Other Titles
Rapid Presentation Round
Abstract
This study examines the relationship of a structured educational intervention related to registered nurse (RN) delegated practice within the Care Pair Model (CPM) in a medical-surgical unit for its potential to expand the utilization of Nursing Assistants (NAs) in the nursing shortage in health care. CPM employs NAs as complement staff for RNs thus shortening workloads and improving patient care but relies on the RN's ability to communicate clearly and delegate responsibilities. A literature review done identifies that there is a gap in available information about CPM and delegation and thus this study looks at the educational intervention of delegation. Delegation impacts nursing practice related to patient outcomes and extends to the collaboration of colleagues and the workflow. It is meant to facilitate a larger understanding of delegation by optimizing the effectiveness of the work force, especially in this type of new care delivery model. This mixed method study will utilize a pre- and post- design to capture data from the surveys regarding RN delegation and communication skills, nursing dashboard data related to patient outcomes, and the Colleague Pulse Survey examining resource adequacy.
Delegation can be empowering for nurses. Nonetheless, this study is needed as there is prevalent lack of delegation confidence and competency observed amongst nurses. Effective delegation is characterized by good communication between both parties; thus, the gap of research related to the CPM signifies the importance of the study. Implementing the educational intervention will incorporate an evidence-based methodology for testing and monitoring interventions.
The results of the study will have important implications in nursing education and practice. Therefore, of importance to nursing is the response to care complexities which is supported by expanding what the NA role is through delegation, and this study goes in some way to addressing gaps in knowledge through understanding more about how workforce optimization has an impact on patient care. Findings will allow for more effective training efforts and will guide health systems as they use other innovative care delivery models. This study will provide valuable information on the CPM to aid in the success of delegation and other care delivery models. The outcomes are anticipated to be beneficial to patient care, workforce effectiveness, and RN work satisfaction.
Notes
References: Campbell, A. R., Layne, D., Scott, E., & Wei, H. (2020). Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review. Journal of Nursing Management, 28(7), 1465–1472. https://doi.org/10.1111/jonm.13083.
Crevacore, C., Coventry, L., Duffield, C., & Jacob, E. (2022). Factors impacting delegation decision making by registered nurses to assistants in nursing in the Acute Care Setting: A Mixed Method Study. International Journal of Nursing Studies, 136, 104366. https://doi.org/10.1016/j.ijnurstu.2022.104366.
Crevacore, C., Jacob, E., Coventry, L. L., & Duffield, C. (2022). Integrative Review: Factors Impacting effective delegation practices by registered nurses to assistants in nursing. Journal of Advanced Nursing, 79(3), 885–895. https://doi.org/10.1111/jan.15430.
Havaei, F., MacPhee, M., & Dahinten, V. S. (2019). The effect of nursing care delivery models on quality and safety outcomes of care: A cross-sectional survey study of medical-surgical nurses. Journal of Advanced Nursing, 75(10), 2144–2155. https://doi.org/10.1111/jan.13997.
Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mwelwa, M. M., ... & Carrier, J. (2021). Implementing evidence-based practice nursing using the PDSA model: Process, lessons and implications. International Journal of Africa Nursing Sciences, 14, 100261.
Sigma Membership
Gamma Pi at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Care Pair Model, CPM, Medical-Surgical Unit, Care Delivery Model
Recommended Citation
Whitney, Tiffany Michelle, "Education, Evaluation, and Impact of a Delegation Learning Session in the Care Pair Model" (2025). Creating Healthy Work Environments (CHWE). 91.
https://www.sigmarepository.org/chwe/2025/presentations_2025/91
Conference Name
Creating Healthy Work Environments
Conference Host
Sigma Theta Tau International
Conference Location
Phoenix, Arizona, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Education, Evaluation, and Impact of a Delegation Learning Session in the Care Pair Model
Phoenix, Arizona, USA
This study examines the relationship of a structured educational intervention related to registered nurse (RN) delegated practice within the Care Pair Model (CPM) in a medical-surgical unit for its potential to expand the utilization of Nursing Assistants (NAs) in the nursing shortage in health care. CPM employs NAs as complement staff for RNs thus shortening workloads and improving patient care but relies on the RN's ability to communicate clearly and delegate responsibilities. A literature review done identifies that there is a gap in available information about CPM and delegation and thus this study looks at the educational intervention of delegation. Delegation impacts nursing practice related to patient outcomes and extends to the collaboration of colleagues and the workflow. It is meant to facilitate a larger understanding of delegation by optimizing the effectiveness of the work force, especially in this type of new care delivery model. This mixed method study will utilize a pre- and post- design to capture data from the surveys regarding RN delegation and communication skills, nursing dashboard data related to patient outcomes, and the Colleague Pulse Survey examining resource adequacy.
Delegation can be empowering for nurses. Nonetheless, this study is needed as there is prevalent lack of delegation confidence and competency observed amongst nurses. Effective delegation is characterized by good communication between both parties; thus, the gap of research related to the CPM signifies the importance of the study. Implementing the educational intervention will incorporate an evidence-based methodology for testing and monitoring interventions.
The results of the study will have important implications in nursing education and practice. Therefore, of importance to nursing is the response to care complexities which is supported by expanding what the NA role is through delegation, and this study goes in some way to addressing gaps in knowledge through understanding more about how workforce optimization has an impact on patient care. Findings will allow for more effective training efforts and will guide health systems as they use other innovative care delivery models. This study will provide valuable information on the CPM to aid in the success of delegation and other care delivery models. The outcomes are anticipated to be beneficial to patient care, workforce effectiveness, and RN work satisfaction.
Description
This presentation reviews current work being done to impact structured educational intervention with registered nurses (RN) delegation practices within a collaborative care delivery model called the Care Pair Model (CPM) which aims to enhance utilization of Nursing Assistants (NAs). The study seeks to bridge their literature gap in effective delegation and communication, ultimately improving patient care outcomes while fostering confidence among nurses.