Purpose
The aim was to develop guidelines for delegating nursing tasks among nurses in integrated nursing care wards.
Methods
This was a methodological approach. Literature reviews were conducted on delegation policies and practices for nurses in Korea and other countries to explore the area of nursing delegation. Focus group interviews were performed with nurses to identify the strength and weakness of the delegation of nursing tasks in clinical practice, and qualitative content analysis was conducted based on the interview. Ten areas and 115 items were derived through these steps, and their validity was confirmed using the Delphi technique.
Results
The delegation guidelines of nursing tasks consisted of nine domains, 21 sub-categories, and 101 items, including Nurses and nursing assistants' duties, the necessity of delegation, definition of terms, scope of delegation, considerations for delegation, procedure, characteristics, and principles of delegation, and educational content for delegation.
Conclusion
These guidelines can help nurses to make decisions about delegating nursing tasks according to the delegation procedure. Education on the delegation of nursing tasks is necessary for both nurses and nursing assistants. The guidelines developed in this study can serve as a standard for delegating nursing tasks to ensure patient safety.

Citations

• Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
  Haena Lim, Yeojin Yi
  Nurse Education in Practice.2025; 83: 104283.     CrossRef
• Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
  Hye Jin Kim, Eunjoo Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef

Purpose
This study aimed to identify the factors influencing job satisfaction among nurses working in integrated nursing care wards.
Methods
The study participants were 196 nurses working in integrated nursing care wards at four general hospitals and one tertiary hospital. Data were collected using structured questionnaires from April 11 to 25, 2022, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 26.0.
Results
The factors influencing job satisfaction of participants were team structure (β=.32, p<.001), role conflict regarding nursing practice (β=-.24, p<.001), mutual support (β=.23, p<.001), master's degree or higher(β=.16, p=.004), and spousal presence (β=.15, p=.005).
Conclusion
The findings of this study suggest that the tasks and roles of team members should be clarified, and a supportive team culture of mutual cooperation should be fostered to improve the job satisfaction of nurses working in the integrated nursing ward. In addition, it is necessary to reduce role conflict by providing support focused on allocating tasks that can strengthen the role of professional nurses.

Citations

• Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
  Hye Jin Kim, Eunjoo Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
• Influence of Job Delegation Preparedness, Individual and Organizational Communication Skills on Job Stress of Nurses in Comprehensive Nursing Care Service Wards
  Soo Jin Lee, Ji Won Kim, Nam Hee Park
  Journal of Korean Public Health Nursing.2025; 39(1): 5.     CrossRef

PURPOSE
The purpose of this study was to develop and test the validity and reliability of the Korean version of nurses' attitudes toward delegation and preparedness to delegate (APD).
METHODS
The Korean version of APD was developed through forward-backward translation methods. Internal consistency reliability, criterion validity, and construct validity using exploratory and confirmatory factor analysis were conducted using IBM SPSS Statistics 19 and AMOS 20.0. Survey data were collected from 161 nurses working in 2 general hospitals.
RESULTS
The Korean version of APD showed Cronbach's alphas of .68 and .85. Factor loadings of the 8 attitude items on the 3 subscales ranged from .60 to .86 and the 15 preparedness items on the 4 subscales ranged from .47 to .90. The model of 3 subscales for the Korean nurses' attitude toward delegation and the model of 4 subscales for the Korean nurses' preparedness to delegate were both validated by confirmatory factor analysis(NC<3, CFI>.90, RMSEA<.10). Criterion validity compared to job satisfaction showed significant correlation.
CONCLUSION
The findings of this study demonstrate that this modified Korean version of APD is applicable for measuring Korean nurses' attitude toward delegation and preparedness to delegate.

Citations

• Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
  Haena Lim, Yeojin Yi
  Nurse Education in Practice.2025; 83: 104283.     CrossRef
• Influence of Job Delegation Preparedness, Individual and Organizational Communication Skills on Job Stress of Nurses in Comprehensive Nursing Care Service Wards
  Soo Jin Lee, Ji Won Kim, Nam Hee Park
  Journal of Korean Public Health Nursing.2025; 39(1): 5.     CrossRef
• Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards
  Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 478.     CrossRef
• Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit
  Sun Mi Lee, Yeon Hee Kim, Yu Mi Shim, Jin Sun Choi, Mi Yu
  Journal of Korean Academy of Nursing Administration.2017; 23(5): 535.     CrossRef