study, 40 pages, 8.5" x 11" (paper), 1999
This companion report to Committing to Care examines the effect of work organization on patient care, specifically in regards to the responsibilities of registered nurses and nursing assistants. In an effort to reduce costs, many nursing units have recently been restructured to eliminate the overlap in duties between RNs and assistants. Unfortunately, these changes also seem to have negatively affected the quality of care. This report finds that, to remedy the situation, job definitions and responsibilities should be reconsidered and opportunities for continuous learning must be promoted.