ArticlesImproving Patient Care Outcomes Through Better Delegation-Communication Between Nurses and Assistive PersonnelWagner, Elissa A. DNP, RNAuthor Information 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 (firstname.lastname@example.org). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).The author declares no conflicts of interest.Accepted for publication: June 7, 2017Published ahead of print: August 1, 2017 Journal of Nursing Care Quality: April/June 2018 - Volume 33 - Issue 2 - p 187-193 doi: 10.1097/NCQ.0000000000000282 Buy SDC Metrics Abstract 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. © 2018 Wolters Kluwer Health, Inc. All rights reserved.