...& VALUES Delegation Orchid Quiton Chefalo Western Governors University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient-care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization of the diverse workforce by facilitating the coordination of care by employing the experts and give an introduction of what services each specialty can offer to meet the needs of the patient. Examples of the roles of the diverse workforce are as follows: The LVN educator can give one to one instructions and education in pre-partum, intra- partum and post-partum care; The social worker can interview the patient’s life condition like the family dynamics and make appropriate recommendations for the patient to be successful at home; The community health RN, BSN can use her knowledge on what specific resources the patients needs within the facility and/or outside the community; The obstetrician can be consulted, and may expedite the care of the patient by making the recommendation to transfer to a higher level of care. As the nursing supervisor, it is a...
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...Continuing Education Effective Delegation: Understanding Responsibility, Authority, and Accountability Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation...
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...Delegation Example in a Health Care Setting Presentation * The delegation model or process * The delegation issue in your work place * The stakeholders in their different health care roles * How you choose the right stakeholder for the job At the completion of this presentation the learner will know the delegation model process, be capable of identify issues in the workplace, how to choose the appropriate stakeholder to complete the job, and the stake holders in their different health care roles. By using a possible occurrence that can happen in the work place as an example we will walk through the delegation process. * How you communicate with the stakeholders * How you resolve conflict * How you know when to give feedback * How you evaluate the problem solved * Relevant recommendations With communication being the most important aspect of delegation, we will discuss how to communicate with the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...These changes have subsequently led to the emergence need of registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials...
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...Elizabeth Franco University of Phoenix NUR 482 Nursing Leadership and Management in Health Care Delegation is the act of appointing a person to perform an act in your stead where both parties are still accountable for the action taken. This helps to unburden registered nurses (RN) from having to accomplish all necessary tasks on their own allowing the RNs to accomplish more. It is important that when an RN delegates a responsibility to someone else that the person assigned the task are qualified and properly trained to perform that task. There are two common ways to determine who a task should be delegated to. The first is to match a staff member’s job description to the task at hand. The other is commonly referred to as scope of practice, or matching a person’s expertise to the patient’s needs. Delegating responsibility not only makes it possible for more tasks to be completed but maintains the involvement of the entire staff so that everyone feels needed. Basically delegation comes down to the five rights of delegation which are the right task, right circumstance, right person, right direction and right communication. There are many aspects of determining if delegation is appropriate or not. First a mutual respect must be developed between the RN and their helpers. This is achieved through the personalities of the RN and their helpers, communication style and skills and cooperation. It is important when an RN is delegating tasks that they use critical thinking...
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...Delegation Example in a Healthcare Setting Abiola Edwards April22, 2010 Introduction * Definition of delegation * Delegation process * Delegation issue one faces at work * Stakeholders in their different roles * Choosing the right stakeholder * How to communicate with stakeholders * Conflict resolution * Feedback/ Evaluation * Recommendations * Summary * References My name is Sadie Edwards and I have over 10 years of nursing experience Definition of Delegation Delegation: Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Concepts and Decision-Making Process National Council Position Paper, 1995 Most nurses would rather do the tasks themselves, but they can not perform all of them safely. According to Hansten & Jackson, “it is our responsibility to the patients we care for to ensure that they receive the best that we can offer by delegating wisely”. Delegation Process * Define the task * Select the individual or team * Assess ability and training needs * Explain the reasons * State required results * Consider resources required * Agree to deadline * Support and communicate * Feedback and results Alan Chapman, Delegation 1995-2009 The steps to successful delegation are: 1. To define the task, ask yourself if the task is right to be delegated. Does it meet the criteria...
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...National Council Licensure Examination (NCLEX). The application process includes six steps that all must be achieved prior to taking the exam. An applicant must first submit an application for licensure to the state board of nursing. The second part is that an applicant must meet all of the requirements set forth by that state board. Third, an applicant will register for the NCLEX with Pearson VUE. Applicants can register several different ways including online, by mail, and telephone. Once registered, the fourth step is receiving an Acknowledgement of Receipt from Pearson VUE. After the Acknowledgement of Receipt is received the state board of nursing makes the applicant eligible to take the NCLEX. The final step is the applicant will receive an Authorization to Test (ATT) from Pearson VUE. An applicant must present a valid ATT and one form of acceptable identification in order to take the test. Acceptable forms of identification are U.S. driver’s license, state identification, Passport, and U.S. Military identification. The members of the Arizona State Board of Nursing (AZBN) are comprised of nurses, lawyers, community members and other health care professionals appointed by the governor. Each member serves a five year term. The Board meets two days about every eight weeks. This group is who makes decisions regarding all nursing and nursing assistant training programs and nursing personnel in the state of Arizona. Other functions of the AZBN is issuing and receiving...
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...The Ministry Of Health Nursing Essay On the other hand, nursing practice is an act of providing care to the patients. This can be done by implementing a nursing care plan which is based on the initial condition of the patient. For certain people, the responsibilities of the nurses may seem apparent as all they need to do is following the orders from the doctor. Even for an experienced nurses, they still need to concede from the doctors in matters that they are restricted and not qualified in. This is called professional boundaries. According to CRNNS (2002), professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior which, well intentioned or not, could reduce the benefit of nursing care to individuals and communities. But in reality, the job of the nurses sometimes being pushed to the limit according to the patient's condition. This may lead to some instant decision making with or without the conceding from the doctors. This case however may be seen as the boundary violation. The boundary violation can be defined as a disruption of the barrier between a professional and the client. In our case, it is an act or interaction which damages the patient and the professional (nurse) relationship. The action of crossing the professional boundaries may be regarded as against the law. According to Allen (2001), five keys of nursing boundaries had been identified which consist of boundary among nurse and nurse itself...
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...Nightingale Executive Summary Western Governor’s University Nightingale Executive Summary Nightingale Community Hospital is a 180 bed hospital that provides acute care and a range of services to their community. Nightingale has four core values that consist of safety, community, teamwork, and accountability. Communication is a key concept in achieving and defining those values. According to the National Patient Safety Goal Data in regards to communication for Nightingale Community Hospital there is not consistency and goals are not being met for the following: reporting critical results within 60 minutes as evidenced by documentation, verbal orders/read-backs, unacceptable abbreviations, and time out hospital wide. Critical Results Within 60 Minutes Nightingale Hospital has showed variations in compliance with reporting critical results within 60 minutes for the months of January through December. Compliance went from 63% in January to 80% in December. In between this time there have been significant variances. As noted there from the data there was only 56% and 57% compliance for the months of June and July. Reporting of Critical Results with 60 minutes should be at 100% compliance. Verbal Orders/Read-Backs The ED met 100% compliance with verbal order/read-back audits for the fiscal year to date. Ortho is at 62% compliance. The other departments at Nightingale Hospital are ranging from 91% to 99%. For JCAHO standards the departments should be at 100%. ...
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...NURSING AND HEALTH CARE MANAGEMENT ISSUES Time management strategies in nursing practice Susan Waterworth New Zealand MSc RGN RNT Senior Lecturer, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, Submitted for publication 24 July 2002 Accepted for publication 20 April 2003 Correspondence: Susan Waterworth, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, 85 Park Road, Grafton, Auckland, New Zealand. E-mail: susanpw@xtra.co.nz W A T E R W O R T H S . ( 2 0 0 3 ) Journal of Advanced Nursing 43(5), 432–440 Time management strategies in nursing practice Background. With the increasing emphasis on efficiency and effectiveness in health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with...
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...The Differences in Competencies between Nurses Prepared at the Associate-Degree level versus the Baccalaureate Degree level in Nursing Grand Canyon University NRS-430V Professional dynamics 125 January 11, 2012 The Differences in Competencies between Nurses prepared at the Associate-Degree level versus the Baccalaureate Degree level in Nursing In modern society human being, encompass extensively sophisticated requisites provoking advanced techniques of acquisition directly correlating to health care industry. The health care is intensifying in complexity and observing beneficial amendments. The longevity and expectations have heightened thus nurses are obligate to become educated in higher echelon, the professional baccalaureate level, to comprehensively achieve composite necessities. The professional nurse who graduates with a baccalaureate is primed for broader role in numerous facet of health care in addition to global knowledge of functionality of medical system and diverse methods of application. Enabling the application in daily patient care ,the delegation of tasks ,independent decision making ,secure patient discharge , and numerous other aspects provoking an improvement in quality of care . Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. (AACN, 2011). Education...
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...Caring in nursing Name Professor Institution Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well...
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...My Leadership SMART Goal Megan Borrayo NR 447- RN Collaborative Healthcare Professor Amanda Denno When creating my leadership SMART goal, I assessed what I as a leader would like to focus on in the future as a potential manager and educator. According to Institute of Medicine’s quality initiative, there are five initiatives including patient-centered care and working in interdisciplinary and/or interprofessional teams. Of these, recognition of the importance of interprofessional teamwork has proven to be very important for me. For my SMART goal, I chose to focus on interprofessional communication as a means for enhanced patient care and quality. This goal will be specific to all those dealing with the patients care, from doctors all the way to Certified Nursing Assistants. This includes all specialties that are consulted to work with the patient (physical/occupational therapy, speech therapy, psychiatry, etc.). My GOAL is to improve communication within the team and with the patient by providing bedside rounding once per shift. This gives a chance for questions to be answered, both from staff and patient, concerns, and opportunities for suggestions on improvement of patient care. This will take place within the unit at the bedside of the patient. By educating staff of the importance of communication within the team and with the patient, hopefully, staff will be willing and helpful to assist in making shift-by-shift bedside rounding a norm within the unit. Daily bedside...
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...1. Tell us about yourself? Good morning. My name is Lingling Cui, an international student from Deakin University. it is really a great honor to have this opportunity for a interview. I am about to be graduated and registered in August after the 6 weeks clinical placement in Knox. So far, I have completed two clinical placements in Australia. One is mental, another is surgical unit. Prior to commencing my Bachelor of Nursing in Australia, I have graduated from Peking University and achieved my first Bachelor of Nursing following a 3.5 years study and 1.5 years clinical placement in medical surgical ward, theatre, pediatric ward, gynecologic ward, delivery room and emergency room. Besides studying, I am also working in nursing home from last year. I am a nice person with excellent nursing skill and interpersonal skill, which enable me to working in a team with pressure. Furthermore, I can listen and speak mandarin and English fluently. All the experience and skills that I gain during studying and working are around nursing, which enable me to prepare well for future career. 2. What do you know about this organization and why have you chosen to work here? Healthscope is one of Australia’s leading private healthcare operators and the second largest private hospital provider. Healthscope owns or manages 45 medical/surgical, rehabilitation and psychiatric hospitals. In addition, Healthscope operates a leading pathology business with facilities in Australia, New Zealand, Singapore...
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