Att delegera eller inte? : En litteraturstudie om sjuksköterskors uppfattningar av patientsäkerhet inom hemsjukvård i samband med delegering.

Sammanfattning: Background: The health care system is facing a dilemma because of theincreasing demand of care and as well as the shortage of graduate level nurses andnurses with specialization. Earlier studies show that the shortage of nurses has ledto the necessity of delegating tasks to unlicensed health care personnel. Severalstudies showed that delegation is one of the areas within home care that has beenidentified a main risk in relation to health care injuries. Aim: To explore nurses’perspective of patient safety within home care in relation to delegation. Method:A literature review of eleven qualitative studies. The literature search wasperformed through database search (PubMed and Cinahl) and manual searching.The studies were reviewed through the SBU’s for qualitative studies and wereanalyzed with Friberg’s analysis method, where similar data were grouped intoappropriate categories. Result: The result yielded two main categories and sixsub-categories. The sub-categories, A helping hand, To lose control andDelegation barrier belongs to the main category The Delegation Dilemma. Underthe other main category, The delegation process there are three subcategories;Nursing diagnostics, Ensuring competence and to follow up delegated tasks.Conclusion: Delegation constitutes a great deal of responsibility and thedelegation process is complex. Delegation requires increased understanding andawareness of its complexity and what the responsibility of delegating entails, to beable to act effectively in order to maintain patient safety in relation to delegation.