaviors with nurses, and the effect of NAs’ self-perceived roles on this relationship. NAs provide patient care along with nurses, and their information-sharing behaviors with nurses may be influenced by the expectations of the nurses.

Methods

Nurses and NAs from 104 integrated community care (sub- and postacute) units were included in this Japanese cross-sectional study conducted from July to September 2018. Nurses' expectations from NAs and the NAs' self-perceived roles and information-sharing frequency were measured. Multilevel mediation analysis was performed for NAs’ information-sharing behaviors, such as expressing, asking, providing linguistic responses, and providing feedback.

Results

Unit-level nurses' expectations from NAs were associated with the frequency of NAs' asking and responding behaviors with nurses (p < .05), mediated by the NAs' self-perceived roles. The frequency of NAs’ expressing behaviors and feedback were also associated with their self-perceived roles (p < .001).

Conclusions

High expectations of unit-level nurses from NAs led to better perception by NAs of their roles and led to better information-sharing behaviors. Educating nurses on NAs’ roles may improve information-sharing between nurses and NAs that leads to safe and appropriate care to patients.

单位级护士对护理助理角色的期望与个体护理助理信息共享行为的关系:多层次中介分析
目的本研究旨在探讨单位级护士对护理助理(NAs)的期望、个体NAs与护士信息共享行为的频率以及NAs的自我感知角色对这种关系的影响之间的关系。NAs与护士一起提供患者护理,他们与护士的信息共享行为可能会受到护士期望的影响。方法将来自104个综合社区护理(亚急性期和急性期后)单位的护士和NAs纳入2018年7月至9月进行的日本横断面研究。测量护士对NAs的期望以及NAs的自我感知角色和信息共享频率。对NA的信息共享行为进行了多层次中介分析,如表达、询问、提供语言反应和提供反馈。结果单位级护士对NAs的期望与NAs对护士的询问和回应行为的频率相关(p<;.05),由NAs的自我感知角色介导。NAs表达行为和反馈的频率也与他们的自我感知角色有关(p<;.001)。结论单位级护士对NAs的高期望导致NAs更好地感知他们的角色,并导致更好的信息共享行为。对护士进行NAs角色教育可以改善护士和NAs之间的信息共享,从而为患者提供安全和适当的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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