This document discusses delegation in nursing. It defines key terms like delegation, delegator, and delegate. It outlines the process of delegation, including assessing factors like risk, task complexity, and predictability of outcomes. It describes the "Five Rights of Delegation" - right task, circumstance, person, direction/communication, and supervision/evaluation. It also discusses organizational principles and a delegator's checklist. Finally, it examines common delegation pitfalls like reluctance to delegate or fear of losing authority, and potential reasons delegates may avoid responsibility.

1. What do you see?

2. what is your opinion about it?

4. Delegation

5. 1. Define delegation, delegator,
delegate, and supervision
• Delegation in nursing is the process for a nurse to
direct another person to perform nursing tasks
and activities.
• Delegator: is the person making delegation
• Delegate: is the person receiving the delegation

6. • Supervision: provision of guidance for the
delegated nursing task
• Assignment: is the distribution of work that
each staff member is responsible for during a
given work period.

7. 2. Process of delegation:
for the Factors of making decision of
delegation, The nurse has to assess the following:
1. Potential for harm: the nurse must consider how
much risk the activity carries for a patient.
2. Complexity of task: the expert nurse has to take
the responsibility for complex the activity.
3. Amount of problem solving and innovation
required: even if uncomplicated task need
innovation and attention the task should not be
delegated.

8. 4. Un-predicatability of outcome: if patient is
not stable and result of activity is not
predictable it is advisable not to delegate.
5. Level of patient interaction: if delegation of
new staff to patient would increase his stress
level delegation better to be avoided.

9. What are the Five Rights of
Delegation?
1. Right task:
2. Right circumstance
3. Right person
4. Right direction/ communication
5. Right supervision and evaluation

10. Five Rights of Delegation
1. Right task: if the task is within the policies
and procedures, code of ethics and
regulations
2. Right circumstance: it is the availability of
resources, equipment, safe environment and
supervision.
3. Right person: who has
education and competency

11. 4. Right direction/ communication: it is clear,
concise description of task and objectives
5. Right supervision: of care including
appropriate monitoring, intervention, evaluation
and feedback.

12. What are the three organizational
principles?
1. Considering communication is
culturally and appropriate to client
and reflect respect to the client
2. Chief nursing offices and accountable for
establishing systems to assess, monitor and
communicate ongoing competence in areas of
delegation.
3. RNs monitor organizational polices, procedures,
to ensure the acts/rules is not violated

13. Delegator’s Checklist
1. Develop a good attitude
2. Decide what to delegate
3. Select the right person
4. Communicate responsibilities
5. Grant (giving) authority
6. Provide support
7. Monitor delegation
8. Evaluate.

14. • These are delegation pitfalls
I can do it better
I can not direct others I can not trust
the subordinates
I do not feel I can do it
It is better not to
take risk ( what if
this happen)
I will do it
because I have to
be the most
important person
If they do it they
might become a
leader

15. 3. Discuss delegation pitfalls &
solutions?
1. Delegation reluctance:
 The “ I can do it better myself” fallacy trap
 Lack of ability to direct
 lack of confidence in subordinates
 lack of confidence in self
 Dislike to take a risk
 Need to feel important
 Fear of losing authority

16. Why delegates avoid responsibility?
• Fear of criticism of mistakes
• Lack necessary information and resource to do a good
job
• Overwhelming workload
• Lack self confidence regarding ability to successfully
delegate
• Positive incentives may not be sufficient motivators
• Delegator’s personality and preference may interferes
with the delegation process
• Easier to seek answers from the nurse than to decide
on their own how to deal with problems.

17. Thank You