A systems-focused context for understanding the RN role and performance

E. O. Siegel, J. Calkin, C. H. Chu, K. Corazzini, M. E. Dellefield, C. Goodman

Research output: Contribution to journalMeeting abstractpeer-review


A myriad of sociocultural, political, organizational, and micro unit-level
systems comprise contexts in which the registered nurse (RN) role is defined, operationalized, and evaluated. This paper offers several systems-
focused perspectives for understanding the RN role and performance within and across systems of care. An organization-level systems approach highlights the interaction effect of the organizational design factors that link organizational structure to RN work. Another approach addresses one specific aspect of the RN role – delegation of nursing services – highlighting the regulatory and functional mechanisms that influence ways the RN role is operationalized. A micro-systems approach addresses specific RN practices associated with prevention of pressure
ulcers, and the unit-level interactions that facilitate and/or limit RN
knowledge, beliefs, and values associated with best practices. The knowledge
gained from applying systems-focused perspectives to understanding
the RN role provides critical insights and directions for interventions
aimed to maximize RN role effectiveness in long term care.
Original languageEnglish
Pages (from-to)401
Number of pages1
Issue numberSupp 2
Publication statusPublished - 2 Nov 2011


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