LEADERSHIP/MANAGEMENT Dr. C. Fiorentino, RN, CNE, PCCN
OBJECTIVES Describe the delegation process including obstacles to delegation. Discuss effective communication skills in the workplace. Utilize an empowerment model to affect change. Utilize advanced communication skills and conflict resolution skills in working with difficult people.
DELEGATION IN NURSING
DELEGATION Delegation is an essential skill for nurses in today’s healthcare environment. Correctly done, delegation allows a nurse to meet the requirements of high-quality care for all patients. Safe delegation requires a specific skill set. The goal of delegation is to deliver high quality patient care while meeting the demands for increased services within the current healthcare environment of shrinking resources. Not possible for nurses to do everything 0
HISTORY OF DELEGATION Florence Nightingale instructed her students “to look to all these things yourself does not mean to do them all yourself” ( Nightingale, Florence, 1820-1910. (1969). Notes on nursing: what it is, and what it is not. New York :Dover Publications). American Nurses Association (ANA) in 1991 first defined delegation. The National Council of State Boards of Nursing (NCSBN) first addressed delegation in 1995. o @ ⇒
DELEGATION VS ASSIGNMENT Delegation- designating licensed and unlicensed assistive personnel for the responsibility of carrying out a specific group of tasks necessary in the care of a specific patients. Delegation must also include the understanding that the assisting person is acting in place of the RN carrying out tasks within the scope of the RN practice laws. Assignment is designating tasks for assistive personnel to perform that fall under their own scope of practice according to facility policy and/or the state practice act. Delegation and assignment are often to the same person. Supervision by the RN is required for both delegation and assignment. LDN * Authorized person most be qualified to carry out task .
ACCOUNTABILITY IN DELEGATION ANA definition of delegation is “the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome” (American Nurses Association, National Council of State Boards of Nursing. Joint statement on delegation. (Retrieved from) Date: 2005). Put more simply, even though the RN delegates the responsibility for performance of a task the RN remains accountable for the care that is provided. Legally, the authority to delegate is restricted to licensed professionals Once an RN accepts the responsibility for delegation he or she also accepts the responsibility for the process of delegation.
- Spring '18
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