An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID‐19
Background During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing a...
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| Veröffentlicht in: | Worldviews on evidence-based nursing 2021-08, Vol.18 (4), p.251-260 |
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| container_title | Worldviews on evidence-based nursing |
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| creator | Beckett, Cynthia D. Zadvinskis, Inga M. Dean, Jennifer Iseler, Jackeline Powell, Julie M. Buck‐Maxwell, Betty |
| description | Background
During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.
Purpose
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.
Methods
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl’s (2005) methodology.
Results
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses’ delegation knowledge, decision‐making, and competency.
Linking evidence to action
Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care. |
| doi_str_mv | 10.1111/wvn.12523 |
| format | Article |
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During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.
Purpose
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.
Methods
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl’s (2005) methodology.
Results
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses’ delegation knowledge, decision‐making, and competency.
Linking evidence to action
Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care.</description><identifier>ISSN: 1545-102X</identifier><identifier>EISSN: 1741-6787</identifier><identifier>DOI: 10.1111/wvn.12523</identifier><identifier>PMID: 34355844</identifier><language>eng</language><publisher>Indianapolis: Wiley Subscription Services, Inc</publisher><subject>care delivery system ; COVID-19 ; Critical care ; critical care/intensive care ; Delegation ; Evidence Review ; Evidence-based nursing ; evidence‐based practice ; medical/surgical ; Nurses ; Nursing administration ; Nursing care ; nursing practice ; patient outcomes/health care outcomes/treatment outcomes ; Severe acute respiratory syndrome coronavirus 2 ; Teamwork ; work environment/working conditions ; Workforce</subject><ispartof>Worldviews on evidence-based nursing, 2021-08, Vol.18 (4), p.251-260</ispartof><rights>2021 Sigma Theta Tau International</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4483-df29b123db012282cccd6eb334f848ca402b8d6b3726f63d7a3b39105dbf8de03</citedby><cites>FETCH-LOGICAL-c4483-df29b123db012282cccd6eb334f848ca402b8d6b3726f63d7a3b39105dbf8de03</cites><orcidid>0000-0002-3281-1436 ; 0000-0001-9504-1056</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fwvn.12523$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fwvn.12523$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Beckett, Cynthia D.</creatorcontrib><creatorcontrib>Zadvinskis, Inga M.</creatorcontrib><creatorcontrib>Dean, Jennifer</creatorcontrib><creatorcontrib>Iseler, Jackeline</creatorcontrib><creatorcontrib>Powell, Julie M.</creatorcontrib><creatorcontrib>Buck‐Maxwell, Betty</creatorcontrib><title>An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID‐19</title><title>Worldviews on evidence-based nursing</title><description>Background
During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.
Purpose
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.
Methods
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl’s (2005) methodology.
Results
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses’ delegation knowledge, decision‐making, and competency.
Linking evidence to action
Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care.</description><subject>care delivery system</subject><subject>COVID-19</subject><subject>Critical care</subject><subject>critical care/intensive care</subject><subject>Delegation</subject><subject>Evidence Review</subject><subject>Evidence-based nursing</subject><subject>evidence‐based practice</subject><subject>medical/surgical</subject><subject>Nurses</subject><subject>Nursing administration</subject><subject>Nursing care</subject><subject>nursing practice</subject><subject>patient outcomes/health care outcomes/treatment outcomes</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Teamwork</subject><subject>work environment/working conditions</subject><subject>Workforce</subject><issn>1545-102X</issn><issn>1741-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10dtqFDEYB_Agiq2rF75BwBu9mDbnyXohlK2HhdKC1updyOQwpsxk1mRml975CD5jn6TZ3VKwYG6-hPzyJeEPwGuMjnAZx5t1PMKEE_oEHOKa4UrUsn5a5pzxCiPy8wC8yPkaISJqQp-DA8oo55KxQ9CeRLiMo2uTHsPawa9uHdwGDh5eOt3D8ynlEFuoo4WnrnNtUUN8D5f9qgtmt8jQD2kHHfw2au-33k5pWxYXV8vT2z9_8fwleOZ1l92r-zoD3z99vFx8qc4uPi8XJ2eVYUzSynoybzChtkGYEEmMMVa4hlLmJZNGM0QaaUVDayK8oLbWtKFzjLhtvLQO0Rn4sO-7mpreWePimHSnVin0Ot2oQQf1704Mv1Q7rJVkHMly8wy8vW-Qht-Ty6PqQzau63R0w5QV4XzOqBRcFPrmEb0ephTL97ZK0lqgQmfg3V6ZNOScnH94DEZqG58q8aldfMUe7-0mdO7m_1D9uDrfn7gD81ibvw</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Beckett, Cynthia D.</creator><creator>Zadvinskis, Inga M.</creator><creator>Dean, Jennifer</creator><creator>Iseler, Jackeline</creator><creator>Powell, Julie M.</creator><creator>Buck‐Maxwell, Betty</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3281-1436</orcidid><orcidid>https://orcid.org/0000-0001-9504-1056</orcidid></search><sort><creationdate>202108</creationdate><title>An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID‐19</title><author>Beckett, Cynthia D. ; Zadvinskis, Inga M. ; Dean, Jennifer ; Iseler, Jackeline ; Powell, Julie M. ; Buck‐Maxwell, Betty</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4483-df29b123db012282cccd6eb334f848ca402b8d6b3726f63d7a3b39105dbf8de03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>care delivery system</topic><topic>COVID-19</topic><topic>Critical care</topic><topic>critical care/intensive care</topic><topic>Delegation</topic><topic>Evidence Review</topic><topic>Evidence-based nursing</topic><topic>evidence‐based practice</topic><topic>medical/surgical</topic><topic>Nurses</topic><topic>Nursing administration</topic><topic>Nursing care</topic><topic>nursing practice</topic><topic>patient outcomes/health care outcomes/treatment outcomes</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Teamwork</topic><topic>work environment/working conditions</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beckett, Cynthia D.</creatorcontrib><creatorcontrib>Zadvinskis, Inga M.</creatorcontrib><creatorcontrib>Dean, Jennifer</creatorcontrib><creatorcontrib>Iseler, Jackeline</creatorcontrib><creatorcontrib>Powell, Julie M.</creatorcontrib><creatorcontrib>Buck‐Maxwell, Betty</creatorcontrib><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Worldviews on evidence-based nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beckett, Cynthia D.</au><au>Zadvinskis, Inga M.</au><au>Dean, Jennifer</au><au>Iseler, Jackeline</au><au>Powell, Julie M.</au><au>Buck‐Maxwell, Betty</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID‐19</atitle><jtitle>Worldviews on evidence-based nursing</jtitle><date>2021-08</date><risdate>2021</risdate><volume>18</volume><issue>4</issue><spage>251</spage><epage>260</epage><pages>251-260</pages><issn>1545-102X</issn><eissn>1741-6787</eissn><abstract>Background
During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.
Purpose
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.
Methods
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl’s (2005) methodology.
Results
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses’ delegation knowledge, decision‐making, and competency.
Linking evidence to action
Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care.</abstract><cop>Indianapolis</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34355844</pmid><doi>10.1111/wvn.12523</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3281-1436</orcidid><orcidid>https://orcid.org/0000-0001-9504-1056</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1545-102X |
| ispartof | Worldviews on evidence-based nursing, 2021-08, Vol.18 (4), p.251-260 |
| issn | 1545-102X 1741-6787 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8450812 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | care delivery system COVID-19 Critical care critical care/intensive care Delegation Evidence Review Evidence-based nursing evidence‐based practice medical/surgical Nurses Nursing administration Nursing care nursing practice patient outcomes/health care outcomes/treatment outcomes Severe acute respiratory syndrome coronavirus 2 Teamwork work environment/working conditions Workforce |
| title | An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID‐19 |
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