Introduction Delegation in nursing practice will be discussed in this essay. Delegation will be clearly and concisely defined and described as following: Delegation is a formal process through which a regulated health professional (delegator) who has the authority and competence to perform a procedure under one of the controlled acts delegates the performance of that procedure to another individual (delegatee) (College of Nurses of Ontario, 2014). A few perspectives related nursing delegation such as professional standards, legal aspects and ethics affects will be analyzed to clarify the authorizing mechanisms of nursing delegation. At the end, a personal reflection will be identified and described how I will approach to delegation in my own nursing practice in the future. Keys points about how to delegate in nursing will be summarized in conclusion section. Analysis The increasing of population especially the elderly with multiple illnesses requires multiple health professional care especially the nursing care dramatically increased in contemporary society (BYSTEDT, Eriksson, & Wilde-larsson, 2011). The registered nurses have to collaborate all the accessible resources to provide efficient and good quality of care to patients to solve the conflict between lacking of staff and best interests of the patient. This definitely is a huge challenge to resolve. One of the efficient ways to overcome this challenge is delegation. How it is performed in a
Currently healthcare is changing, “from the hospital into the community setting, shorter hospital stays, and an increase in day surgery procedures and an ambitious public health agenda have all increased demands on the workforce” (Carr & Pearson, 2005, p. 72). Therefore, the health care teams are now trying to adjust to the changes as well as meet the new demands (Carr & Pearson, 2005). As with most health care setting, there is a wide variety of health care workers with different skill sets. The diverse level of skills and roles in the health care system allows the increased workload to be spread appropriately when utilized correctly; this is called delegation. As with any situation if not performed correctly it could lead to
The purpose of this discussion is to complete the critical thinking exercise for chapter 9 in Huber (2015). This case is regarding a non-verbal patient that is to go to the operating room (OR) to have a radical mastectomy at 8:30AM and is being cared for by a newly hired nurse (James Fair) who starts his shift at 7:00AM, a nursing assistant (Julie Coggeshall), and Sherry Trader the charge nurse. The aspects of care discussed include the problems in this case, when to delegate and assign care, dimensions of power and conflict and two solutions are provided, along with two communication techniques. Furthermore, the delegation plan, and Sherry Trader’s options if the staff refuse to accept the delegated tasks. The included staff have only an hour and a half to assess, plan, and implement tasks to prepare the patient for her surgical procedure.
When delegating tasks, the nurse should first know what the nurse practice acts and laws of the state, in which he/she resides, says about delegation. Once this information has been acquired, then the nurse needs to take into consideration a few other elements, such as: the patients’ needs, the situation at hand, and the facility’s policies and procedures. When using the decision-making framework, the nurse goes through all of the above elements and asks himself/herself questions. If the nurse is ever meet with a no for an answer, then the task may not be delegated. The first question that should be asked before delegating is what do the laws and rules of the state say about delegating this situation. Second, is it in the scope of practice
Imagine yourself as a nurse, you have to take vital signs, calculate I&O, assist with activities of daily living, feeding, mobility, etc., and still attend to your professional and managerial duties such as formulation of nursing diagnoses, patient education, care plan and so on. You do all this by yourself with no help and this goes on over and over again everyday! What would you do? Would you get tired of the job and try to quit? Due to the shortage of qualified nurses and the uprising increase of sick patients the need to employ the help of good and effective delegation is necessary. Delegation is an important skill needed in all organization for better management but most especially needed in the healthcare system to ensure quality of patient care. Therefore, this student is going to dig into delegation, how it can be made effective, its benefits and how important it is to learn and acquire this skill early in ones’ career. Starting off, let us look into what delegation is all about.
The professional nurse is an asset simply because much of what drives success within an organization is the fruit of labor. In order for this continued performance to strive it is necessary that an organization be designed to allow professionals to participate in the practice and help shape the environment in which patient care occurs which ultimately brings us back to this notion of shared governance.
“The ability to delegate, assign, manage, and supervise is a critical competency for all healthcare workers, especially nurse leaders” (p. 435). This is true at my place of employment; its is required of the units charge nurse to delegate the days task to the licensed practical nurse, medication aides and certified nurses aids working. “Nursing delegation involves the transferring to a competent individual of the authority to perform a selected nursing task in a selected situation”. It's important to realize that delegation is not pushing a task onto another individual to lighten a nurse's work load, but that patients have multiple needs that can be met by multiple different healthcare providers, so that the nurse's time can be used more effectively
Shared governance model within nursing has been able to provide a structural format that allows the profession to implement local decisions, meaning that decisions are made where they are implemented (p. 56). Shared governance allows for nurses to have there input this is important because clinical decisions require ownership and investment by clinicians (p.
The definition of delegation, according to the medical-dictionary.com, is delegation of Administrative authority responsibility transfer to a person of lower license from the person of higher license, while remaining responsible for the actions of the outcome. The RN must have trust and confidence in the team members they are delegating to be able to delegate effectively and with minimal stress for themselves (Harris, 2007).
Autonomy provides the platform for self-directed nurses to act consciously without pressure in the implementation of their duties. Such roles demand the exercise of autonomy, a term which eludes succinct definition despite the fact that the preparation of practitioners for these roles relies on a clear understanding of its nature. This paper undertakes a concept analysis of autonomy, each step illustrated with examples taken from clinical practice, with the ultimate aim of offering an operational definition of autonomy. The concept of autonomy in the nursing profession is considered a requisite for professional standing. Consequently, professional nurse autonomy is the belief in the entirety of the client when making responsible optional decisions; which reflect advocacy for the client (Kramer & Schmalenberg, 1993).
The term delegation in context of nursing refers to a process of assigning responsibility and authority to co-worker while ensuring the accountability of the task. Direction is defined as a series of process which include guiding, supervising and evaluating the outcome of the assigned task. Delegation is a complex process which requires clinical judgments and accountability of the task. When delegating task it is necessary for the registered nurse to understand the complexity and variability of each health consumer’s situation and also should be able to determine to whom the task should be delegated e.g. enrolled nurse or health care assistant. Direction is a central point around which accomplishment of task take place.
Delegation by management within the Healthcare system is one, which allows the staff to develop their skills and knowledge to the full potential without hesitation. This allows each individual the opportunities to communicate with those in management and a dynamic tool for motivating and training the team to realize their full potential and self-accountability.
The aim of this essay is to discuss the legal and ethical issues in nursing practice about gaining consent and why it is important.
Maintain accountability for own practice and delegate other nursing personnel.BSN use the roles of assessing, critical thinking, communication, teaching and leading skills in practice. In its October 2010 report on The Future of Nursing, the institute of Medicine statesman increase in the percentage of nurses with a BSN is imperative as the scope of what the public needs from nurses from nurses grows, expectations surrounding quality heighten, and the settings where nurses are needed proliferate and become more complex.” http://thefutureofnursing.org
Delegation is a way to appropriately and consistently provide direction to a staff. By delegating properly, managers can teach employees new skills and expertise to help them to be more productive and instill a sense of self-reliance, improving morale and motivation (Wikipedia, 2006). As a manager, you must assess your staff’s current abilities and their potential to accept and complete assignments through established guidelines. A manager must know how to plan and coordinate a variety of activities and how to monitor progress. Delegation brings into play many management functions planning, organizing, coordinating, motivating, communicating, and leading.
It basically refers to the transfer of authority from one person to other. Delegation is important part in accomplishment of task in organisation. The ultimate responsibility of task completion depends on the person who has delegated the authority. Hence delegation is the way by which the authority is distributed in an organisation in its different level .The delegation allows the a person to make decision .A good delegation will be motivating, improves skills and saves time. http://www.ncsu.edu/project/parkprgrd/PSTrainingModules/delegating/delsec1.html