Delegation : A Complex Process

The first consideration a registered nurse should determine is if “The Right Task (Cherry 355-356)” is being delegated to the right staff member. Delegation to the right staff member must be in their scope of practice and have proven to competent to complete. An individuals’ scope of practice will be set forth by the facility in which they work. In addition to individual facility polices the nurse must adhere to the scope of delegation set forth in the Nurse Practice Act of Maryland. Per the Nurse Practice Act of Maryland the task to be delegated must be “within the area of responsibility of the nurse delegating the act (Code of Maryland Regulations 10.27.11.03).” An example of incorrect delegating would be having an unlicensed individual, CNA or LPN to

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’

Delegation is widely acknowledged to be an essential element of effective management (Yukl, G. 1994). Delegation is basically a process of assigning responsibility, sharing authority, and producing accountability in organizations. It is a managerial instrument that allows managers to nurture subordinates to capitalize the subordinate’s potential and ability to meet organizational goals and objectives. As a form of employee involvement in decision-making, delegation describes a category of leader behavior that entails assignment of new responsibilities to subordinates and additional authority to carry them out (Yukl, G. 1998). Managers usually find it easier to speak about delegation of

The next question posed to Rene inquired about essential characteristics of a leader. After giving the question some thought she responded by saying that a leader must be able to remain objective and prioritize. “Prioritizing in my job is essential,” Rene stated, “with so many issues to deal with some nights it can be difficult to determine which to tackle first. However, remaining calm and objective in your decision making can help a leader prioritize properly, which can improve patient outcomes.” Additionally, Rene emphasized that the best leaders lead by example. By displaying desired attitudes and behaviors, a nursing leader may inspire their staff to act in a similar manner. Another area Rene stressed when posed this question was a leader’s ability to support learning. She went on to state that “it is necessary to focus on learning, not chastising. Placing the blame on someone rather than stepping back and looking at the details of a problem, deters the team from achieving the overall goal. Incident reports remain vital to the process of learning.” Rene continued to emphasis that by filling out incident reports individuals can analyze a situation or process and determine where the flaws or errors remain present. Without incident reports and learning from mistakes, growth remains difficult. Diana S. Contino (2011), author of “Leadership Competencies: Knowledge, Skills, and Aptitudes Nurses Need to Lead Organizations Effectively,” believes that organizational and

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.

This is the legal liability the practitioner owes to the patient. By accepting the responsibility to perform a task the practitioner must ensure the task is performed competently at least to the standard of the ordinarily competent practitioner in that type of task. If a practitioner such as a registered nurse should delegate a task, then that practitioner must be sure that the delegation is appropriate. This means that the task must be necessary; and the person performing the delegated task, for example a HCA, must understand the task and how it is performed, have the skills and abilities to perform the task competently and accept responsibility for carrying it out

It is up to the nurse/delegator to determine the delegatee’s knowledge, skills, abilities, and any training that will ensure that the task will be handled appropriately and safely. If it is necessary the nurse/delegator must provide instruction and direction to the delegatee. The nurse/delegator or another qualified nurse must be available to supervise the delegate and delegated task. The level of supervision needed will be determined by the training, capability, and willingness of the delegate to perform the task. A delegate may not delegate to another person or expand the delegated task without the permission of the nurse/delegator. Once the delegated task is completed the nurse must evaluate the delegated task, patient’s health status, determination if the goals are being met and if the delegation of the task may be continued (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013). In section R156-31b-704 the rules for the recognized scope of practice of an RN are outlined. It states that the RN, RN managers, and RN administrators should practice

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

Since they were a new addition I also assigned other staff members with the nurse to allow for the best patient care. Teamwork is essential in healthcare especially with new admitted patients because every person is already piled with work but instead of giving another pile to one person splitting it among them helps it run smoother. The leadership style I think as being the most effective as a charge nurse is democratic. I think Democratic leaders are very effective because they give a voice to their staff. I believe in order to be a great charge nurse you have to put yourself in your staffs shoes. I would want my charge nurse to listen to me and take my opinions seriously. I would want to know that they respected me and that they cared about what I thought. As a leader I would also want to be respected. If I allow my staff to share their opinion on certain decisions I believe they will respect me. I believe they will work harder because they know that I'm hearing them. I would not want to work for somebody that doesn't make me feel a part of the team and nursing is very much a team sport. I do believe my leadership style would change with an emergency

Delegation is transferring to a competent individual the authority to perform a selected nursing task in a selected situation. (The National Council of State Boards in Nursing, 1995). Registered nurse may delegate a task or elements of care within her scope of practice, and the delegation may be made to a licensed practical nurse or nursing assistant. The Nurse Practice Act regulates and provides the requirements for legal delegation (Neumann, 2010). Nurses accountable for the nursing processes and outcomes of patient care, and can’t delegate it.

In business there are many ways to demonstrate leadership and one way is leadership by example. The charge nurse will let the nurses under his charge work freely while practicing their craft, and when they need help he will assist and give guidance and assistance when needed. This type of leadership leads to collaboration with other nursing an assist the

Nursing leadership is also one of the very important messages of the 2010 IOM report on nursing. The IOM calls to expand opportunities for nurses to lead. It advises that nurses need to be prepared and enabled as leaders in order to advance healthcare. One of the recommendations states that “expand opportunities for nurses to lead and diffuse collaborative improvement efforts” (IOM Report, 2010). In that regards, a research article (Sherman, 2011) points out that charge nurses on frontline of acute care setting are the

Improving communication skills and delegation skills by the registered nurse can alleviate the increased frustration from added task. Each member of the team has an important role in the care of patients. In order to ensure patient safety and high-quality care, once must set goals and seek input from each other to achieve these goals. With so much research relating to collaborative nursing care as the most efficacious way to establish better patient care, reduce medical errors, increase patient satisfaction, and lessen job turnover, utilizing the skills of a collaborative team is valuable training for the future of healthcare (Moss et al.2016). As a nurse I would assign the LPN more patients and to administer insulin if I needed to make rounds

This paper will attempt to show what skills are necessary for effective delegation, and how the managers of the author 's organization uses delegation in his or her management responsibilities. The paper will also attempt to show how delegation could be used more effectively within the four functions of management in that same organization. Through delegation managers combine task responsibilities and the authority needed to carry out tasks in the organization. The author will also discuss some advantages of delegation as well as the issue of poor delegation.

Delegation can be a very slippery slope for any manager, but it has become a necessary component of many organizational management structures. While it can be an extremely effective management strategy, many times it is approached incorrectly and thus falls short of expected results. This is the case we see presented in the case study for this assignment.