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Improving Patient Care Outcomes Through Better Delegation-Communication Between Nurses and Assistive Personnel

Wagner, Elissa, A., DNP, RN

doi: 10.1097/NCQ.0000000000000282

In acute care settings, registered nurses need to delegate effectively to unlicensed assistive personnel to provide safe care. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Findings revealed a tendency for nurses to delay the decision to delegate. However, nurses' ability to explain performance appraisals, facilitate clearer communication, and seek feedback improved. Patient outcomes revealed decreased falls and improved patient satisfaction.

University of Michigan School of Nursing, Ann Arbor, Michigan.

Correspondence: Elissa A. Wagner, DNP, RN, University of Michigan School of Nursing, 400 N. Ingalls, Room 2344, Ann Arbor, MI 48109 (

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The author declares no conflicts of interest.

Accepted for publication: June 7, 2017

Published ahead of print: August 1, 2017

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