Allan, HT;
Magnusson, C;
Evans, K;
Ball, E;
Westwood, S;
Curtis, K;
Horton, K;
(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.
10.1111/nin.12155.
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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.
| Type: | Article |
|---|---|
| Title: | 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 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/nin.12155 |
| Publisher version: | http://doi.org/10.1111/nin.12155 |
| Language: | English |
| Additional information: | Copyright © 2016 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Allan, HT; Magnusson, C; Evans, K; Ball, E; Westwood, S; Curtis, K; Horton, K; (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, which has been published in final form at http://doi.org/10.1111/nin.12155. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
| Keywords: | delegation, invisible learning, newly qualified nurses, preceptorship |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1523729 |
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