Use of unlicensed assistive staff

Recent reports indicate that nurses spend less time with their patients today than in the past (Hendrickson, Doddato, & Kovner, 1990; Misener, Frelin, & Twist, 1987 & Quist, 1992). This may lead to high frustration levels, low morale, and compromised patient care. Unlicensed assistive staff (patient care assistants and unit assistants), when used appropriately, can provide essential support and make a significant contribution to the delivery of efficient and effective patient care. Key issues, when using these staff members, are role clarity and appropriate delegation. Increased health care technology, the proliferation of nursing and medical knowledge, and new health care delivery models have impacted upon the way nurses and unlicensed assistive personnel work together. The way in which these staff members are organized and work together not only will affect the quality of nursing care that is delivered but outcomes of care as well.