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delegation in nursing


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delegation in nursing

  1. 1. Delegation
  2. 2. Meaning <ul><li>The device of distributing authority </li></ul><ul><li>is ‘delegation’ or conferring of specific authority. </li></ul>
  3. 3. Definition <ul><li>Delegation is the assignment of authority and responsibility to another person (normally from a manager to a subordinate) to carry out specific activities. </li></ul><ul><li>- Internet.  </li></ul>
  4. 4. <ul><li>2. It is the process of assigning </li></ul><ul><li>responsibilities and authority of co-worker </li></ul><ul><li>and ensuring his accountability. </li></ul><ul><li>- Basavanthappa. </li></ul>
  5. 5. <ul><li>3. American Nurses Association (1996) </li></ul><ul><ul><li>Transfer of responsibility for the performance of a task from one individual to another. </li></ul></ul><ul><li>4. National Council of State Boards of Nursing (1995) </li></ul><ul><ul><li>Transferring the authority to a competent individual to perform a selected nursing task in a selected situation. </li></ul></ul>
  6. 6. <ul><li>5. Achieving performance of care outcomes for which are accountable and responsible by sharing activities with other individuals who have the appropriate authority to accomplish the work (Yoder-Wise, 2008). </li></ul>
  7. 7. Components of delegation <ul><li>Care outcomes - patient care is safely provided </li></ul><ul><li>Accountable and Responsible - both supervisor and delegatee have an obligation to care for that patient and ensure the task is completed </li></ul>
  8. 8. <ul><li>Sharing activities – both the supervisor and delegatee work together to accomplish care </li></ul><ul><li>Appropriate authority – the supervisor selects the appropriate person to delegate the task </li></ul>
  9. 9. Essential aspects/dimensions: <ul><li>There are three essential aspects or dimensions </li></ul><ul><li>Assignments of the duty. </li></ul><ul><li>Grant of authority. </li></ul><ul><li>Creation of accountability. </li></ul>
  10. 10. Principles of delegation: <ul><li>Assignment of authority. </li></ul><ul><li>Parity of authority. </li></ul><ul><li>Clarification of limits of authority. </li></ul><ul><li>Unity of command. </li></ul>
  11. 11. Five rights of delegation <ul><li>Right Task </li></ul><ul><li>Right Circumstance </li></ul><ul><li>Right Person </li></ul><ul><li>Right Communication </li></ul><ul><li>Right Supervision </li></ul>
  12. 12. Responsibilities of Delegator <ul><li>As the delegator, the supervisor/incharge nurse must </li></ul><ul><li>Have a view of the big picture in the care of the assigned patients </li></ul><ul><li>Select the appropriate activities to delegate </li></ul><ul><li>Select the appropriate staff to carry out the activities </li></ul>
  13. 13. <ul><li>Clearly communicate the expectations and required follow up </li></ul><ul><li>Follow up periodically while the task is being completed </li></ul><ul><li>Evaluate and provide feedback on the effectiveness of the delegation to staff. </li></ul>
  14. 14. Responsibilities of Delegatee <ul><li>The delegatee also has responsibilities including </li></ul><ul><ul><li>Accepting the delegated activities as directed by the nurse supervisor </li></ul></ul><ul><ul><li>Give report to supervisor on the delegated task </li></ul></ul><ul><ul><li>Give feedback to delegator on the effectiveness of the delegation process </li></ul></ul>
  15. 15. Legal Authority to Delegation <ul><li>Legal responsibility for the incharge nurse to delegate a task is determined by </li></ul><ul><ul><li>Nurse Practice Act </li></ul></ul><ul><ul><li>Employer’s statements including job descriptions, policies, and procedures </li></ul></ul><ul><ul><li>National standards of care </li></ul></ul><ul><ul><ul><li>American Nurses Association (ANA) </li></ul></ul></ul><ul><ul><ul><li>Other national organizations </li></ul></ul></ul>