Nursing teamwork and healthcare service delivery in the care of older hospitalised patients, focusing on teamwork between registered nurses and unlicensed assistive personnel, role ambiguity, and delegation readiness Other
Conditions
Interventions
After providing written informed consent and completing the baseline assessment, 104 eligible registered nurses will be randomly allocated to the intervention group or control group in a 1:1 ratio. Bl
Sponsors
Hanyang University
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: Participants will be eligible if they: 1. Are registered nurses aged 18 years or older, of any sex 2. Provide care primarily to older patients, or work in wards responsible for older patient care, at Qionghai People’s Hospital, Hainan Province, China 3. Have worked continuously in their current position for at least 6 months 4. Have practical experience in patient care or routine collaboration with unlicensed assistive personnel 5. Are able to understand the intervention content and complete the training, questionnaire assessments, and follow-up evaluations 6. Understand the purpose of the study, voluntarily agree to participate, and provide written informed consent
Exclusion criteria
Exclusion criteria: Participants will be excluded if they: 1. Are currently not on duty, or are expected to be unable to complete the full intervention process because of leave, ward rotation, external training, temporary reassignment, resignation, or extended absence 2. Are unable to participate in the intervention, questionnaire assessments, or follow-up evaluations because of physical or psychological reasons 3. Are currently participating in training programmes or related studies involving teamwork, communication, delegation, or collaboration with unlicensed assistive personnel that may affect the outcomes of this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nurses’ teamwork level measured using the 35-item TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) at T0, before randomisation; T1, immediately after completion of the 4-week intervention; and T2, 4 weeks after completion of the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Role ambiguity measured using the 6-item Role Ambiguity subscale of the Nursing Role Conflict and Role Ambiguity Scale at T0, before randomisation; T1, immediately after completion of the 4-week intervention; and T2, 4 weeks after completion of the intervention;Delegation readiness measured using the 15-item Nurse Delegation Readiness Scale at T0, before randomisation; T1, immediately after completion of the 4-week intervention; and T2, 4 weeks after completion of the intervention;Intervention acceptability measured using the Acceptability of Intervention Measure (AIM) at T1, immediately after completion of the 4-week intervention, and T2, 4 weeks after completion of the intervention, among participants in the intervention group;Intervention appropriateness measured using the Intervention Appropriateness Measure (IAM) at T1, immediately after completion of the 4-week intervention, and T2, 4 weeks after completion of the intervention, among participants in the intervention group;Intervention feasibility measured using the Feasibility of Intervention Measure (FIM) at T1, immediately after completion of the 4-week intervention, and T2, 4 weeks after completion of the intervention, among participants in the intervention group | — |
Countries
China
Contacts
Public ContactYaling Wang
Outcome results
None listed