Balancing freedom with risks: The experience of nursing task delegation in community-based residential care settings

Suzanne K. Sikma, Heather M Young

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Background: In 1995, Washington State implemented law reforming the state's long-term care system, favoring provision of service in less restrictive, lower-cost settings. Purpose: The purpose was to systematically evaluate one facet of the new law regarding the implementation of a policy authorizing delegation of designated nursing tasks by registered nurses in community-based residential care settings. Method: This was a descriptive study driven by the inductive process of grounded theory. Qualitative data sources included interviews, public forums, document review, and open-ended survey questions to facility operators, nurses, nursing assistants, and inspectors. Discussion: The study identified an overarching social process, balancing freedom with risks involving tension at the intersections, which is evident from 3 main perspectives: consumer, professional, and the health care system. Conclusions: The study has implications for regulatory consistency, nursing practice and education, collaboration between overlapping providers of skilled nursing services in residential settings, and subsequent health policy.

Original languageEnglish (US)
Pages (from-to)193-201
Number of pages9
JournalNursing Outlook
Volume49
Issue number4
DOIs
StatePublished - Jul 2001
Externally publishedYes

ASJC Scopus subject areas

  • Nursing(all)

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