Nursing and Delegation free essay sample

Abstract This paper will present an analysis on nursing delegation to unlicensed assistive personal (UAP) within the healthcare setting. Delegation is a responsibility nurses are expected to do in order to coordinate safe and timely care for their patients. With the increase in patients loads, increase in acuity of patients and an increase in shortage of nurses; there also comes an increase in delegating tasks to the UAP. Although delegation is necessary to help manage an assignment load there are barriers in preventing appropriate delegation. It is important for registered nurses (RN) to overcome those barriers and work together with the interdisciplinary team to provide top quality and safe care for all their patients. Keywords: delegation, registered nurse, unlicensed assistive personal, barriers, interdisciplinary team, quality and safe care Delegation: An analysis of delegation to unlicensed personal The demands on the registered nurse (RN) in the health care setting continue to increase. We will write a custom essay sample on Nursing and Delegation or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Along with those demands comes the responsibility of providing safe and quality care to more complex and critical patients. With the staffing shortage and budget cuts nationwide in the health care industry there comes an increase need to delegate those tasks once completed by nurses to unlicensed assistive personal (UAP). The American Nurses Association (ANA) defines delegation as, â€Å"the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome† (para. 1). As nurses, we ask ourselves why we delegate. By delegating to other health care team members: RN’s can achieve desired outcomes for their patients, have better control over their assignment load, provide timely care and improve patient safety and satisfaction. According to the Emergency Nurses Association (2010), â€Å"delegation when used effectively can be a vehicle to provide safe, timely and efficient care while allowing the registered nurse to concentrate on more complex patient care needs† (p.1). What is stopping the delegation process? There is a fear in those who delegate; mistakes could be made, the wrong tasks could be delegated, and what would happen if the tasks did not get done. Would uncompleted tasks make the nurse look irresponsible? According to a study published in Journal of Nursing Management (2010), â€Å"41% of RN’s report no exposure to nursing delegation during their nursing curriculum, making delegation a difficult task† (p.523). I n order for appropriate delegation to occur, the nurses need to understand her/his role in the delegation process. Knowing what tasks and skills can be delegated, understanding the patient load and knowing the skill set of the UAP can increase the comfort level of the RN. It is important for the nurse to only delegate tasks and skills to individuals who have the education and skill set to carry out such a responsibility. Nurses need to realize the patient loads will not get lighter, patients illnesses will not suddenly improve and by delegating to the UAP, it will not only improve job satisfaction but provide timely and appropriate care for the patient. Theory Base Delegation is not a new concept for the nursing profession. Delegation started back with Florence Nightingale. â€Å"In 1859, Nightingale is quoted saying, but then again to look at all these things yourself does not mean to do them yourself†¦But can you not insure that it is done when not done by yourself (Kelly Marthaler, 2011, p. 3). These are the same questions nurses ask themselves today. There are theories to support delegation. Not only does delegation improve safe and timely care for our patients but also improves job satisfaction of the interdisciplinary team. Individuals will be satisfied in their job if they are allowed to work to their full potential. According to Maslow’s Theory of Motivation-Hierarchy of Needs, â€Å"human beings are motivated by unsatisfied needs, and that certain lower factors need to be satisfied before higher needs can be satisfied† (Envision Software, 2012, para. 2). When bringing this into the workplace, individuals in leadership positions need to clearly understand, â€Å"lower-order needs like safety and physiological requirements have to be satisfied in order to pursue higher-level motivators along the lines of self-fulfillment† (Envision Software, 2012, para. 3). A person begins their Hierarchy of Needs by starting in the level of physiological needs. These needs are needed to live and function. The next level is the needs of safety. Having a job, life insurance, a savings account and a safe place to live accomplish the feeling of safety. Next is meeting an individuals’ esteem needs. An individual needs to feel like they belong before the next level can be reached. Once an individual is hired into a position, one wants to feel like they are a part of the team. This is the meeting an individual’s social needs. The level of esteem is very important with delegation. Esteem can be reached through delegation. An UAP can reach this level by feeling a sense of accomplishment. Having a task delegated to them, completing the task and reporting back to the RN can reach this level in the workplace (Envision Software, 2012). By fulfilling these basic motivators, an employee will move into the area of self-actualization. â€Å"Self-actualization is the quest of reaching one full potential as a person, this need is never fully satisfied; as one grows psychologically there are always new opportunities to continue to grow† (Envision Software, 2012, para. 4). Delegation can not only reach Maslow’s Hierarchy of Needs for the UAP but also for the nurse when used appropriately. The nursing theory, which was published in 1979 by Jean Watson main objective, â€Å" is to restore the nature of caring/healing and unify with stewardship the current health care system to retain and nurtures its most precious resource, caring professional nurses and transdisciplinary care team members†(Watson Caring Science Institute and International Caring Consortium, 2008, para. 1). This nursing theory blends well with delegation. The theory of human caring is taking care of each other as health care professionals in order to provide safe and top quality care to our patients. With the increase in the nurses work load and long hours worked on the floor, the last person the nurse worries about is their self. Never taking a minute to get a drink, take a break or even to go to the bathroom. If the nurses used delegation appropriately, the care for the patient would be completed in a timely manner, staff would be utilized as designed and nurses could take 5-10 minutes to rest. By respecting one another in our roles as health care professionals and using delegation as intended, the Theory of Caring can be upheld. Not just caring for the patient but caring and supporting each other. Assessment of the Healthcare Environment One of the most difficult tasks an RN performs today is delegation (Weydt, 2010). Looking at the patient assignment and deciding how the work can be completed during the 8 or 12 hour shift can be overwhelming for the nurse. â€Å"Safe delegation depends on appropriate planning and execution of the delegated task† (Anthony Vidal, 2010, p. 3). Delegation allows for the same work assigned to one RN be accomplished by more than one health care provider. Delegation helps all daily tasks be completed in a timelier manner. Delegation is an important skill that influences clinical and financial outcomes; yet as RN’s delegation skills often are not evaluated in the same manner as other clinical skills, even though a number of nurses continue to need help in delegating appropriately. (Weydt, 2010, p. 2). The lack of confidence nurses have regarding delegation prevents RN’s from practicing delegation in today’s health care setting. The Board of Registration in Nursing presents the framework for delegation decision-making and accountability based on a model which identifies the five key elements of any delegated act: right task, right circumstance, right person, right direction/communication and right supervision/evaluation. (Health and Human Services Departments and Divisions [EOHHS], 2013, para. 1) The RN needs to know the current patient assignment, understanding what each of the patients need. The RN needs to communicate clearly and delegate only appropriate tasks to other health care members and most importantly, the RN needs to follow up on the skills which were delegated. Making sure all skills were completed and documented. Responsibilities are two-fold during the nursing delegation process. The nurse is ultimately responsibility for the patients care and all the tasks/skills which are delegated during the shift regarding the assignment. But the UAP is taking the responsibility for the task when they accept the delegation. The UAP takes ownership of the task/skill which needs to be completed. The RN is the care holder of the accountability in delegation. The RN needs to be accountable for the delegation process. Even though the nurse may delegate appropriate tasks to UAP it is the RN’s responsibility to be accountable and follow up to make sure the delegated task was done correctly. The delegation task gives the RN authority to delegate appropriate tasks as long as the 5 rights are met. Delegation gives authority to the RN but authority comes with accountability and responsibility. According to the National Council of State Boards of Nursing (2005), â€Å"The RN may delegate components of care, but does not delegate the nursing process itself. The functions of assessment, planning, evaluation and nursing judgment cannot be delegated† (p.2). By using the 5 rights to delegation and assigning appropriate skills/tasks to the UAP, the RN will not only decrease their stress level but improve patient care and satisfaction. Implications and Consequences Delegation when done appropriately has no bad outcome for the RN, UAP or patient. To make delegation easy, the RN needs to know their assignment, know their patients, know what type of care the patients will require, understand what tasks can be delegated to make the work load equal and clearly communicate those tasks. Clear communication is what will prevent any mistakes from happening and ultimately provide the best possible care for the patient. The RN needs to clearly communicate the task to the UAP. The nurse should not only explain the task but the importance of the task. Why the task needs to be done and how quickly. This assists the UAP in understanding the why portion of the delegation which helps with prioritizing their day. Understanding why a blood sugar should be done immediately instead of at the end of the day is important. Once the nurse has clearly communicated the delegated task, this would be the time for the UAP to speak up if they are uncomfortable with the task. If the task is out of the UAP skill set, a conversation would need to take place between the UAP and the RN so the task is redirected to the correct staff or clarified. Once the task is assigned and the UAP accepts the task, than the RN believes the task will be completed as delegated. â€Å"When delegation occurs with trust, respect and a mutual exchange of information and ideas, it provides an environment for team cohesiveness and strengthens outcomes beneficial for the patient and the institution† (Saccomano PintoZipp, 2011, p. 524). According to studies done regarding delegation, RN’s benefit from delegation. When nurses delegate appropriately, the RN has time to complete activities which cannot be delegated. By using the interdisciplinary team to its fullest potential, the daily work can be completed in a timely fashion providing safe and quality care. â€Å"Effective delegation improved nurse’s job satisfaction, reduced burnout, enhanced time management and clarified accountability† (McInnis Parsons, 2009, p. 469). Studies have also been done regarding the UAP and delegation. UAP report an improvement in their skill level and knowledge. â€Å"Assistive personal reported that effective delegation by the RN improved their skills and knowledge, which enhanced their ability to achieve job promotion† (McInnis Parsons, 2009, p. 469). Delegation also builds confidence in the UAP giving them a sense of accomplishment in their job and feeling like a part of the health care team. Delegation has had a positive impact on evaluation by supervisors. By accepting delegated tasks, responsibility is shown in the UAP’s job role giving them a higher evaluation than those who do not accept the delegated tasks (McInnis Parsons, 2009). Since the health care industry continues to thrive in today’s society delegation will not go away. The number of patients continues to rise and the number of staff continues to get smaller so the need for delegation will continue to grow. By providing staff with appropriate skills and guidelines for delegation, the nurse w ill be confident not only in delegation but also in the RN role. Recommendations for Quality and Safety Improvements RN’s know not every skill can be delegated, but how to improve delegation skills needs some work. â€Å"The ability to delegate, assign and supervise are critical competencies for the 21st century nurse† (American Nurses Association and National Council of State Boards of Nursing [ANA NCSBN], 2005, p. 1). These skills are hard to learn as a nursing student but are expected upon graduation. â€Å"Studies have concluded age and experience play an important part in effective nursing delegation† (Kaernested Bragadottir, 2012, p. 14). If delegation is expected straight out of nursing school then the framework for delegation needs to begin there. â€Å"The situation of delegation demonstrates a need for educating RNs in the areas of leadership as well as clinical competency and exemplifies a situation that may be alleviated by required continuing education programs during the nursing employment† (Saccomano PintoZipp, 2011, p. 524). Not only do nurses need to be competent in their skill set but also in what skills to delegate. The American Nurses Association has developed Standards of Practice for Nursing. â€Å"The standards of Practice describe a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process† (American Nurses Assocation [ANA], 2010, p. 9). This nursing process involves many standards of care. According to the ANA (2010), â€Å"the registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes† (p. 9). The ANA identifies Planning as their 4th Standard of Nursing. The RN needs to plan their assignment accordingly so she/he may utilize the entire interdisciplinary team in providing patient care. The RN needs to be familiar with her UAP and know their skill set. UAP’s are competent in different skills depending on their area of work. By using the UAP for appropriate tasks, the RN not only fr ees up time to complete un-delegated tasks but also provides top quality care for the patient in a timely manner. Communication is ultimately the key to delegation. The 11th Standard of Professional Nursing Practice is communication. â€Å"The registered nurse communicates effectively in all areas of practice† (ANA, 2010, p. 11). By communicating clearly with the health care team, all tasks can be accomplished without hesitation. For nurses who struggle with communication; practice improves the situation. Some hospitals provide crucial conversation classes to improve communication between team members. By clearly communicating with the team all tasks can be competed effectively. Nurses continue to lack the skill set for delegation due to a lack of education. Education is the 8th Standard. â€Å"A registered nurse attains knowledge and competence that reflects current nursing practice† (ANA, 2010, p. 11). A RN should continue to participate in workshops or simulation experiences to improve delegation skills. If there are no educational opportunities available within the hospital as a RN it is our responsibility to seek out other experiences. Simulation is an experience which can benefit the RN and the UAP. Together, the RN and UAP could provide top quality care while participating in simulation scenarios. These simulation experiences help build trust, encourage clear communication and help the RN understand the skill set of the UAP. Not only does simulation experiences enhance education for the health care team but promotes and practices safe care for the patient. Conclusion Delegation is about working together to accomplish what more than one person cannot do alone. With the changes in the health care industry and the increase responsibilities of the RN, delegation is here to stay. By knowing how to delegate safely and appropriately, the RN will make sure every task is carried out in a safe manner. By understanding the role of the UAP, delegation will be an asset not only to the nurse but to the entire interdisciplinary team. Safe delegation not only improves staff satisfaction but promotes quality and safe patient care.

The List of Interesting Essay Topics Chronicles

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Essay on Topic - Easy Tips

Essay on Topic - Easy TipsHow do you express yourself in a written essay? First of all, you must write about something that you are passionate about. Next, you should make sure that it is something that you can express clearly and concisely. You must make sure that your essay is neither too long nor too short.Themes and topics are also important factors to consider when you write your essay. For example, if you are writing a college essay on the topics of business or finance, then you must choose the right type of topic and be sure that it is related to the thesis you have in mind.Another thing that you should do is be clear in choosing the correct theme. Remember that your topic is something that you want to get across to your reader. Hence, you must be sure that you use the correct words to do so.In addition, remember that you must have adequate ideas about the topic before you write the essay. In other words, if you don't have enough ideas about the topic, then it will be difficul t for you to write the essay. In such a case, it is best that you start brainstorming on a few ideas about the topic and use them to construct your essay. This will help you come up with fresh and interesting ideas about the topic.Then, you should look at your ideas and look for questions that you can ask yourself in order to get some idea about the topic. For example, if you are writing an essay on the topic of weight loss, then you need to ask yourself questions like: how do you lose weight? How do you achieve it? How do you keep it off?One of the most important things that you need to consider while writing an essay is to ensure that the topic is well articulated. In other words, the key here is to make sure that you make sure that your topic is well articulated and that you have good facts and figures to back up your ideas.Writing the essay also involves another important step which is making sure that you finish it on time. As mentioned earlier, the theme of the essay is import ant but the words that you use while writing your essay are even more important. Therefore, it is imperative that you finish the writing of the essay on time in order to make sure that your thesis is met.Writing an essay on the topic is not that difficult but it does take a lot of concentration and effort. This is because your focus should be on the topic and not on what you are writing.

The Undeniable Truth About Informative Essay Topics for College Students Domestic Violence That No One Is Telling You

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The Pros and Cons of Online College Degrees

The Pros and Cons of Online College DegreesYou can convince anyone that college degrees are better than not having them. In fact, it's one of the easiest ways to appeal to people's emotions by simply saying that college degrees are much better than no degree at all. But you can do much more than that, and a sample argument essay on online college degrees are better than traditional degrees.The problem with this statement is that college degrees are just about as useful as a degree from a four-year university. They only make a difference in job choices if you're a young professional who wants to move up in his or her current job, or if you've decided that you want to work in industry after your current job. Unless you've already left school, you'll find no benefit from going back to college because your decision will have already been made.While a degree can certainly get you into some better jobs, it won't necessarily get you where you want to be. A lot of people think that they can get ahead in their career because they've gotten a college degree. The reality is that some colleges only offer classes that teach workers how to be business owners or managers. The reality is that most people don't go to these colleges for those reasons.Your opinion of online college degrees is also affected by whether or not you have a degree to go with it. If you've attended a reputable university, then online degrees might look much better than traditional degrees. The colleges that require the highest GPA are often the ones that don't offer online degrees, but traditional degrees still do good business.It's not a bad idea to pursue a degree, especially if you're already an adult and looking for a career. However, the facts show that most people don't get a college degree. Instead, they use online degree programs instead. The fact is that the only people who are paying for a degree are the people that have a legitimate need for it.The truth is that most online degree programs ar e pretty easy to get. This doesn't mean that you should go ahead and give up on your goals if you're not happy with your life. Just be realistic about the work involved in pursuing online degrees.When you look at what online college degrees actually provide, they are so very different from traditional degrees that they just aren't comparable. The reason why is that online degrees are easier to complete than traditional degrees. The reason why is because the pace of the program doesn't take as long. This means that you get to spend more time working on your online degree instead of doing other things.So when you're deciding between online college degrees and traditional degrees, you have to look at what's really important to you. Is it the number of hours it takes to finish a program, or is it the ability to go out and find a job that's more lucrative? Online degrees will give you a higher GPA and less stress than any traditional degree.