Delegation has been a very important element of nursing for some time now and has become more and more important over the years. In this article, it goes over the reason for the sudden interest and importance of delegation as part of the nursing process. Delegating is one of the many nursing tasks that is sometimes neglected to be taught. To delegate it takes an RN to remain accountable for a task that she assigns to a nurse’s aide. In the article the Board of Nursing Examiners rule and regulations states delegation as, “the act of authorizing an unlicensed person to provide nursing services while retaining accountability for how the unlicensed person performs the task”(Saccomano, 2011). Basically, this means that even though the RN is giving …show more content…
The reason for this is most nursing programs have not targeted the importance of nursing delegation while educating their students. Leadership, a trait that goes along with delegation, is another teaching method that is being neglected in some nursing education programs. The reason these traits are seen to be so important now is due to the amount of acutely ill patients increasing, therefore, increasing cost and leaving us with fewer RN’s with tight budget restrictions (Saccomano, 2011). In the article, it mentions that we are in the midst of changing the face of healthcare in regards to all of these issues. One of the many things that they want to stress is the act of utilizing the nurse’s aides to provide direct patient care that falls within the standards of nursing. Doing so it will be the nurse’s responsibility to supervise the being care given by the nurse’s aide in addition to their …show more content…
More often than not RN’s are not prepared for the responsibility of delegating tasks to co-workers. Being able to delegate takes a certain level of confidence. Anytime that the nurse delegates a task they are held responsible for seeing it through to the end. They are required to assess the situation and evaluate the patient care being given. After the task is completed it is important to appraise the competence of the nurse’s aide. The whole concept of delegation has been around for quite some time now that it dates back to the early nursing efforts that Florence Nightingale that started the movement of nursing. Florence nightingale described delegation to be on the more entry level side of nursing. With this being said it shows that nursing programs of today need to provide more experience with delegation tasks and to stress the importance of being able to work in a leadership role when faced with a situation that makes it necessary to do so. An example of this would be when a code blue is called and many health care team members are together in one room, sometimes it is appropriate for someone to take the leadership role and assign everyone a task.“Forty-one percent of RN’s in the US report that they were not exposed to delegation and supervision content in their nursing curriculum”(Saccomano, 2011). This is a large number of nurse’s that were
Without doubt, there are two variables that should be considered when evaluating the benefit of shared governance in long term/nursing home settings. First, obtaining consent from the nursing assistant to volunteer for the leadership role for the duration of one year, and the nursing assistant employment status at the time of consent. Second, the effectiveness of the shared governance project to reduce falls, weight loss, in-house acquired pressure injury, and nosocomial infection rates for the sake of the resident’s comorbidity.
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...
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 (
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
In particular, the use of Florence Nightingale’s theory of nursing as the basis of my new practice had allowed me to begin with the basics and work my way forward toward a more modern and holistic approach to nursing care. While Florence’s work focused mainly on the military and her care of soldiers, she began to establish schools of nursing to promote nursing education and to encourage people to view nursing as a viable profession, (Alligood, 2014. 63). Nightingale’s focus may have been care of the military, but she made great strides on getting recognition for nursing and her theories still affect the practice of nursing today. In the article, Nurses as Leaders, the author proposes that nurse leaders have made great strides since Nightingale’s time when nurses were conscripted to help care for wounded soldiers. Such a setting required these early nurse pioneers to rely on critical thinking and quick action in order to save lives. The author goes on to discuss how a change in nursing occurred in the early 20th century as new management styles emerged, most notable the “Scientific Management,” model. This style placed doctors at the top, then nurse managers, and on down to bedside care staff. Though this did allow some nurses the ability to move upward, nurses resented a doctor being in charge of their teams as the work of a physician and that of a nurse are two very different practices, ("Nurses as Leaders," 2016). This is quite different from the modern concept of a nurse executive as leader of
nursing assistants. All the delegation needs to be within the scope of practice. The registered
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
In healthcare profession, leadership is defined as utilization of personal characteristics and experiences to communicate effectively with the patients suffering critical health problems for which there are no specific answers and to direct health care team in developing policies to solve these problems. The nurse leader establishes relationships to encourage others to set and accomplish clinical or administrative goals. An effective leader provides guidance, use moralities to direct the process, and develop self-confidence in others (Yoder-Wise, 2010).
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,
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
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.
With the growing complexity of healthcare practice environments and pending nurse leader retirements, the development of future nurse leaders is increasingly important (Dyess, Sherman, Prat & Chlang-Hanisko, 2016). Today’s article focuses on interviewing forty-four Generation Y nurses prior to starting any college work aimed to support the development of nurse leaders in a master’s degree program. The goal of this study was to capture perspectives about nursing leaders and leadership.
The health care system has experienced rapid changes related to patient care and safety practices that had lead to multifaceted shift in patient care models and nursing leadership paradigm. These changes that include “transitioning from a traditional reimbursement models to new and innovative methods” (Patton & Pawar, 2012, p. 320). have greatly influenced the rapid transformation in the leadership role assumed by nursing executives in the healthcare organization in the past decade. In 2010, the Institute of Medicine (IOM) report, “The Future of Nursing,” discusses the vital roles and challenges chief nurse officers (CNO) faced while serving to bridge the gap between the business acumen and patient care aspect in the health care industry. Heading to the challenges the future present, the IOM (2010) post the question “Will Chief Nursing Officers Hear the Call”. Reflecting to this underpinning, chief nurse officer (CNO) role will be evaluated as based from The Council on Graduate Education for Nursing Administration (CGEAN) three domains of nursing leadership – administration, leadership, and management” (Frederickson & Nickitas, 2011, p345.).
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.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.