Relationship Between Nurses and Social Workers Perceptions of Medical Secretary Roles and Information-Sharing Behaviors: A Cross-Sectional Study
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Keywords
collaborative practice, cross-sectional study, information-sharing behaviors, nurses, nursing assistants
Abstract
Information-sharing plays a crucial role in providing effective inpatient care, especially between nurses and nursing assistants. Nurses who have a positive perception of the roles of nursing assistants are more likely to engage in productive information-sharing behaviors with them. This study investigates the correlation between nurses' perceptions of nursing assistant roles and the frequency of information-sharing with nursing assistants. Data were gathered from 2,642 nurses across 182 hospitals using a self-administered cross-sectional survey questionnaire. The questionnaire included measures of nurses' perceptions of nursing assistant roles across four factors: (i) enhancing patients' abilities through daily care, (ii) caring for diverse patients with broad perspectives, (iii) facilitating coordination and cooperation within the team, and (iv) increasing information sharing among team members regarding patients. Information-sharing behaviors assessed included expressions, inquiries, linguistic responses, and feedback. Multiple regression analyses were performed to analyze each nurse's information-sharing behaviors. The results indicated a positive correlation between nurses' perceptions of nursing assistant roles and their frequency of information-sharing with nursing assistants. The strength of these correlations varied depending on the specific type of information-sharing behavior. Therefore, enhancing nurses' understanding of nursing assistant roles could potentially enhance their information-sharing behaviors, contributing to more effective collaborative practices in healthcare settings.
References
2. André, B., Nøst, T. H., Frigstad, S. A., & Sjøvold, E. (2017). Differences in communication within the nursing group and with members of other professions at a hospital unit. Journal of Clinical Nursing, 26(7-8), 956–963.
3. Bellury, L., Hodges, H., Camp, A., & Aduddell, K. (2016). Teamwork in acute care: Perceptions of essential but unheard assistive personnel and the counterpoint of perceptions of registered nurses. Research in Nursing & Health, 39(5), 337–346.
4. Davila, H., Abrahamson, K., Mueller, C., Inui, T. S., Black, A. G., & Arling, G. (2016). Nursing assistant perceptions of their role in quality improvement processes in nursing homes. Journal of Nursing Care Quality, 31(3), 282–289.
5. Downs, C. W., & Adrian, A. D. (2004). Assessing organizational communication: Strategic communication audits. New York, NY: Guilford Press.
6. Fujiwara, T., Miyake, T., & Hamaguchi, Y. (2014). An examination of the application of revised versions of listening skills scales for undergraduates. Tsukuba Psychological Research, 47, 65–75.
7. Gion, T., & Abitz, T. (2019). An approach to recruitment and retention of certified nursing assistants using innovation and collaboration. The Journal of Nursing Administration, 49(7–8), 354–358.
8. Huber, D. G., Blegen, M. A., & McCloskey, J. C. (1994). Use of nursing assistants: Staff nurse opinions. Nursing Management, 25(5), 64–69.
9. Kalisch, B. J. (2011). The impact of RN-UAP relationships on quality and safety. Nursing Management, 42(9), 16–22.
10. Kalisch, B. J., & Lee, K. H. (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241.
11. Kleinman, C. S., & Saccomano, S. J. (2006). Registered nurses and unlicensed assistive personnel: An uneasy alliance. Journal of Continuing Education in Nursing, 37(4), 162–170.
12. Kudo, Y., Kido, S., Shahzad, M. T., Yoshimura, E., Shibuya, A., & Aizawa, Y. (2011). Work motivation for Japanese nursing assistants in small-to medium-sized hospitals. The Tohoku Journal of Experimental Medicine, 225(4), 293–300.
13. Kudo, Y., Kono, K., Toyoshima, Y., Sugisaki, H., Matsuhashi, A., & Tsutsumi, A. (2016). Predictors of a desire to be helpful to professional nurses among Japanese nursing assistants in small- to medium-sized hospitals. Journal of University of Occupational and Environmental Health, 38(2), 119–128.
14. Kudo, Y., Toyoda, T., Terao, R., Suzuki, S., & Tsutsumi, A. (2019). Job satisfaction and intention to remain on the job among Japanese nursing assistants. Journal of Rural Medicine, 14(2), 181–190.
15. Kunimatsu, H. (2015). A literature review of cooperation nurses and care workers in medical and care field. Seisen Journal of Nursing Studies, 4, 77–82.
16. Lancaster, G., Kolakowsky-Hayner, S., Kovacich, J., & Greer-Williams, N. (2015). Interdisciplinary communication and collaboration among physicians, nurses, and unlicensed assistive personnel. Journal of Nursing Scholarship, 47(3), 275–284.
17. Lindh Falk, A., Hult, H., Hammar, M., Hopwood, N., & Abrandt, D. M. (2017). Nursing assistants matters—An ethnographic study of knowledge sharing in interprofessional practice. Nursing Inquiry, 25(2), e12216.
18. MacDonald, M. B., Bally, J. M., Ferguson, L. M., Murray, B. L., Fowler-Kerry, S. E., & Anonson, J. M. (2010). Knowledge of the professional role of others: A key interprofessional competency. Nurse Education in Practice, 10(4), 238–242.
19. Mesmer-Magnus, J. R., & DeChurch, L. A. (2009). Information sharing and team performance: A meta-analysis. The Journal of Applied Psychology, 94(2), 535–546.
20. Ministry of Health, Labour and Welfare. (1993). Notes on implementation due to partial revision of the medical fee score table. Retrieved from https://www.mhlw.go.jp/web/t_doc?dataId=00tb0321&dataType=1&pageNo=1 (in Japanese)
21. Ministry of Health, Labour and Welfare. (2012). About handling of procedure regarding facilities standard of basic medical charges and the notification. Retrieved from http://www.mhlw.go.jp/bunya/iryouhoken/iryouhoken15/dl/5-2-1.pdf (in Japanese)
22. Ministry of Health, Labour and Welfare. (2014). The Medical Fee Revision in FY 2014. Retrieved from http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000041235.pdf (in Japanese)
24. Ministry of Health, Labour and Welfare. (2016). Survey on actual conditions in hospitalized medical care in FY 2016. Retrieved from http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000167026.pdf (in Japanese)
25. Ministry of Health, Labour and Welfare. (2017). Survey of medical institutions in FY 2017. Retrieved from https://www.mhlw.go.jp/toukei/saikin/hw/iryosd/17/ (in Japanese)
26. Nakaoka, A., Mitani, R., Tomizawa, R., & Shibutani, M. (2016). The current issues of cooperation between nurses and assistant nurses in acute-phase hospitals: Based on interviews involving nurses. Journal of School of Nursing Osaka Prefecture University, 22, 1–9.
27. Ogawa, M. (2010). Qualitative study of job perception among nursing aides who work with nurses and care workers. Reports of Nursing Research, Nursing Teacher's Course of Center for Professional Education, Kanagawa University of Human Services, 36, 178–185.
28. Orr, D. E. (2010). Characteristics of positive working relationships between nursing and support service employees. The Journal of Nursing Administration, 40(3), 129–134.
29. Potter, P., & Grant, E. (2004). Understanding RN and unlicensed assistive personnel working relationships in designing care delivery strategies. The Journal of Nursing Administration, 34(1), 19–25.
30. Saiki, M., Kunie, K., Takemura, Y., Takehara, K., & Ichikawa, N. (2019). The perceptions of nursing assistants' roles among nurses and nursing assistants: Development of measurement scale. Hospitals, 78, 358–363.
31. Shibata, A., Nishida, M., Asai, A., Numamoto, K., Hara, S., & Nakane, K. (2003). Inter-professional collaboration of nurses and care workers in elderly care facilities. Journal of Japan Academy of Gerontological Nursing, 7, 116–126.
32. Suter, E., Arndt, J., Arthur, N., Parboosingh, J., Taylor, E., & Deutschlander, S. (2009). Role understanding and effective communication as core competencies for collaborative practice. Journal of Interprofessional Care, 23(1), 41–51.
33. Wagner, E. A. (2018). Improving patient care outcomes through better delegation-communication between nurses and assistive personnel. Journal of Nursing Care Quality, 33(2), 187–193.
34. Walton, J. C. (1997). Managing unlicensed assistive personnel: Tips for improving quality outcomes. Medsurg Nursing, 6(1), 24–28.
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