This unexpected result could be because hospital nursing managers tend to allocate fewer responsibilities to agency (moonlighting) nurses, preferring more complex nursing tasks (administration of intravenous medication) to be performed by permanent staff (50).
Similarly, our study found that an expanded CCA role in medicines support resulted in improved job satisfaction for CCAs, that nurses and clients were generally comfortable with the role, and that it sometimes freed up nurses to spend time on more complex nursing tasks.
This care can be given, for example, to clients with chronic illnesses, clients with a handicap or to older adults to support ADL. Nurses conduct more simple care tasks, e.g., washing clients, or more complex medical nursing tasks, e.g., setting insulin dosages, depending on their level of nursing education.
When initially designed over 20 years ago, the acuity and risk of change in clinical status was much lower than among today's more clinically complex nursing home population.
(Fortunately, the nurse "self" evolves into a more complex character, Nurse Eleanor Nightingale, whose Crimean War back story allows Ms. Antin to comment, elliptically, on the carnage of Vietnam).
Furthermore, the health system has become more complex, and nurses today need the skills to take on added patient care and management responsibilities, and pick up the slack in family practice and primary care — less lucrative areas that are no longer popular with medical students.
They reported evidence that care workers' involvement in medicine support could lead to improved job satisfaction for both nurses and care workers, as well as improved people's satisfaction with care, and improved quality of care by reducing workload pressure on nurses, enabled nurses to spend more time undertaking complex nursing activities [ 14, 20, 31, 33, 34].
Although foragers have more complex behavior than nurses, a prediction is not straight forward because although nurse bee behavior is simple, it is also quite derived [ 6].
The MAB to forager transition is proposed to be considerably more complex than the nurse to MAB transition, as would be expected given the complex nature of cooperation between the MAB and foragers.
Still down the road is the complex world of rehabilitation, either home-based or institutional, and the even more complex spectrum of available nursing options for the slightly impaired, the seriously impaired and those near death.
The nurses' work, at the job content level, is richer and more complex than that of nurse's aides and, thus, may offer more resources to successfully deal with the aggressive patients.
