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Delegation and supervision of healthcare assistants’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses

Allan, HT, Magnusson, C, Evans, K, Ball, E, Westwood, S, Curtis, K, Horton, K and Johnson, M (2016) Delegation and supervision of healthcare assistants’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses Nursing Inquiry, 23 (4). pp. 377-385.

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Abstract

The invisibility of nursing work has been discussed in the international literature but not in relation to learning clinical skills. Evans and Guile’s (Practice-based education: Perspectives and strategies, Rotterdam: Sense, 2012) theory of recontextualisation is used to explore the ways in which invisible or unplanned and unrecognised learning takes place as newly qualified nurses learn to delegate to and supervise the work of the healthcare assistant. In the British context, delegation and supervision are thought of as skills which are learnt “on the job.” We suggest that learning “on-the- job” is the invisible construction of knowledge in clinical practice and that delegation is a particularly telling area of nursing practice which illustrates invisible learning. Using an ethnographic case study approach in three hospital sites in England from 2011 to 2014, we undertook participant observation, interviews with newly qualified nurses, ward managers and healthcare assistants. We discuss the invisible ways newly qualified nurses learn in the practice environment and present the invisible steps to learning which encompass the embodied, affective and social, as much as the cognitive components to learning. We argue that there is a need for greater understanding of the “invisible learning” which occurs as newly qualified nurses learn to delegate and supervise.

Item Type: Article
Subjects : Health Care
Authors :
NameEmailORCID
Allan, HTUNSPECIFIEDUNSPECIFIED
Magnusson, Cc.magnusson@surrey.ac.ukUNSPECIFIED
Evans, KUNSPECIFIEDUNSPECIFIED
Ball, EUNSPECIFIEDUNSPECIFIED
Westwood, SUNSPECIFIEDUNSPECIFIED
Curtis, KUNSPECIFIEDUNSPECIFIED
Horton, KUNSPECIFIEDUNSPECIFIED
Johnson, MUNSPECIFIEDUNSPECIFIED
Date : December 2016
Identification Number : 10.1111/nin.12155
Copyright Disclaimer : © 2016 John Wiley & Sons Ltd
Uncontrolled Keywords : Delegation, Invisible learning, Newly qualified nurses, Preceptorship
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:48
Last Modified : 18 May 2017 12:44
URI: http://epubs.surrey.ac.uk/id/eprint/829287

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