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Case study for delegation in nursing
Nursing leadership theory and practice
Leadership and management in nursing
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Once the nurse fully understands and comprehends the entire situation, ethical decision making should be clearer based on the biblical principles he has established for himself. I use to think that a nurse leader was only someone who was the smartest and fastest when caring for a patient. Bed Number Ten has made me realized that a nurse leader is one who has characteristics such as environmental awareness, patience, and compassion. As I result, I aim to include these characteristics into my nursing care.
Delegation allows physicians to streamline their workload, optimize their time, and concentrate on clinical decision-making and complex procedures while relying on healthcare assistants to assist with patient care tasks that do not require their direct involvement. Allied Health Professionals: Allied health professionals, such as physical therapists, occupational therapists, and speech-language pathologists, may delegate certain healthcare tasks to healthcare assistants. Delegation allows these professionals to focus on their specialized assessments and interventions while utilizing the support of healthcare assistants for tasks such as patient mobility assistance or equipment setup. Healthcare Team Leaders or Managers: Healthcare team leaders or managers, such as charge nurses or unit supervisors, may delegate healthcare tasks to healthcare assistants. Delegation within the team ensures that tasks are appropriately distributed based on workload, individual competencies, and patient needs.
Delegation Paper Breanna Lake Department of Nursing, Davenport University NURS433: Nurse Manager and Leader Professor Debbie Bosworth February 17, 2023 Delegation Paper Introduction For my leadership experience, I spent seven weeks on a medical-surgical unit in Hastings, Michigan. I worked alongside my nurse preceptor on night shift, and as the clinical experience unfolded, I learned numerous new skills and gained knowledge that will be extremely beneficial moving forward in my nursing career. I evaluated the hospital’s mission statement, the leadership and communication styles among team members, and I evaluated how my skills and leadership style evolved over the course of the clinical rotation. General Information
Nurses Level of Leadership and Autonomy United States Within the United States, the oncology nurses play a vital role in leadership being at the forefront of care, as well as having a wide range of autonomy. However, ultimately, the providers make the orders that the nurses have to follow. A 2013 article, Nursing Practice Environment and Outcomes for Oncology Nursing elaborate on autonomy within the oncology nursing field.
Thank you for sharing your thought and experience. Delegation helps to release the burdens and free the hands from RN who then can focus more on the tasks that require advance skills. Of course, it also help to solve the problem of nursing shortage, provide flexibility in management and save the healthcare operational cost. Delegation relay on delegators’ knowledge, skills, judgement, ethics, personalities, communication styles and co-operation between delegators and delegates (Cipriano, 2010). With the influence of all these variables, delegation is not a simple skill or task.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
When you are charge nurse/team leader, making assignments is pure delegation. For example, I worked with Nurse M. and she was amazing when it came to taking care of patients who were confused, cantankerous, or agitated. She always seemed to know the right thing to say, in the right tone, and she had a way of establishing mutual goals and expectations. Most of the time, at the end of her shift, the patient would be calmer, relaxed and more willing to work with the nurses.
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Although the idea of autonomy dictates the capacity that one has to, “have the say-so about your own well-being” (Purtilo & Doherty, 2011) where that one can “the capacity to act on own decisions freely and independently” (Purtilo & Doherty, 2011) . When it comes to the care of patients in the healthcare setting, there is a gray area an area left for individuals interpretation depending on the situation at hand. I have never worked as a psych nurse, but I years of experience working as an emergency department nurse and substantial numbers of patients are there for a mental issue and have a psychiatric diagnosis.
It is important to remember that delegation transfers the task however the delegator still holds accountability. In all cases, it is vital that the delegator and delegatee are aware of their responsibilities and have the patient’s best interest in mind. For delegation to work at its finest the delegator should check with the patient and delegatee to have and provide and receive feedback. By combining both the nursing process and the Five Rights of Delegation than a nurse will be able to help reduce risk. Another aspect that is highly important for delegation is the relationships between the delegator and delegatee.
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress.
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
(Nursing Times). Nursing is gaining influence in all aspect of healthcare practice, therefore it is important for nurses to develop good leadership skills at the early stage of their practice which is the key to all nursing career and nurse managers can become good leaders with effective training and enhancement of their skills in leadership. Most nursing managers are tossed around by their leaders when they themselves are leaders in their capacities. A nursing manager aspiring to become a leader must be committed to excellence and passion for patient’s advocacy, employee’s protection and be a role model, living by example.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
