Nursing activities following the introduction of health care assistants

Aim : The purpose of this study was to determine changes in the work nature of nurses after the introduction of Health Care Assistants (HCAs).
Background : HCAs with a role similar to those adopted in the UK of assisting the nurse were piloted in a teaching hospital in Hong Kong.
Method : A quasi-experimental design was used to compare the observed activities of HCAs and nurses in four wards of a teaching hospital, before and after the introduction of HCAs. As the amount of staff activity is influenced by the amount of work, patient dependency data were gained from record reviews and nurse interviews.
Findings : HCAs in orthopaedic and medical wards provided more basic care than those in surgical and gynaecological wards. Nurses in wards with HCAs performed significantly fewer activities than nurses in control wards.
Conclusions : HCAs presence accounted for a reduction in both direct and indirect care provided by nurses. Overall, HCAs provided more basic than technical and indirect care.     

A critical review of the nursing shortage in Malaysia

BARNETT T., NAMASIVAYAM P. & NARUDIN D.A.A. (2010) A critical review of the nursing shortage in Malaysia. International Nursing Review 57 , 32–39
Objective:  This paper describes and critically reviews steps taken to address the nursing workforce shortage in Malaysia.
Background:  To address the shortage and to build health care capacity, Malaysia has more than doubled its nursing workforce over the past decade, primarily through an increase in the domestic supply of new graduates.
Methods:  Government reports, policy documents and ministerial statements were sourced from the Ministry of Health Malaysia website and reviewed and analysed in the context of the scholarly literature published about the health care workforce in Malaysia and more generally about the global nursing shortage.
Results:  An escalation in student numbers and the unprecedented number of new graduates entering the workforce has been associated with other impacts that have been responded to symptomatically rather than through workplace reform. Whilst growing the domestic supply of nurses is a critical key strategy to address workforce shortages, steps should also be taken to address structural and other problems of the workplace to support both new graduates and the retention of more experienced staff.
Conclusion:  Nursing shortages should not be tackled by increasing the supply of new graduates alone. The creation of a safe and supportive work environment is important to the long-term success of current measures taken to grow the workforce and retain nurses within the Malaysian health care system.