Ineffective Nursing Case Study

1. Describe a time when you experienced a communication breakdown and with whom.

“Communication begins the moment two or more people become aware of each other’s presence.” (Marquis & Huston, 2012) It was with a CNA at one of the clinical rotation, Charge Nurse, and myself.

a. What was the situation?

I was shadowing the charge nurse that day and she had two patients that was assigned to her besides her obligations as a charge nurse. One of the Doctor was there to check on a patient and remove the Jackson Pratt tube. The Doctor saw me and asked me to assist him. Before assisting the Doctor, the Charge Nurse asked me to contact one of the CNA to clean one of the rooms. When I called the CAN, she said she was busy but will get to it when she

Describe an example of effective (or ineffective) nursing delegation. What delegation principles were (or were not) followed? What can be learned from this example?

An ineffective nursing delegation was the same day as the above situation. This hospital unfortunately was very understaffed. So, when the Charge Nurse was doing the assignments for that day, she had too many patients on the floor but only had 4 nurses scheduled that day, and two other nurses was doing Wound Care on every floor. “Getting work done through others. Directing the performance of one or more people to accomplish organizational goals. Giving someone else the authority to complete a task or action on your behalf. Transfer or hand-off to a competent individual, the authority to perform a task/activity in a specific setting/situation.” (Marquis & Huston, 2012). The causes of improperly delegating was over delegating and “Decision making without providing adequate information.” (Marquis & Huston, 2012) What I learned from this example is that provide information, explanation, and good communication to the staff as to why he or she has a lot of patients to care for that day. Also, if the Charge Nurse would “Always delegate to the right person, at the right time, and for the right reason.” (Marquis & Huston, 2012), then the work flow would have been successful and not have resentful from nurse who were overworked and stressed that