Beckett CD, Zadvinskis IM, Dean J, Iseler J, Powell JM, Buck-Maxwell B. An Integrative Review of Team Nursing and Delegation: Implications for Nurse Staffing during COVID-19.
Worldviews Evid Based Nurs 2021;
18:251-260. [PMID:
34355844 PMCID:
PMC8450812 DOI:
10.1111/wvn.12523]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2020] [Indexed: 11/28/2022]
Abstract
Background
During the COVID‐19 pandemic, providing care for critically ill patients has been challenging due to the limited number of skilled nurses, rapid transmission of the virus, and increased patient acuity in relation to the virus. These factors have led to the implementation of team nursing as a model of nursing care out of necessity for resource allocation. Nurses can use prior evidence to inform the model of nursing care and reimagine patient care responsibilities during a crisis.
Purpose
To review the evidence for team nursing as a model of patient care and delegation and determine how it affects patient, nurse, and organizational outcomes.
Methods
We conducted an integrative review of team nursing and delegation using Whittemore and Knafl’s (2005) methodology.
Results
We identified 22 team nursing articles, 21 delegation articles, and two papers about U.S. nursing laws and scopes of practice for delegation. Overall, team nursing had varied effects on patient, nursing, and organizational outcomes compared with other nursing care models. Education regarding delegation is critical for team nursing, and evidence indicates that it improves nurses’ delegation knowledge, decision‐making, and competency.
Linking evidence to action
Team nursing had both positive and negative outcomes for patients, nurses, and the organization. Delegation education improved team nursing care.
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