Effective Delegation In Nursing

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

However, the National Council of State Boards of Nursing (1995) also defines delegation as giving authorization to a capable individual to execute a particular nursing task in a particular situation. According to Lookinland et al. (2005) the registered nurse was solely responsible for the care of the patients but due to staff shortage, budgetary constraints and high rate of sicker patients, the need to delegate duties to other non registered personnel arose. Delegation provides a lot of benefits for both the organization and the staff. Cost effectiveness and time savings have been identified as the benefits of delegation as these helps the organization to utilize resources and staff in an appropriate manner (Finkelman 2006). Consequently, Pearce (2006) suggested that delegating repetitive tasks could lead to RN’s time being used effieciently for other tasks. Moreover, when tasks are assigned to others, it leads to the tasks being done in an efficient manner and an increase in productivitiy (Finkelman 2006). In the same light, Potter et al. (2010) stated with delegating duties to other staff, professional growth can occur as these staff have the opportunity of learning new skills, and having enough time in engaging in other activities. When delegation is used in an effective way, it builds up teams and improves quality

As a nurse there are multiple roles and responsibilities one must uphold to, to be successful and professional. A nurse is expected to grow professionally and personally throughout their career by identifying values, by reflecting on actions and ideas and gaining more knowledge with each new experience. To be successful one must commit to the growth and development of their knowledge and experience and strive to be an effective nurse. A nurse is responsible for being the patient’s caregiver, decision maker, communicator, advocate and teacher. Not only are these roles an important part of being successful as a nurse, they are also an important part of ensuring the safety of the patient. A nurse is responsible and accountable for the care

Delegation is a formal process through which a regulated health professional (delegator) who has the authority and competence to perform a procedure under one of the controlled acts delegates the performance of that procedure to another individual (delegatee) (College of Nurses of Ontario, 2014).

In nursing, delegation helps in making use of the talent or skills of another person. One nurse transfers interventions which are under his/her practice roles to another to another member of the healthcare team who lacks such powers authorized under their scope of practice. Delegation can only take place if it is in patient’s best interest.

Delegation is a skill that is learned overtime with experience. It is a management tool that should be used effectively. In a successful delegation, a two-way communication, initiative, appreciation and willingness to help each other is very important. It helps in building trust and a

For the busy manager, there never seems to be enough time in one day to do everything. You can create “To Do” lists, plan ahead, abide by a calendar, but in healthcare, an industry that is constantly changing, new tasks arise in response to external and internal environmental changes very quickly. In order to adapt to these changes, a skilled manager must know how to delegate. Merriam-Webster defines delegation as “the act of giving control, authority, a job, duty, etc. to another person”. The National Council of the State Board of Nurses defines delegation as "the transfer of authority to perform a nursing task from one person to another, while retaining accountability for the outcome.”Definitions may vary, but the significance of strategic delegation within an organization is tantamount to the very people who work within it. Delegation is a layered process that has implications for employees, managers, and the greater organization. Empowering staff through delegation is a such a challenge, that a leader with effective delegation skills is essential to the success of any organization. Effective delegation has the potential to boost staff morale, develop more competent employees, and gives managers time to address management level duties. In this paper we will discuss the basic, and most important elements of delegation and the impact it has in the workplace.

Nursing is an extraordinary field to be a part of; it is a selfless act where you get to meet so many different types of people, whether they are coworkers or patients. This field requires a person to work diligently on their own, in a teamwork environment, and even as a leader. LVN's work under the Nurse Practice Act, which structures the role they take part in nursing; this allows them to take on the role of delegation. Delegation means to assign someone with a duty that they are capable and have the knowledge to perform. When delegating to others, one must know that they are still responsible for that task, and have to make sure that it is completed.

Nurses use the nursing process which includes assessing, diagnosing planning, implementing, and evaluating to provide holistic, patient-centered care. These five steps build upon one another and all involve medical knowledge in one way or another. For an example, if a patient is diagnosed with a risk for impaired skin integrity, the nurse would need to know why possible nursing interventions would include educating the patient on keeping their skin dry and repositioning the patient every two hours.

The nurse must be accountable and follow up on all delegated tasks to ensure that they are completed in a satisfactory manner. To achieve the best level of patient care the nurse must have knowledge of group dynamics and be able to communicate with all levels of the health care team. The AD nurse must be able to adapt to change within the schedule and use critical thinking to solve problems. During my clinical rotation I was responsible for planning the care of two patients each day. As one member of a team of three students it was important to communicate and work with the other members of my team to provide good patient care. Each morning prior to care my team and I would discuss our plan of action, designate tasks to individual team members, and discuss any concerns, issues and goals for the days care. I incorporated critical thinking when changing linens of immobilized patients. I adapted existing schedules for patient care to accommodate other nurses and patients who were sharing the room. This allowed us and other members of the nursing staff to complete tasks in an efficient and coordinated manor.

Delegation by management within the Healthcare system is one, which allows the staff to develop their skills and knowledge to the full potential without hesitation. This allows each individual the opportunities to communicate with those in management and a dynamic tool for motivating and training the team to realize their full potential and self-accountability.

The nursing procedure is a progression of steps that permit the medical caretaker to assess the patient keeping in mind the end goal to execute the administer to particular wellbeing issues, by additionally actualizing sensible short and long haul objectives. The nursing procedure has five stages;

Provision 4: The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care (“American Nurses Association, 2011”).

Using the nursing process of care, Mr Camilleri will undergo the processes of assessment, diagnostics, planning, implementation of care, and evaluation of care. The process of care includes the primary assessment followed by secondary assessment and then a focused assessment which will assess the factors that are likely the cause of the health problem. The data will then be compiled to identify health problems, create and implement a plan of care, and be evaluated regarding improvements and effectiveness of the intervention.

This is the first assignment of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950's. It is an essential part of the nursing care plan and consists of five steps. They are: assessment, nursing diagnosis, planning, implementation and evaluation. The nursing process highlights the patient as the central character and is directed at improving outcomes for the patient, and not about nursing goals.