Management And Leadership – Delegation Essay

Management And Leadership – Delegation Essay

Effective task delegation is critical to management and leadership in healthcare settings, particularly for nurses. While delegation can help optimize resources and improve patient outcomes, improper delegation can seriously affect patient safety and quality of care. This essay examines the principles of delegation, the consequences of inappropriate delegation, the barriers to delegation, and the strategies nurse managers can employ to reduce legal risks and promote safe and effective patient care.

Summary of the Delegation Guidelines of Virginia State

Delegation in nursing involves transferring responsibility for performing a task from one nurse to another individual who may or may not be a licensed nurse. Delegation can only occur if the task falls within the scope of practice of the person to whom it is being delegated and if the delegated task is appropriate for the patient’s condition and needs (Virginia Board of Nursing, 2019). Delegation does not involve transferring accountability for the task. The delegating nurse remains responsible for ensuring that the task is completed correctly and that the patient receives appropriate care. The guidelines recommend that nurses use the Five Rights of Delegation, which include the right task, the right person, the right communication, the right supervision, and the right circumstances. Additionally, nurses should follow the five-step process for delegation.

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Inappropriate Delegation

Inappropriate task delegation in healthcare settings can severely affect patient safety and care quality. When tasks are assigned to people who are not qualified or trained, the risk of errors, complications, and adverse events increases significantly (Barrow & Sharma, 2022). Additionally, assigning inappropriate tasks to patients may delay diagnosis or treatment or worsen their condition. Furthermore, poor communication and supervision during delegation can lead to misunderstandings, miscommunication, and a lack of accountability, jeopardizing patient safety and care quality.

Barriers to Delegation

Delegation is an essential skill for nurse managers, but there are several barriers that they may encounter. Lack of confidence and competence among staff members may prevent managers from delegating tasks effectively. Secondly, time constraints and workload demands may make it difficult for managers to find the time to delegate tasks, particularly if they perceive that it may take longer to explain the task to someone else (Atta et al., 2019). Additionally, resistance to the delegation from staff members may occur, especially if they feel they need to be adequately trained or supported to perform the task. Finally, fear of liability or legal repercussions may make managers hesitant to delegate specific tasks, particularly those involving medication administration or complex clinical procedures.

Strategies to Reduce Legal Risks

Nurse managers are critical in ensuring safe and effective delegation practices and reducing legal risks. To strengthen the efficiency of the healthcare team and reduce legal risks, nurse managers can use various strategies. Firstly, they can ensure that staff members receive adequate training and education on delegation principles, policies, and procedures. Secondly, they can establish clear lines of communication and set expectations for documentation and reporting related to delegation activities (Barrow & Sharma, 2022). Thirdly, they can implement a delegation monitoring system that tracks the delegation process and identifies potential risks and areas for improvement. Finally, nurse managers can foster collaboration and accountability by encouraging open communication, providing feedback, and recognizing staff members’ contributions. By implementing these strategies, nurse managers can enhance the efficiency of the healthcare team, reduce legal risks associated with delegation, and promote safe and effective patient care.

Conclusion

Delegation is essential for nurse managers to ensure optimal patient outcomes and reduce legal risks associated with delegation. To foster a culture of collaboration and accountability and reduce legal risks, nurse managers should ensure that staff members receive adequate training and education on delegation principles, policies, and procedures and implement a delegation monitoring system that tracks the delegation process and identifies potential risks and areas for improvement. Nurse managers can optimize resources, reduce legal risks, and enhance patient outcomes by understanding the principles of delegation and implementing strategies that promote safe and effective patient care.

References

Atta, S., Ezz, N., & Fekry, E. (2019). Barriers to the effective delegation as perceived by nursing staff in a university hospital. International Journal of Novel Research in Healthcare and Nursing, 6(3), 899–907. https://www.noveltyjournals.com/upload/paper/BARRIERS%20OF%20EFFECTIVE%20DELEGATION-2108.pdf

Barrow, J. M., & Sharma, S. (2022, July 25). Nursing five rights of delegation. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519519/

Virginia Board of Nursing. (2019). 18VAC90-19-250. criteria for delegation. Virginia.gov. https://law.lis.virginia.gov/admincode/title18/agency90/chapter19/section250/

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Activity 4
Delegation
Provide a summary of the delegation guidelines in your state. Analyze how inappropriate may delegation jeopardize patient safety and quality patient care. Discuss at least three barriers to delegation nurse managers may encounter. Describe at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the health care team.
Support your discussion and opinions with facts and relevant examples from personal nursing practice.
Reading and Resources
• Review chapter 15 & 20 in Marquis, B. L., & Huston, C. J. (2021). Leadership roles and management functions in nursing: Theory and application. Philadelphia, PA: Wolters Kluwer.
• Search out your Nurse Practice Act and brief yourself on the delegation section.
• Review: Joint Statement on Delegation American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN). Retrieved from https://www.ncsbn.org/Delegation_joint_statement_NCSBN-ANA.pdf
• Riisgaard, H., & Nexøe, J. (2017). Successful task delegation in general practice – a way to maintain primary health care in the future. Scandinavian Journal Of Primary Health Care, 35(2), 111-112. doi:10.1080/02813432.2017.1335056

Additional Instructions:
1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One: Instructions:
Paper • 2 page paper. Include title and reference pages.

Management and Leadership – Delegation
Description: The baccalaureate-graduate nurse will examine the roles of nurse managers in providing patient safety.
Course Competency: 5) Assess various staffing methodologies/models related to building an effective health care team.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration
BSN Essential II
Area Gold Mastery Silver Proficient Bronze Acceptable Acceptable Mastery not Demonstrated
Summary Fully details a summary of the delegation

guidelines in your state.

Describes a summary of the delegation

guidelines in your state.

Lists the delegation guidelines in your state. Does not discuss the delegation guidelines in your state.
Inappropriate Delegation Fully details how inappropriate delegation may jeopardize patient safety and quality patient care. Describes how inappropriate delegation may jeopardize patient safety and quality patient care. Lists how inappropriate delegation may jeopardize patient safety and quality patient care. Does not discuss how inappropriate delegation may jeopardize patient safety and quality patient care.
Barriers to Delegation Fully details at least three barriers to delegation nurse managers may

encounter.

Describes at least three barriers to delegation nurse managers may encounter Lists at least three barriers to delegation nurse managers may encounter. Does not discuss at least three barriers to delegation nurse managers may

encounter.

Strategies to Reduce Legal Risks Fully details at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the

health care team.

Describes at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the health care team. Lists at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the health care team. Does not at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the health care team.
APA, Grammar, Spelling, and Punctuation No errors in APA, Spelling, and Punctuation. One to three errors in APA, Spelling, and Punctuation. Four to six errors in APA, Spelling, and Punctuation. Seven or more errors in APA, Spelling, and Punctuation.
References Provides two or more references. Provides two references. Provides one references. Provides no references.

 

 

 

 

 

 

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