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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
There are several concepts that must be considered whenever leaders, managers or nurses delegates/supervises. One of which that must always take the highest priority is patients safety. Unsafe delegation can cause tremendous harm to patient and can costly for the organization or facility. For instance If the task being delegated has the potential to cause more harm than good, it is best that to reconsider. The five rights of delegation (right task, right circumstances, right person, right direction/communication and right supervision) must be utilized in order to bring about positive patient outcomes.
One of the vitals skill required by the Registered Nurse is the skill to assign tasks to subordinates (Saccomanos and Pinto-Zipp 2011). When tasks are delegated to subordinates, the RN remains accountable (Nursing and Midwifery Council 2008). On the other hand, an individual who has been given a task also bears responsibility for the task and is answerable to the RN. Hence, delegation involves “responsibility, accountability and authority” (Sullivan & Decker 2005, p. 144). This essay will examine the role of the registered nurse in relation to delegation. Areas that would be discussed includes definitions of delegation, benefits, types of delegaton, nursing process in relation to delegation, common mistakes of delegation, five rights of delegation and barriers to delegation. At the end, it would give a conclusion and also a statement of my learning.
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,
Based on the five rights of delegation, there are specific tasks that are suitable for delegation in the nursing professional setting. The general appropriate tasks for consideration in delegation decision-making are those that frequently reoccur in day-to-day care of a patient or group of patients, those that do not need support worker to exercise nursing judgment, and those that do not require multifaceted application of the nursing process. The other tasks are those whose outcomes are predictable and the probable risk is minimal and those that use a standard and unchanging 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
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.
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.
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
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.
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.