The Health Care Environment : Fast- Paced And Hectic

Nursing Delegation: A Professional Challenge George S. Diaz Chamberlain College of Nursing NR-103: Transition to the Nursing Profession September 20th 2017 Nursing Delegation: A Professional Challenge The purpose of this paper is to prove delegating effectively will provide positive patient outcome, but if done ineffectively can lead to errors resulting in patient harm or death. Nursing delegation brings upon a shared responsibility to the tasks at hand to those who can do the appropriate work.

Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out

ABSTRACT: Delegation refers to the practice of a registered nurse assigning certain tasks and activities to other people while still maintaining responsibility for the actions of the others to whom responsibility has been delegated. The act of delegating assumes that the delegator has a certain amount of trust in the person to whom they delegate. Additionally, quality communication is paramount in maintaining superior patient care when delegating tasks to others. One signifigant obstacle to delegation is ensuring that the proper tasks are delegated to the appropriate individuals. The organizational structure and leadership

According the American Nurses Association (ANA) (2012), nurses will be always the backbone of the health care. Empowering nurses improve productivity, quality, and moral in work accomplishments. The nurse’s role is not only about bedside assessment and intervention, rather, it is building and strong relationship with the rest of the team to deliver the ultimate patient centered care (ANA, 2012). The nurse manager plays an important role in empowering the nursing staff by two methods. First, giving the nurses a voice. Nurses, frequently feel

As a charge nurse and a leader I have been practicing by using critical thinking and professional judgment to make sure that I’m making the right delegation and right task to the staff who work under

Delegation plays an integral part for nursing where health care providers are encouraged to embrace the spirit of teamwork and work in a way that enhances their productivity. Delegation is becoming more necessary in nursing practice due to increasing health care costs, the growing problem of the nursing shortage and high acute care. A delegation is a leadership tool which allows nurses to utilize their knowledge and provide care efficiently. The American Nursing Association (ANA) and the National Council of State Boards of Nursing (NCSBN) (2006) declare that “The abilities to delegate, assign, and supervise are critical competencies for the 21st-century nurse” (n.p.). Patient care has evolved to such a degree that a nurse cannot safely be responsible

Change can be devastating and not always everyone agree with it. The biggest transformation in healthcare is the implementation of the Affordable Care Act. With the new health care system the government mandated U.S. citizens and legal residents to have health insurance that resulted in the rise of insured individuals. Due to the new policy more people have access to health care that means more primary physician needed to accommodate the rise of new patients. Shortages of physicians not only in the primary care area but also in specialty care area are projected between 46,000-90,000 by 2025 ("The Physician Shortage," n.d.). The pay-for-performance focuses on quality that will eventually decrease the costs (James, 2012, p. 1). This system will give a reward or a bonus to the health care providers whenever they meet or exceed quality standard that are being set (James, 2012, p. 1). In contrary the system can also penalized those providers that are unsuccessful in providing the indicated goals or cost savings (James, 2012, p. 1-2). There are 2,225 hospitals in 2013 that were fined under the Hospital Readmissions Reduction Program (HRRP) which is part of the ACA regulation (Anderson, 2014, p. 11). For the institutions to survive with the new system a lot of hospitals are merging that a year after the ACA implementation there were already

L. (2006) reported that nurses are embedded in a complex network of clinical relationships, the most important being nurse-patient, nurse-nurse, and nurse-physician. Communication is the core of these relationships and is dependent on the nurse's ability to listen, assimilate, interpret, discriminate, gather, and share information in constantly changing systems made up of many disciplines and hierarchies. Communication is a complex phenomenon and includes skill, cognition, emotion, and value. Furthermore, citing that some of the most critical patient-related communications include formulation and implementation of daily plans of care, transitions of this care ("hand-offs"), and emergent situations. Such activities require shared responsibility for timely, relevant, clear, and concise exchange of patient information with a cadre of disciplines often in hectic, chaotic environments. Manning (2016) went on to recommend the use and creation of multiple methods of ongoing communication measures as a way to ensure understanding.

This article discusses about the process of nursing delegation. For the process of nursing delegation, it must have strong communication, empowered staff, and organizational support. The guidelines identify 5 rights of delegation, which include right task, right circumstances, right person, right direction & communication, and right supervision & evaluation. When a delegator, such as a nurse, delegates, they will remain responsible for the tasks that were delegated. Delegation of an action/task is done based on the patient’s safety and their quality of care. Following the process enables a nurse to appropriately delegate to benefit the care of the patient.

As a future nurse administrator, I have to assess what the root is of the current discord in the unit amongst staff. Setting aside for the mean time my personal conflicts with some members I have to investigate and keenly identify what possibly contributes to the misunderstandings. I have to be objective and ignore the fact that the other staff gossip about me. I have to gather data as accurately as I could.

For the topic of this conversation we will considered the important competencies of communication and teamwork and collaboration. Nursing is not a solitary profession; we need to be experts in communicating and collaborating to help improve patient care. Communication is key in preventing life changing mistakes. I find myself with myself hyper vigilant when a doctor is giving me a verbal order, even though I repeat it back to the doctor I am afraid they might also not be listening to what I am saying back to them. A medication given at the wrong dose could result in horrific consequences.

In every aspect of our lives, communication shapes who we are as individuals and the quality of the relationships that surround us. From crying during infancy when our needs are unmet to reaching adulthood and interacting with others in the workplace, we experience and practice communication every day. In professional environments, the importance of quality communication quickly becomes clear through interactions with superiors, coworkers, and clients. Communication in healthcare, especially between patients and nursing staff, is especially vital. Unlike other work environments, clients of the healthcare system are patients often experiencing the most vulnerable, difficult times of their lives. Fortunately, skilled professionals like nurses can provide communication that is healing and comforting to those in distress.

Effective communication is essential for a nurse in a leadership position. If a nurse is not able to convey or transfer pertinent information to other team members or clients, conflict or problems can arise. A nurse is able to effectively communicate through creating synergy, establishing a purpose or goal, actively listening, being truthful, and being responsible. When a nurse leader is able to successfully communicate, patient safety increases and medical errors decrease which leads to a higher percentage of positive patient outcomes. Effective communication fosters positive nurse-patient and nurse-team member relationships.

Just like my environment and support network played a role in my admission to the University of Richmond, these factors, along with many others, can also significantly impact a patient’s health outcomes. Studies have shown that one’s financial situation can either severely improve or hinder the success of a patient’s treatment as a patient’s income often determines the area in which they live. Patients with lower incomes are usually forced to live in the inner cities or in extremely rural areas. Both areas present obstacles to achieving the stable environment that is necessary for a positive health outcome. For example, in both areas, access to care is a major concern. In rural areas, the distance that some patients travel to receive the care that they need makes it impossible to see a doctor or visit a pharmacy regularly. For example,

In todays’ health care delivery system, nurses are the ones who spend the majority of their time with the patient. The American Nurses Association defines professional nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (Epstein & Turner, 2016). Similar to the case study, all nurses should act as advocates for their patients and report any concerns they have to their supervisors, physicians or the department who can help solve the situation. In the health care delivery