2025 Volume 45 Pages 592-602
Objective: The purpose of this study was to identify the impacts on nursing tasks of delegating medical practice from medical doctors to nurses in advanced acute care hospitals.
Method: Data were generated through semi-structured formal interviews with 16 nursing managers.
Results: From the results of the text interpretation, nine subcategories, and four categories were extracted, including the following: 1) Improvement in autonomy; 2) Improvement in practice skills; 3) Improvement in the nursing services that can be provided; and 4) Obstacles to providing necessary nursing services.
Conclusion: As delegating medical practice from medical doctors to nurses has been promoted, nurses have had more opportunities to demonstrate their expertise; however, they have been unable to adequately assist with patients’ activities of daily life, which is necessary for them to demonstrate their expertise. In order to make policies that promote task shifting and sharing from medical doctors to nurses conducive to the exercise of nursing expertise, it is necessary to create an environment in which nurses can adequately assist with patients’ activities of daily life.
