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The responsibilities of a nurse
Importance of delegation in nursing
Importance of delegation in nursing
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Recommended: The responsibilities of a nurse
A true leader delegates tasks with grace and helps their team members whenever possible. This post is the third in a series on nursing delegation. The previous article reviewed how a nurse can delegate tasks in a manner that builds trust and mutual respect among coworkers. Today's provides professional advice on how to delegate tasks gracefully and set the example for the other team members.
Responsibility lies on the shoulders of registered nurses to ensure high-quality patient care is carried out. In a team nursing setting, this also means the nurse must delegate tasks safely and effectively. However, this does not equate to barking out orders and expecting the other team members to perform on command (I know that sounds harsh and most
Therefore, leading your team with grace and a humble attitude can improve productivity and patient outcomes.
Mastering the Skill and Art of Delegation
Delegation is a sensitive duty that requires careful consideration of everyone involved, the RN, the LPN and/or UAP, and the patient. If you commit yourself to mastering this skill with tact and cooperation - you will be able to effectively delegate tasks in any work environment, even a brand new unit with unfamiliar coworkers.The official statement from the Joint American Nurses Association (ANA) and the State Boards of Nursing states that "mastering the skill and art of delegation is a critical step on the pathway to nursing excellence." As a registered nurse of ten years, I could not agree more.
Various factors influence how the individuals that are receiving their tasks perceive the work by your tone of voice, inflection, level of involvement, and whether or not you value their input. The following are professional tips for delegating tasks with fairness, consideration,
According to the NCSBN in the Joint Statement on Delegation "delegation is the transfer of authority to perform a nursing task from one person to another, while retaining accountability for the outcome."
At times you might jump in and help the UAP, and other times you might need assistance from more UAP so that you can solely focus on RN-specific tasks. Striking the right balance in nursing delegation is a skill that takes time and experience to master. The important takeaways about delegating tasks with grace include:
Have reasonable expectations and understand the limitations of team members.
Consider the tone and manner in which you delegate tasks.
Help out your team members when you're able, but if you are not able, don't be afraid to delegate more so you can focus on the RN-specific work.
Attitudes are contagious - make it a good
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.
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 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,
...rsing is not an individual effort to address patient symptoms or illnesses. While this is an integral step to thriving as a nurse, the duties of a nurse far transcend the scope of this responsibility. Nursing is not simply an individual pursuit, but rather, a communal role in which professionals convene to enhance patient care and the quality of their organization as a whole. As noted, the mission of this organization is to empower nurses and actuate beneficial changes in this professional field. The rules of order, leadership behavior, and decision making jointly contribute to the seamless flow of business. There is a team effort that joins nurses together in purpose, mission, vision, and corporate goals, and it is this very sense of joint responsibility that transforms individual efforts into a compelling, sweeping force that changes health care for the better.
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
...cannot attend to it alone. The nurse must be able to understand and organize a multi-dimensional approach to care. During my clinical experience I was able to work with CNA’s, LPN’s and RN’s. This allowed me to learn from their experience and to deliver better care as a result. I also worked with members of my own team and we each learned from each other’s strengths and weakness.
Kerfoot, K. (2008). Bossing or serving?: how leaders execute effectively. MEDSURG nursing, 17(2), 133-134. Retrieved from EBSCO host
Best possible care for patients can and will be achieved when nurses and other health care team members work together and prioritize meaningful conversation among each other. Dissatisfaction, errors and unfair treatment can be avoided when there’s an effective collaboration among health care team. Working collaboratively with each other improves the nursing care by bringing out the best outcome of each discipline. Thus, in my stand among various competencies, team work and collaboration is the most necessary and vital qualities needed for future nurse to provide the best quality care
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.
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,
They care and nurture patients back to health so they can develop and perform as highly as possible. Nurses must be willing to take the time to listen carefully to other staff members and patients for mutual respect and trust to evolve. Nursing leaders influence and motivate subordinates by building relationships and further developing the practice skills of individual team members. A Servant Leader makes sure the needs of the individual team members are addressed and any conflicts are dealt in way that enhances professional competency among nurses. Recognition that servant leadership advocates a more group-oriented approach to analysis and decision making helps to strengthen the organization and improve the healthcare community (Murphy,
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.