Role Of Relegoation In Health Care
DELEGATION IN HEALTH CARE
BY KELLEY UNDERWOOD-WILLIAMS
HCS/350
OCTOBER 20,2014
DIANE RODRIGUEZ
INTRODUCTION
• “ DELEGATION IS THE TRANSFERRING TO A COMPETENT INDIVIDUAL AUTHORITY TO
PERFORM A SELECTED NURSING TASK IN A SELECTED SITUATION.”
(NATIONAL COUNCIL OF STATE BOARDS
OF NURSING. 2009)
THE DELEGATION PROCESS
1. ASSESSMENT
• KNOW YOUR WORLD
• KNOW YOUR ORGANIZATION
• KNOW YOURSELF
• KNOW YOUR DELEGATE
2. PLAN
• KNOW WHAT NEEDS TO BE DONE
THE DELEGATING PROCESS
3. INTERVENE
• PRIORITIZE AND MATCH THE JOB TO THE DELEGATE
• KNOW HOW TO COMMUNICATE
• KNOW HOW TO RESOLVE CONFLICT
4. EVALUATE
• KNOW HOW TO GIVE FEEDBACK
• EVALUATE AND PROBLEM SOLVE
EXAMPLE OF A DELEGATION ISSUE
WHO ARE THE STAKEHOLDERS?
• PATIENT
• PHYSICIAN
•
NURSE
• CARDIAC TECH
• FAMILY MEMBER
HOW TO CHOOSE THE RIGHT PERSON
TO DELEGATE TO
RN
CARDIAC TECH
VS
COMMUNICATION WITH THE DELEGATE
USE THE 4 C’S
• CLEAR
• CORRECT
• CONCISE
• COMPLETE
RESOLVING CONFLICT
1. AVOIDANCE : “THERE’S NO PROBLEM”
2. ACCOMMODATION: “YOU WIN, I LOSE”
3. COMPETITION: “I WIN, YOU LOSE”
4. COMPROMISE: “ I WIN AND LOSE SOME, YOU WIN AND LOSE SOME TOO”
5. COLLABORATION: “I WIN, YOU WIN”
FEEDBACK
• A SITUATION MAY NEED IMMEDIATE FEEDBACK IF WHAT IS OBSERVED IS
ENDANGERING THE PATIENT.
• OBSERVE ALL BEHAVIORS THAT AFFECT OTHERS NEGATIVELY AND SHARE
OBSERVATION WITH DELEGATE - CRITICIZE THE ACTION , NOT THE PERSON
• AVOID GIVING NEGATIVE FEEDBACK AT A TIME OR PLACE THAT COULD
EMBARRASS OR HUMILIATE THE PERSON
• CONSIDER GIVING POSITIVE FEEDBACK IN THE PRESENCE OF OTHERS TO BUILD
CONFIDENCE AND IMPROVE MORAL
EVALUATION
• AGAIN – ASSESS
• COMMUNICATE WITH THE DELEGATE
• ASK QUESTIONS
RECOMMENDATIONS
• USING EFFECTIVE COMMUNICATION AND DELEGATION HELP BUILD STRONG TEAMS AND
INCREASE MORALE.
• RESOLVING CONFLICT IS ESSENTIAL TO TEAMWORK!
• THE 4 C’S OF INITIAL DIRECTION AND THE FIVE RIGHTS OF DELEGATION ARE GREAT TOOLS TO
USE TO COMMUNICATE EFFECTIVELY IN A TEAM
IN CONCLUSION
DELEGATION PROCESS
1.
ASSESSMENT
2.
PLAN
3.
INTERVENE
4.
EVALUATE
REFERENCES
• ARNOLD, E. C., & BOGGS, K. U. (2011). INTERPERSONAL RELATIONSHIPS: PROFESSIONAL COMMUNICATION
SKILLS FOR NURSES (6TH ED.).
• BITTNER, N. P., & GRAVLIN, G. (MARCH 2009). CRITICAL THINKING, DELEGATION, AND MISSED CARE IN
NURSING PRACTICE. THE JOURNAL OF NURSING ADMINISTRATION, 39(3), 142-146.
• CURRIE, P. (2008, OCT.). DELEGATION CONSIDERATIONS FOR NURSING PRACTICE. CRITICAL CARE
NURSE, 28(5), 86-87. RETRIEVED FROM HTTP://CCN.AACNJOURNALS.ORG/CONTENT/28/5/86.FULL
REFERENCES
• HANSTEN, R. I., & JACKSON, M. (2009). CLINICAL DELEGATION SKILLS: A HANDBOOK FOR
PROFESSIONAL PRACTICE (4TH ED.).
• NATIONAL COUNCIL OF STATE BOARDS OF NURSING. (1997). DELEGATION: CONCEPTS AND
DECISION- MAKING PROCESS (1995) ATTACHMENT D (P. 23-24) . RETRIEVED FROM
HTTP://WWW.NCSBN.ORG/1997_PART6.PDF
BY KELLEY UNDERWOOD-WILLIAMS
HCS/350
OCTOBER 20,2014
DIANE RODRIGUEZ
INTRODUCTION
• “ DELEGATION IS THE TRANSFERRING TO A COMPETENT INDIVIDUAL AUTHORITY TO
PERFORM A SELECTED NURSING TASK IN A SELECTED SITUATION.”
(NATIONAL COUNCIL OF STATE BOARDS
OF NURSING. 2009)
THE DELEGATION PROCESS
1. ASSESSMENT
• KNOW YOUR WORLD
• KNOW YOUR ORGANIZATION
• KNOW YOURSELF
• KNOW YOUR DELEGATE
2. PLAN
• KNOW WHAT NEEDS TO BE DONE
THE DELEGATING PROCESS
3. INTERVENE
• PRIORITIZE AND MATCH THE JOB TO THE DELEGATE
• KNOW HOW TO COMMUNICATE
• KNOW HOW TO RESOLVE CONFLICT
4. EVALUATE
• KNOW HOW TO GIVE FEEDBACK
• EVALUATE AND PROBLEM SOLVE
EXAMPLE OF A DELEGATION ISSUE
WHO ARE THE STAKEHOLDERS?
• PATIENT
• PHYSICIAN
•
NURSE
• CARDIAC TECH
• FAMILY MEMBER
HOW TO CHOOSE THE RIGHT PERSON
TO DELEGATE TO
RN
CARDIAC TECH
VS
COMMUNICATION WITH THE DELEGATE
USE THE 4 C’S
• CLEAR
• CORRECT
• CONCISE
• COMPLETE
RESOLVING CONFLICT
1. AVOIDANCE : “THERE’S NO PROBLEM”
2. ACCOMMODATION: “YOU WIN, I LOSE”
3. COMPETITION: “I WIN, YOU LOSE”
4. COMPROMISE: “ I WIN AND LOSE SOME, YOU WIN AND LOSE SOME TOO”
5. COLLABORATION: “I WIN, YOU WIN”
FEEDBACK
• A SITUATION MAY NEED IMMEDIATE FEEDBACK IF WHAT IS OBSERVED IS
ENDANGERING THE PATIENT.
• OBSERVE ALL BEHAVIORS THAT AFFECT OTHERS NEGATIVELY AND SHARE
OBSERVATION WITH DELEGATE - CRITICIZE THE ACTION , NOT THE PERSON
• AVOID GIVING NEGATIVE FEEDBACK AT A TIME OR PLACE THAT COULD
EMBARRASS OR HUMILIATE THE PERSON
• CONSIDER GIVING POSITIVE FEEDBACK IN THE PRESENCE OF OTHERS TO BUILD
CONFIDENCE AND IMPROVE MORAL
EVALUATION
• AGAIN – ASSESS
• COMMUNICATE WITH THE DELEGATE
• ASK QUESTIONS
RECOMMENDATIONS
• USING EFFECTIVE COMMUNICATION AND DELEGATION HELP BUILD STRONG TEAMS AND
INCREASE MORALE.
• RESOLVING CONFLICT IS ESSENTIAL TO TEAMWORK!
• THE 4 C’S OF INITIAL DIRECTION AND THE FIVE RIGHTS OF DELEGATION ARE GREAT TOOLS TO
USE TO COMMUNICATE EFFECTIVELY IN A TEAM
IN CONCLUSION
DELEGATION PROCESS
1.
ASSESSMENT
2.
PLAN
3.
INTERVENE
4.
EVALUATE
REFERENCES
• ARNOLD, E. C., & BOGGS, K. U. (2011). INTERPERSONAL RELATIONSHIPS: PROFESSIONAL COMMUNICATION
SKILLS FOR NURSES (6TH ED.).
• BITTNER, N. P., & GRAVLIN, G. (MARCH 2009). CRITICAL THINKING, DELEGATION, AND MISSED CARE IN
NURSING PRACTICE. THE JOURNAL OF NURSING ADMINISTRATION, 39(3), 142-146.
• CURRIE, P. (2008, OCT.). DELEGATION CONSIDERATIONS FOR NURSING PRACTICE. CRITICAL CARE
NURSE, 28(5), 86-87. RETRIEVED FROM HTTP://CCN.AACNJOURNALS.ORG/CONTENT/28/5/86.FULL
REFERENCES
• HANSTEN, R. I., & JACKSON, M. (2009). CLINICAL DELEGATION SKILLS: A HANDBOOK FOR
PROFESSIONAL PRACTICE (4TH ED.).
• NATIONAL COUNCIL OF STATE BOARDS OF NURSING. (1997). DELEGATION: CONCEPTS AND
DECISION- MAKING PROCESS (1995) ATTACHMENT D (P. 23-24) . RETRIEVED FROM
HTTP://WWW.NCSBN.ORG/1997_PART6.PDF