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Nurses' roles in direct nursing care delivery in China
Hui Jiang1, Hongxia Li2, Lili Ma1
1Nursing Department of Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China, 200120.
Aim:
To study the nurses' roles in direct nursing care delivery in the neurology ward in China.
Background:
As patients' demands for healthcare have increased, the quality of the nursing service has become a focus of attention. Nurses play an important role in the delivery of care and can affect the quality of patient care.
Methods:
This was a non-participation, observational, time-task/activity study. All nursing care providers were observed during two shifts (16 hours) as constituents of the workload to explain the nurses' roles.
Results:
An astonishingly low percentage (25.6%) of the total patient care workload was conducted by registered nurses. The rest of the care was provided by nursing students (10.5%), health care assistants (21%), and a substantial portion by the patients' relatives (43.7%).
Conclusions:
Nurses' roles in direct nursing care delivery are inadequate in China. Nurse staffing and allocation must meet the increasing demand from clients to secure the highest quality and safety of healthcare.
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