...Running Head: DELEGATION AND SUPERVISION Delegation and Supervision Delegation and Supervision In the area of nursing, delegation and supervision often go hand in hand. Supervising is providing guidance for a specific nursing task. A qualified nurse with the goal of making sure the task is accomplished properly and correctly does this supervision. Usually this is the job of a nurse manager and that person is liable for assigning, delegating and supervising of activities. If the manager fails to assign, delegate and supervise these activities within acceptable standards of nursing practice, she can be accused of malpractice. Delegation is assigning a task to another person who is competent and qualified to perform that task. Only the task can be delegated. The person performing the task must have the knowledge, skill, and judgment to complete it. According to Yoder-Wise (p. 65) delegation is the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome. An example of this is when the RN delegates some of the patient ADL’s to a CNA or a tech. When the RN delegates these tasks, he/she retain the accountability and responsibility for making sure that that delegated tasks is actually completed in a competent manner. The benefits of delegating a task are that the RN has more time to complete the multitude of things on her work list. The barriers are that the...
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...Delegation Paper Delegation Paper The definition of delegation, according to the medical-dictionary.com, is delegation of Administrative authority responsibility transfer to a person of lower license from the person of higher license, while remaining responsible for the actions of the outcome. The RN must have trust and confidence in the team members they are delegating to be able to delegate effectively and with minimal stress for themselves (Harris, 2007). With the determining of competence and appropriateness of the task to be delegated, there are many things to consider. According to the nursing practice act, the RN is authorized to delegate to lower licensed staff with ongoing supervision to help patients receive a quality of health care. The RN has to evaluate the patient for stability, condition, and abilities of the team to perform the task (Joint Statement on Delegation). One of the difficult responsibilities for an effective delegation of responsibilities is that the RN understands the families and patients need to be able to assign the right team member with a compatible personality. This is important because the family and the patient have to be able to trust the staff member assigned to them to help with managing care and having a RN, LPN, and CNA that work well as a team will benefit any and all patients. It has been stated, many times, in different articles, that the RN delegation skills are not checked off like the other clinical skills are the...
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...------------------------------------------------- Does delegation help or hurt nursing? A Research Paper April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 Fiona Molloy Dr. McDonnell/Bill Miller HSA 420 Does Delegation Help or Hurt Nursing? Chapter One: The History of Nursing. The first nursing school was established in India in about 250 B.C., and only men were permitted to attend because men were viewed to be more pure than women. If you think of a woman dressed in scrubs with a stethoscope around her neck and a clipboard in her hands, you aren’t alone. An overwhelming majority of nurses in the United States today are women. However, nursing began as a practice reserved for men. It wasn’t until the 1800's that nursing became an organized practice. During the Crimean War, Florence Nightingale and 38 volunteer nurses were sent to the main British camp in Turkey. Nightingale and her staff immediately began to clean the hospital and equipment and reorganized patient care. Nightingale pushed for reform of hospital sanitation methods and invented methods of graphing statistical data. When she returned to Britain, Nightingale aided in the establishment of the Royal Commission on the Health of the Army. As a woman, Nightingale could not be appointed to the Royal Commission, but she composed the Commission’s report. (Travel Nurses of America, 2010) Completed, the report was over 1,000 pages in length and included detailed...
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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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...Journal Article Summary I am summarizing the article called “Delegation by licensed nurses” and it is written by Jan Lanier and Kathleen Morris. This article begins by stating the tasks that are required of a registered nurse and one of these tasks includes delegation. According to the article, delegation is defined as assigning a task to an individual that is not a registered nurse. This transferring of tasks gives a nursing assistant that has been properly taught how to perform the task the responsibility to complete the duty. Tasks that are delegated to nursing assistants include bathing, linen changes, and feedings. Although these tasks are delegated to another individual the nurse is still considered responsible for the outcome. This...
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...Delegation and Ethical Decision Making Student’s Name Institution Date Question 1 Delegation Delegation is a process by which a task’s responsibility and authority is transferred to individual who accepts the transfer. It is based on effective up-down and down-up communication in an organization or unit. However, the delegator retains accountability for the tasks delegated (Lipe & Beasley, 2004). The five rights of delegation are the right task, circumstances, person, communication and supervision. Considering the right task, a task may only be delegated if the delegator has responsibility and authority over it and if it has not been delegated to them. From the right circumstances, a task is appropriate for delegation if it does not involve personal information or confidential issues that the person is not allowed to access. Considering the right person, tasks that require specific skills, knowledge and attitudes can only be delegated to a person who has such qualities. The right communication implies that a task will be appropriate for delegation if there are clear instructions and information concerning it. Lastly, a task that requires a certain level supervision and monitoring, cannot be delegated unless that level of monitoring and supervision is available. These rights of delegation are applied in decisions concerning what tasks a manager will delegate and to whom the tasks will be delegated (Lipe & Beasley, 2004). Question 2 Ethical Dilemmas The...
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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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...Delegation is the use of human resources to attain a preferred goal through assignment of authority and responsibility. (Grohar-Murray & Langan, 2011). Delegation is one of the most intricate nursing skills which demand knowledgeable clinical evaluation and eventual liability for patient care. (Weydt, 2010). The charge nurse in this scenario lacked clinical judgment and had no idea about the principles of delegation leading to complains from fellow staff members. According to the ANA and NCSBN, a person is suppose to “delegate only those tasks for which she or he believes the other health care worker has the knowledge and skill to perform” but the charge nurse violated this principle. The unlicensed personnel categorically notified the nurse...
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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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...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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...SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 1 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & 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...
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...Introduction Authority-- a superior’s legitimate ability to demand obedient behavior from one or more subordinates within a specified realm of actions—is a central feature in human organizations and established as solution to fundamental organizational design challenges within a decision-making framework (e.g. Simon, 1947; Weber, 1922). The problem of the centralization or decentralization of decision rights concerns the locus of the authority to make decisions affecting the organization. (Colombo & Delmastro, 2008) The question of the determinants of the allocation of decision rights in firms has received considerable attention from different streams of economists and strategy scholars over the last couple of decades. The information processing stream ( see Radner & Marschak, 1972; Harris & Raviv, 2002; Sah & Stiglitz, 1986) contends that hierarchical organizations that centralize the decision-making function can suffer from organizational failures, consisting in leaks that arise in transmitting information from the top to the bottom of the hierarchy and vice versa. Benefits of delegation than arise because of inefficiencies in intra-firm communication (Keren, Levhari, & Kerent, 1979) implementation delays (Radner, 1993), fully exploitation of economies arising from local capabilities and specialization tasks (Bolton & Dewatripont, 1994) and high opportunity costs of highrank managers (Harris & Raviv, 2002). Conversely to the information processing stream, which emphasizes the...
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...1Care Delivery: Delegation Introduction The topic I have chosen to discuss in this essay is delegation, as from my experience this is one of the most complex nursing skills to develop, this claim is supported by literature (Weydt: 2010) Delegation is a suitable topic to discuss as it is a necessity for any nurse to be able to delegate effectively, especially in recent times in which nurses are stretched to their limits due to an increase in patient numbers and current government NHS cuts. The NHS is supposed to be protected from the public sector cuts, but new research shows that more than 50,000 jobs are disappearing from the NHS (Ramesh: 2011) Delegation has particular relevance to me as a third year student because knowing when, how and to whom you can delegate requires a complex understanding of the task in hand, the process of delegation, and the skills and existing workloads of the people available. It is especially important to achieve the right balance as a third year student, as delegating too much may result in a loss of control, while failing to delegate or not delegating enough can lead to duties not being completed. I will begin by discussing areas of delegation such as responsibility, accountability and authority. I will then move on to discuss aspects and principles of best practice. I will then continue to focus on managerial and organisational aspects relating to delegation, I will discuss these aspects using examples from practice. Delegation may be difficult...
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...SA MP LE HOW-TO BOOKS H OW-TO BOOKS You Can’t Do It All: Effective Delegation for Supervisors Jeanne Baer H OW-TO BOOKS H OW-TO 1 This preview version of our product is protected by copyright law. Copying or distribution of this file is prohibited. SA MP LE You Can’t Do It All: Effective Delegation for Supervisors By Jeanne Baer Coastal Training Technologies Corp. 500 Studio Drive Virginia Beach, VA 23452 You Can’t Do It All: Effective Delegation for Supervisors Jeanne Baer Copyright© 1999 by Coastal Training Technologies Corp. SA MP LE All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that neither the author nor the publisher is engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional should be sought. Credits: Coastal Training Technologies Corp.: Art Bauer Todd McDonald Editor in Chief: Karen Massetti Miller Designer: Scott Rhone Cover Design and Illustration: Kevin Zdenek Coastal Training Technologies Corp. 500 Studio Drive Virginia Beach...
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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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