Mary McMillan

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506 – Direction and delegation: Does evidence and policy optimise NZ registered nurses contemporary practice?

Introduction
The purpose of this presentation is to describe, using an auto ethnographic narrative methodology New Zealand Registered Nurses (RN) guidelines, policy, and relevant evidence-based research on Direction and Delegation. This presentation explores the relevance of Direction and Delegation to the contemporary changing and diverse clinical settings and roles that RN’s inhabit.

Background
Auto ethnography is an analytic research method (Denzin, 2014) focusing on enhancing theoretical understandings of broader social phenomena, and their processes. This method is suited to exploring everyday commonalities of human phenomena. It studies cultures through close observation, reading, and interpretation. Ethnographic researchers work ‘in the field’, and are of, and in, the culture they study.

Results
The approach focuses within multiple nursing settings and practice; including working in clinical inpatient, community, nursing education, teaching direction and delegation to baccalaureate students and observation of the students understanding of such. There is a need for further support, direction, focus on the complexity of settings and clarification of RN’s practice. This is to optimise safety for practicing nurses and nursing baccalaureate students.

Conclusion
There are rapid changes in the NZ Health Strategy which present a unique opportunity for further research, discussion and review of current guidelines in order to concurrently address and meet the future needs of RN’s working in multiple practice settings. It is imperative that this research be ongoing in order to transform nursing practice. Your contribution in this presentation is essential for the practice of nurses needs to be future focused and contribute to the evolution of nursing.

Key words: Direction & delegation, contemporary practice, environmental context, registered nurses