Discussion Board Post: Angelika !

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’

Teamwork and collaboration in nursing can be defined as the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer. (Giddens & Liesveld, 2013). This means that nurses are constantly working as a team to provide the best care for their patients. Working as part of a team may include listening to the client, getting help from another nurse to verify dosage calculations or working alongside the doctor to carefully facilitate their orders. I don’t believe any one nurse would be effective if they were working by themselves. The profession alone is demanding and one nurse working by themselves to assist the needs of more than one patient at a time would be dangerous.

Shared governance empowers nurses by recognizing that nurses, as front line staff, are in a position to have a unique understanding of the complexities of daily patient care. Utilization of unit-based councils made up of staff nurses to solve problems and evaluate procedures ensures that evidence-based best practices are implemented (Fray, 2011). Shared decision making in nursing units increases the use of best practices through process development, sharing of successes across multi-unit areas and in the development of new nurse leaders. Unit-based councils are often chaired by younger nursing staff and nursing leaders act more as facilitators allowing these young new nurses to be

In her charge nurse role, Ms. Cetiner evaluates the daily activities of the unit and delegates care appropriately while promoting autonomy of others. She has the skill to make independent and interdependent decisions regarding patient care, staffing and unit issues. She communicates and collaborates with the interdisciplinary care team for seamless, patient-driven

The increasing of population especially the elderly with multiple illnesses requires multiple health professional care especially the nursing care dramatically increased in contemporary society (BYSTEDT, Eriksson, & Wilde-larsson, 2011). The registered nurses have to collaborate all the accessible resources to provide efficient and good quality of care to patients to solve the conflict between lacking of staff and best interests of the patient. This definitely is a huge challenge to resolve. One of the efficient ways to overcome this challenge is delegation. How it is performed in a

Interprofessional team collaboration for professional nurses is viewed as a method to improve the care and safety for patients. However, interprofessional team collaboration presents both advantages and challenges for nurses and other team members. One of the advantages is the coordination of care for the patient and the sharing of knowledge to improve the outcomes for the patient. Challenges for interprofessional team collaboration is: poor role-definition, miscommunication, conflict, lack of accountability for assignment of responsibilities and tasks (Reeves, 2012). This paper will discussion the role of a nurse on an interprofessional team and the challenges, why interprofessional teams promote patient safety, and strategies to promote success interprofessional teams.

Interdisciplinary teams in nursing basically focus on results on the basis that the involved participants share the responsibility for achieving these outcomes. These teams comprise of members from different practices in the healthcare field who gather information to achieve consensus. Based on the required skills at a specific time, the leadership of these teams may be rotated among the associates or team members. In order for the interdisciplinary teams to function effectively in the nursing field, their leaders primarily facilitate instead of directing the collective work. Interdisciplinary teams function effectively through establishing clear goals, evaluating progress, plan ahead, clarify roles, share the leadership, and capitalize on individual talents (Wenckus, 2004).

effectiveness (Cioffi & Ferguson, 2009). Therefore, it is important to ensure that nurses who assume leader roles have the skills to manage and delegate tasks as required. There must be clearly defined roles and responsibilities for each team member that take into account the levels of expertise among the members. It can be troublesome when team members do not carry their share of the work. When this occurs, other team members take on an additional work burden to address the shortfalls in patient care. If the team leader is unable to provide clarity and direction for the team, the model will not be effective.

The American Nurses Association is leading the way by implementing countless initiatives to bring attention to the nurses’ essential role in care coordination. It is up to the nurse to step up and draw attention to the integral part they play in improving patient satisfaction, patient care quality, and the effective and efficient use of health care resources (American Nurses Association, 2012).

According to American Nurses Association (2010) Scope and Standards of Nursing Practice, collaboration is defined as, “a professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship”.(p. 64). Collaboration amongst health care providers is very crucial in providing quality care to patients. Integration of disciplinary teams, improves communication, coordination, and most importantly, the safety and quality of patient care. It provides interaction between team members allowing

Teamwork in nursing is a little different that the teamwork of an actual team. In nursing, there is an ‘I’ in team, except here the ‘I’ stands for independent (QSEN Institute, 2015). Nurses and hospital faculty work their independent jobs, but communicate in order to give the patient the best care possible. Once again as stated before by Berman, the QSEN Institute believes that knowing your team 's strengths and weaknesses will also help you to be able to provide the best care possible.

In team nursing the responsibilities usually divided in between the personnel, so that everyone’s has its own role in patient’s care.

During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.

It is a less efficient model because of time spent in coordinating, delegating, and supervising leads to a loss of productive work time.” In contrast, the functional nursing care model is more cost-effective. The model defines that fewer RNs with unprofessional workers can deliver care to a large group of patients. In spite of the financial benefits, the functional nursing model has been criticized due to crucial problems such as poor quality of care, low patient satisfaction, increased omissions and errors. Not surprisingly, nurses are enabled to provide a high quality of care to patients in team nursing. Tiedeman and Lookinland (2004) reviewed that “quality of care is higher with the model because the nurses have responsibility and accountability for fewer patients. The nurses know the patients better and can make assignments that best match each patient's needs with staff abilities and skills, and provide more direction, coordination, and supervision.”(p. 294) Each member is able to approach and coordinate patient needs as well as improve continuity of care in team

Teams working in a hospital or other healthcare setting may consist of several physicians, nurses, medical assistants, referral coordinators, pharmacists, therapists, and students among others. Such large teams can provide comprehensive care for complex and chronic illnesses, but when they fail to work well together, they