This well help you to understand the proper delegation technique.
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Nursing Delegation prepared by : NAWAL ABDULLAH ALHARBI CLINICAL TUTOR IN MCH HAIL
OBJECTIVES What is delegation? Principles of delegation. Strategies for effective delegating. Why there’s a need for delegation? The 5 rights of delegation. Delegation process. Common delegation error. Delegating to Unlicensed assistive personnel. Subordinate resistance to delegation. Barriers to delegation. Advantages of delegation. Disadvantages of delegation. Reasons for nurses why attempted delegation fails to meet the outcome. Conclusion. References.
Definition Is a transfer of responsibility for performance of a task from one person to another Achieving performance of care outcomes for which you are accountable and responsible by sharing activities with other individuals who have the appropriate authority to accomplish the work
Principles of delegation There are four principles that guides for effective delegation : Assignment of duties according to expected results There should be equality of authority and responsibility while assigning duties to subordinates Clarification of limits of authority Unit of command: should receive from one superior only
Strategies for effective delegating Plan ahead Identify necessary skills and levels Select most capable person Communicate goal clearly Empower delegate Set deadlines and monitor progress Evaluate performance Reward accomplishments
Why there’s a need for delegation? Increased acuity of patients Increased RN responsibilities in the management of the nursing unit/organization Accelerated pace and changing health care environment.
The 5 rights of delegation 1. Right task One that is delegable for specific patient 2. Right circumstances Appropriate patient setting, available resources 3. Right person Right person is delegating the rights task to the right person to be performed in the right person
4. Right direction/ communication Clear, concise description of the task, including objective, limits and expectations 5. Right supervision Appropriate monitoring, evaluation, intervention as needed.
Delegation process Define the task Decide on the delegate Determine the task Reach an agreement Monitor performance And provide feedback
Common delegation error Under delegating Over delegating Improperly delegating
Under delegating Lack of experience Lack of trust Fear of subordinates
Over delegation Poor management of time Feel insecure in their ability to perform a task
Improperly delegating Wrong time Wrong person Wrong reason
Delegating to Unlicensed assistive personnel No task may be delegated to unlicensed personnel that requires substantial knowledge or technical skills Pre procedure assessment Invasive lines Sterile technique or procedure to patient Nursing process Patient triage
Subordinate resistance to delegation some subordinates resist delegation simply because they believe the are incapable of completing the task Inherent resistance to authority. It is an ongoing leadership challenge to instill a team spirit between delegator and subordinates
Barriers to delegation The belief that “ I CAN DO IT MYSELF” Lack of confidence and trust to workers Low self confidence, insecurity Unclear job description Inadequate training Lack of adequate recruitment and selection
Cont.. Fear of loss of power Subordinate resistance to delegation Due to over delegation
Advantages of delegation Successful delegation results to: Makes work easier Improves efficiency Increases employee effectiveness Develops employees Ensures that right people do the right jobs
Disadvantages of delegation Frailty of human life Unfamiliarity with art of delegation Incapacity of subordinates
Reasons for nurses why attempted delegation fails to meet the outcome Nurses fail to recognize and incorporate principles of effective delegation Nurses are unwilling or unable to view delegation from perspective of the delegate .
Conclusion Delegation is a powerful tool when used correctly can create an effective and safe environment in which staff and patients work together to achieve positive outcomes.
References Leadership Roles and Management Functions in Nursing,7 th edition, 2012, Bessie L.marquis &Carol J.Huston . Management and Leadership for nurse adminstrations,4 th edition,2002,Linda Roussel . Introduction management and nurses leadership for ,2 nd edition,1999,Russell C.Swansburg , Richard J.Swansburg .