This document discusses nursing delegation, including defining delegation as transferring responsibility for performing tasks from one person to another. It outlines principles of delegation such as assigning duties according to expected results. The document also discusses strategies for effective delegation, the five rights of delegation, the delegation process, common delegation errors, and advantages and disadvantages of delegation.

1. NURSING DELEGATION
prepared by :
NAWAL ABDULLAH ALHARBI
CLINICAL TUTOR IN MCH HAIL

3. 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.

4. 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

6. PRINCIPLES OF DELEGATION
 There are four principles that
guides for effective delegation:
1. Assignment of duties according
to expected results
2. There should be equality of
authority and responsibility while
assigning duties to subordinates
3. Clarification of limits of authority
4. Unit of command: should receive
from one superior only

7. 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

9. 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.

10. 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

11. 4. Right direction/ communication
 Clear, concise description of the task, including
objective, limits and expectations
5. Right supervision
 Appropriate monitoring, evaluation, intervention as
needed.

12. DELEGATION PROCESS
Define the task
Decide on the delegate
Determine the task
Reach an agreement
Monitor performance
And provide feedback

13. COMMON DELEGATION
ERROR
Under delegating
Over delegating
Improperly delegating

14. UNDER DELEGATING
 Lack of experience
 Lack of trust
 Fear of subordinates

15. OVER DELEGATION
 Poor management of time
 Feel insecure in their
ability to perform a task

16. IMPROPERLY DELEGATING
 Wrong time
 Wrong person
 Wrong reason

17. 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

18. 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

19. 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

20. CONT..
Fear of loss of power
Subordinate resistance to
delegation
Due to over delegation

21. 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

22. DISADVANTAGES OF DELEGATION
Frailty of human life
Unfamiliarity with art of delegation
Incapacity of subordinates

23. 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.

24. 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.

25. REFERENCES
 Leadership Roles and Management Functions in
Nursing,7th edition, 2012, Bessie L.marquis &Carol
J.Huston.
 Management and Leadership for nurse
adminstrations,4th edition,2002,Linda Roussel.
 Introduction management and nurses leadership for
,2nd edition,1999,Russell C.Swansburg, Richard
J.Swansburg.

26. Any questions.....