Nurse Delegation in Washington State: A Case Study of Concurrent Policy Implementation and Evaluation

Suzanne K. Sikma, Heather M Young

Research output: Contribution to journalArticle

8 Scopus citations


This case study of an evaluation of a nursing practice change in Washington State community residential settings illustrates issues in concurrent policy evaluation and implementation. The legislative policy changed community health nursing practice for nurses delegating to and supervising assistive personnel caring for older and disabled persons in their homes. Authorizing legislation was a culmination of several years of often contentious public and legislative debate. This article discusses the policy history, environment, and goals; the stakeholders involved in the process; the methodological issues and challenges; and the strategies used to ensure credibility with stakeholders.

Original languageEnglish (US)
Pages (from-to)53-61
Number of pages9
JournalPolicy, Politics, and Nursing Practice
Issue number1
StatePublished - 2003
Externally publishedYes


ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects

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