2016 Volume 17 Issue 1 Pages 33-36
To promote team medicine, staff and nursing assistants have been increased to over 80 people in hospital A. There are some educational problems among the increased staff due to the difference in educational background and that they do not have knowledge and skill about medical care and nursing. Therefore, nursing administrator needed to clarify knowledge and technological need for nursing assistants so that the nursing staff and nursing assistants can cooperate to provide safe and quality service. A new procedural manual was developed for nurses that focused on deepening the understanding of work contents and roles of nursing assistant, and appropriate duties request and transfer of work. And for nursing assistants, one that focused on their role and to execute service under appropriate processes. We studied reports from a 3-month period under this new manual to clarify the future problems related to the delegation of work. The results are as follows：1. In the categories of living environment and medical examination and treatment, “They have been put into effect” is 80.6%, 79.9%. Of these, “They can do by their selves.” is 96.2%, 94.1%, “They adhere to procedure” is 81.0%, 85.8%. 2. In the category of daily life, “They have been put into effect” is 46.4%, and “They adhere to procedure” is 67.7%, it was low. 3. The reason that the work is not conducted, “They are not instructed to” is 42.3%. Our next step is to provide instructions in job items that are not given any at present, to actively delegate work to the nurses, and to further promote the new manual.
