Chapter 06 – Delegation and Supervision

Instructions:

  1. Read the text sections, lectures, and handouts related to Delegation.
  2. Enter your name and date on the template.
  3. Answer the template questions by typing directly on this template. Do not change or alter the template. Refer to the assignment rubric for more details.
  4. Submit your completed work and upload to Canvas by the due date/time.
  5. Make sure your answers are concise and directly answer the questions. Review the information on “How to Write Citations” as needed.
  6. Use complete sentences and proper grammar in your responses. Please proofread all of your work before submitting. Chapter 06 – Delegation and Supervision

    ORDER A PLAGIARISM -FREE PAPER NOW

Objectives:

  1. Synthesize clinical knowledge for planning and evaluating complex care priorities.
  2. Apply theory and research knowledge in the formulation and evaluation of nursing leadership and management styles and actions.
  3. Apply concepts of professionalism, organizational culture, and health care delivery systems to nurse roles in interdisciplinary practice.
  4. Propose effective delegation strategies with legal and ethical considerations.
  5. Recommend strategies to promote professional accountability in nursing leadership and management roles.
  6. Evaluate nursing leader and manager actions according to laws and standards of UT Tyler College of Nursing, Texas Board of Nursing, and ANA Code of Ethics.
  7. Evaluate available research evidence for best practice.
  8. A major emphasis of course experiences is to promote transition from the role of ADN to role behaviors at the BSN level through application of theory and research to clinical situations and evidence based practice. All clinical activities, assignments and communication are designed to reflect progress in meeting this goal.

DELEGATION

Main Focus of the DELEGATION assignment: To interpret the two statements below, using the ANA & NCSBN web link document Guidelines for Nursing Delegation and material from Yoder-Wise text chapters.

  1. Only certain tasks related to the Implementation step of the Nursing Process can be delegated by RN’s.
  2. Demonstrate understanding of Delegation vs. Assignment and the 5 Rights of Delegation.

Sources to use:

  1. TEXT references in the Yoder-Wise text:
  • Chapter section only: Broadway, M.A. (2019).  Legal and ethical Issues.  3 in Yoder-Wise, P. S. (Ed.).  Leading and managing in nursing (7th ed.).  St. Louis: Elsevier.  (Read pp. 39-40 on Assignment, Delegation, and Supervision)

 Entire chapter: Murphy-Ruocco, M. (2019). Delegation: Authority, accountability, and responsibility in delegation decisions.  17 in Yoder- Wise, P. S. (Ed.).  Leading and managing in nursing (7th ed.).  St. Louis: Elsevier.  (*Note especially the sections on: Definitions, Assignment vs. Delegation, NCSBN Model, plus Box 17.1). Chapter 06 – Delegation and Supervision

  1. Study the COURSE LECTURE section on Delegation and view the associated video.
  2. Access and read the ANA/NCSBN document on delegation:

https://www.ncsbn.org/NGND-PosPaper_06.pdf

  1. Answer the Template Questions on Delegation:

 DELEGATION TEMPLATE QUESTIONS AND ANSWERS

 Question 1: Individual Learning on Delegation from the ANA/NCSBN document: (20%)    

 Describe ONE NEW thing learned about RN Accountability for DELEGATION from the ANA document on Delegation.  Give ONE specific rationale for why this is important for nursing.  Include paraphrased content and ONE specific citation from the information on “Guidelines for Nursing Delegation.”

NOTE: Refer to “How to Write Citations” as needed.  Please paraphrase and do not use exact quotes.  When giving the reference for citations from the Yoder-Wise text, please use chapter author(s).

(Example: According to Murphy-Ruocco (2019), the RN must assess the abilities of the delegatee and what resources are necessary for support during the delegation process, p. 15.)

Answer:

  • ONE new thing:

The RN must develop policies and procedures to be used in delegation.

 ONE specific rationale:

 The RN should sketch out the exact responsibilities to be delegated and the person to delegate to. The policies and procedures should also point out those that may fail to be delegated. The RN must review the procedures and policies periodically for delegation to make sure they are consistent with existing trends in nursing practice and are within the jurisdiction’s NPA

ONE paraphrased item related to your ONE NEW thing with accompanying in-text and reference list citations from “Guidelines for Nursing Delegation:”

The leaders must report delegation details to the registered nurses and teach them on what tasks should be assigned to them (Delegation | NCSBN, 2020). This communication should contain information on the expertise of delegates who are willing to carry out a particular nursing responsibility safely. Registered nurses must be mindful of the level of personnel competence and requirements for delegation  for the purpose of making rational decisions on whether the delegate is ideal for the specified scenario or not. Accountability of registered nurses should be directed to the patient (Delegation | NCSBN, 2020). The delegate moreover has duty for the assigned activity, competence or process. Chapter 06 – Delegation and Supervision

Question 2:  ONE supportive citation and paraphrased content from Text Ch. 3 on Legal/ Ethical (20%)

 Paraphrased content from Chapter 3 with accompanying in-text and reference list citations and why it supports Question 1 answer.

 Answer:  Describe fully and provide a rationale.

                          According to Broadway, (2019), all registered nurses should be informed of all the state laws that are applicable and should use the nurse practice act to gain guidance and effective action The nurse leaders have a major responsibility for adhering to the legal principles in their practice. Nevertheless, the nurse leaders have an obligation to monitor the employee practice and should work under their supervision to make sure that the personnel keep valid and up to date licensure. NCSBN gives employees a chance to subscribe to their E-notify platform to enable the nurse leaders to be informed of the registered nurses whose licenses require renewal. E- notify also alerts nurse leaders of the disciplinary action that might have been imposed on the nurse by the department.

ORDER A PLAGIARISM -FREE PAPER NOW

Question 3: ONE supportive citation and paraphrased content from Text Ch. 17 on Delegation (20%)

 Paraphrased content from Chapter 17 with accompanying in-text and reference list citations and why it supports Question 1 answer.

 Answer:  Describe fully and provide a rationale.

 There are various barriers to delegation in nursing practice according to Murphy-Ruocco (2019). RNs work in a challenging environment that can inhibit the ability to effectively use delegation authority to improve patient care safety and efficiency. Three primary barriers to delegation powers that may be encountered include attitudes, poor partnership, and time. RNs express concerns that delegation amounts to relinquishing control over the patient outcomes. The fear of being held accountable for the actions of others reduces the confidence of nurse managers in other practitioners. This discourages the use of delegation powers to improve patient outcomes.

Moreover, poor partnership hinders the effectiveness of delegation in nursing practice. It is hard for nurse managers to trust staff competence when RNs do not know the qualifications and expertise of other practitioners. Also, nurses are faced with escalating workloads amid staffing shortages. Time factor in such an environment means that nurses have less time to allocate, explain, and supervise delegated interventions. As a result, RNs may resolve to perform the tasks themselves to ensure that the patient outcomes are consistent with the standard of care requirements.

Question 4:  ONE topic on Delegation for a staff development session.  (10%)

 Describe a suggestion of ONE staff development topic (describe fully) on Delegation that staff nurses need to learn for better delegation in practice.  Provide a detailed rationale for your answer.  Use the diagram below (Delegation Model) to assist in finding a staff development topic: (Examples: Employer/Nurse responsibilities, Licensed nurse responsibilities related to delegation, Communication and information about delegation, Training and education on delegation, Delegation responsibilities)

Answer: Describe your selection in detail.

 Staff nurses should learn on the complete process of delegation, their responsibilities and whom to be delegated. Chapter 06 – Delegation and Supervision

 Rationale:

 The method of delegation is multifaceted. It starts with the organization’s managerial level, including: identifying nursing duties that can be assigned, to whom and what circumstances; establishing delegation policies and procedures; reviewing delegation processes on a regular basis; and fostering a healthy culture/work atmosphere. It must be the responsibility of the registered nurse to assess patient preferences and when to assign, ensure availability for delegation, monitor performance and establish transparency for assigned responsibility. Finally, the delegate must accept tasks on the basis of their degree of expertise, retain assigned duty competence, and maintain transparency for delegated activities.

Delegation Model – www.journalofnursingregulation.com

 Question 5: ONE additional reference.  (10%)

 Look beyond course lecture notes, handouts, or text for ONE additional reference and paraphrased content that supports the staff development topic described from Question 4.  Briefly state how this reference ties into your proposed staff development topic.

RNs are required to delegate nursing interventions that are within the scope of practice as prescribed by various state’s statutory requirements. The scope of RNs practice is detailed under the Nurse Practice Act, Rules and Regulations, Declaratory Statements, and Advisory Practice Opinions. Delegated tasks must meet the criteria entrenched in administrative regulations.

RNs must ensure that those involved in the delegation have the necessary competence to discharge the duties and responsibilities allocated. In other words, RNs must establish the expertise of licensed practical nurses or unlicensed Nursing personnel  have the necessary skills, competence, and experience in discharged the duties allocated. This requirement includes documentation competence in the practice.

Answer:  Describe fully and provide a rationale. Include your reference to the additional article.

 Question 6: Policy on Delegation.  (20%)

You are asked to write a new Policy on Delegation for your agency.  Please draft a policy and include the following in your new policy:

  • Title of Policy : Delegation and Assignment in Nursing
  • Definition of the delegatee and the delegator including their role.
  • Define assignment vs. delegation.
  • Delegation process (refer to the Six Rights of Delegation).
  • Current reference with the policy that confirms best practice.
Policy and Procedure Title:

 

SUBJECT:  Shortages of nurses due to covid-19 pandemic

 OBJECTIVE:  All registered nurses to provide telehealth services to all citizen using a single license

Chapter 06 – Delegation and Supervision

 

POLICY:  Equal Access to Care act

 PROCEDURE:

            Definitions used for the Delegation/Assignment Procedure:

  1. Delegatee – A person assigned a nursing responsibility by eiher APRN’s or RN’s and has the required competency and has accepted the task.
  2. Delegator – A person who assigns nursing responsibilities.
  3. Assignment – Routine procedures, care and activities that are witin nursing practice scope.
  4. Delegation – Assignment of nursing responsibilities by a nurse leader to an employee.

Procedure/Process for Delegation: (Five Rights, explain each right in your own words.  Be specific and give an example for each of the five rights.)

  1. The activity should be within the delegatee’s job description.
  2. The patient should have a stable health condition
  3. The registered nurse has an obligation to ensure that delegate has the required competency and skills.
  4. The delegation procedure should be specific to the delegate, the patient and the nurse leader. The nurse leader should communicate all the instructions to the delegate.
  5. The registered nurse has an obligation to monitor and evaluate the activities iof the delegatee

References for this policy: (in APA format)

Sommers, B. D., Gunja, M. Z., Finegold, K., & Musco, T. (2015). Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act. Jama, 314(4), 366-374. Chapter 06 – Delegation and Supervision