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Nursing leadership theory and practice
Nursing leadership theory and practice
Nursing case studies on delegation
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DEVELOPING THE SKILLS OF DELEGATION OF DUTY BY NURSE MANAGER
SIGNIFICANCE OF THE CONCEPT
Delegation of duty is an important skill necessary for effective management in any organization, nurse managers require this skill to function properly, delegation of duty is a complex skill and it requires specialized clinical judgment to effectively delegate duties.
Nurse Managers are required to understand the needs of the patients and family in order to delegate a care giver capable of rendering the required service. The skill of delegation is as important as the skills of patients care in the nursing profession.
Delegation helps to relieve the nurse manager of some burden and allow the nurse to focus on other important aspect of care of the patient,
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It makes the manager an effective manager and leader. The employee looks to him or her as such.
The question of what to delegate is important to be answered when developing delegation skills, the manager must be well informed of what can and cannot be delegated to subordinates. Tasks that are every important and possibly highly confidential should be handled as such and should not be delegated except it is absolutely necessary, other tasks like training of personnel, giving instructions to the lower level staff can be delegated to another person, caring for the patient can be delegated to professionally trained and competent nurses, as well as other tasks can be delegated to non-professionals.
The manager should learn to let go of some responsibilities, he or she cannot engage in all activities. Therefore learning to delegate tasks and allowing them to be carried out create a sense of confidence and responsibility on the part of the
Delegation as defined by the American Nurses Association (2005) is the ability to handover responsibility for the performance of a duty from one person to ano...
The need for delegation in the nursing field is attributed to the fact that these professionals cannot perform every task for every patient. However, the delegation process is guided by some principles that help nurses to enhance the efficiency of their practice and avoid any legal implications. These principles include the fact that the process must always be in the best interest of the patient, ensuring the support employee must be adequately trained to carry out the task, and document written evidence of competence assessment. These principles are critical to the success and effectiveness of the delegation process.
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’ discretion and is a personal choice. Nurses must make careful decisions regarding delegation, taking into account the skill and training of the UAP, the difficulty and risk of the task, and the patient’s condition. The expected outcomes, a time frame for completion, and any limitations should be explained to the UAP at the time that the task was delegated.
Delegation is the being able to pass the responsibility or authority to another person. This act of delegation is important in the outcome of patient care (Yoon,2016). As discussed to be able to have well developed leadership and management skills a good aid of communication has to be developed. In the workplace environment being able to effectively delegate without having appropriate communication skills therefore emotional intelligence the ongoing care of the patient can be threatened and errors can occur. However, being able to effectively do so enable the patient outcomes to be achieved ( Wong,2013). These skills aid in importance as newly graduate nurses receive student nurses to mentor and supervise. Being able to supervise and manage a student nurse contains having a well-developed leadership and management skills ( Jones,2013). The role of a mentor includes assessing and evaluating the students’ performance, providing supervision and having accountability of the students action( royal college of nursing, 2007). This role a graduate nurse must have an area of leadership and management skills. As If these skills aren't developed the student nurse not only will lack mentorship but also the lack of guidance and supervision can impact on the patients care (
nursing assistants. All the delegation needs to be within the scope of practice. The registered
Describe an example of effective (or ineffective) nursing delegation. What delegation principles were (or were not) followed? What can be learned from this example?
In conclusion, delegation is a complex task. The RN must ensure that the individual the task is being delegated to has the proper certification, knowledge and would report any findings back to the RN. As mentioned above, sometimes there are barriers that impede the ability to effectively delegate. The overall goal of successful delegation depends on working relationships, constant communication, and “a willingness to collaborate” (Potter, Deshields, and Kuhrik (2010, p.
After being a nurse for 7 years and changing my career is a big transition. I decided to
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
The American Nurses association defines delegation as, ‘The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome’ (Saccomano, 2010, p. 523). When delegating to staff or members of your team, it is important that it is used appropriately and within the proper guidelines. It is common to see RNs delegating in the hospital setting to the LVN or nursing assistant, however, the RN must know the limitations and what is within their scope of practice. Unfortunately, even if the nurse uses these guidelines, conflict can still occur with other staff making the process more difficult. Having the responsibility to delegate, especially as a new registered nurse, can be daunting,
Emotional intelligence allows nurse leaders to become high-performing professionals with critical thinking and effective decision-making skills. Delegation involves the communication of a delegator to assign a work related task within the employee’s scope of practice in order to achieve a common goal. Delegation is a skill that considers whether the person is right for the task, if communication and direction are clear and effective regarding the assignment, ensures the task is within the person’s scope, and safeguards that the task will be appropriately supervised. (Yoder-Wise, 2015, p.
Delegation is assigning a task and its responsibility to another who is able to perform it, while with holding the accountability (Silvestri, 2013). To regulate delegation, each state Board of Nursing enforces their Nurse Practice Act. The Nurse Practice Act varies by state, but is a detailed guideline which recognizes the 5 Rights of Delegation to follow when delegating specific tasks. It also defines the nurses’ scope of practice, education/ license requirements, and sets the consequences for noncompliance with the Act, such as license suspension and reinstatement (Rosdahl, 2012). Improper delegation can be harmful, and without these guidelines malpractice/negligence can result. Negligence is the result of a person not acting reasonably. When healthcare professionals’ actions results in negligence it is considered malpractice or professional negligence (Rosdahl, 2012). Nurses are held liable for their actions for instance: not providing safe patient care by delegating untaught procedures to other nurses or failure to question physicians’ orders if they seem wrong and not reporting medication errors are just a few that may lead to
Introduction Nurses have a vital role in the rapidly changing healthcare setting, which is characterized by critical care patients and shortages of nurses to meet the demands of patient care (Ning, Zhong, Libo, and Qiujie, 2009). Therefore, it is important to maintain a good working environment for nurses. Empowerment is seen as an effective method to advance a nurse’s satisfaction (Ning, Zhong, Libo, and Qiujie, 2009). Empowerment, as stated by Wittmann-Price (2004), is “the process of reaching a more positive state of being, a state of relative freedom in choice by first acknowledging an affective experience of oppression”. The purpose of this paper is to write a narrative about an experience as a student nurse practicing in a clinical setting where we felt oppressed due to class, race, cultural or gender biases.
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
There are many themes that present in literature about delegation. American Nurses Association(ANA) defines delegation as the transfer of responsibility for the performance of a task from one person to another. The National Council of State Boards of Nursing(NCBSN) defines delegation as transferring to a competent individual the authority to perform a selected nursing task in a selected situation. I think delegation is a skill that needs to get proficient. Kleinman and Saccomano(2006) state that the nurse must be taught delegation skills, both in academic and clinical settings. The use of unlicensed assisted personnel(UAP) or licensed practical nurse(LPN) is essential in todays health care because of the increased acquity of patients and increased custom-service approach.