Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Leadership > Delegation in Nursing Practice (Ch. 20) > Flashcards

Delegation in Nursing Practice (Ch. 20) Flashcards

1
Q

what is delegation?

A

Getting work done through others.

Directing the performance of one or more people to accomplish organizational goals.

It’s a learned skill

Provides learning or ‘stretching’ opportunities for subordinates.

Cannot delegate total responsibility.

Do not delegate responsibility without authority.

Delegate to the right person, at the right time, and for the right reason (don’t delegate to someone who is overwhelmed)

Reward subordinates for jobs well done.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is ANA’s definition of delegation?

A

Transfer responsibility of a task to another.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is NCSBN’s definition of delegation?

A

Transferring responsibility to a competent person to perform a task in a situation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is Joint Statement’s definition of delegation?

A

A skill that is taught & practiced for proficiency.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are some considerations for delegation?

A

Freedom to manage complex or situations requiring ^ level of expertise.

If someone is better, have ^ knowledge or higher expertise for solving a problem.

Provide learning & stretching opportunities for subordinates.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the leadership role in delegation?

A

Role model, supporter, resource person

  • Delegate proactively
  • Establish a culture of trust, teamwork & communication
  • Stretch, & empower via delegation
  • Convey confidence & encouragement
  • Teach delegation as a time mgt. tool & team building strategy
  • Be active politically to legislate for UAP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the management functions in delegation?

A
  1. Provide training, education & rewards
  2. Manage and monitor delegation activities
  3. Share accountability for delegation
  4. Knowledgeable legal liabilities
  5. Know scope of practice for UAP/NAP
  6. Evaluate capabilities & motivation of subord.
  7. Delegate authority with tasks
  8. Monitor subordinates involved in delegation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how is delegating done effectively?

A

Plan ahead

Identify necessary skills and education levels

Select capable personnel

Communicate goals clearly

Empower the delegate

Set deadlines & monitor progress

Model the role & provide guidance

Evaluate performance

Reward accomplishment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why would managers have to sometimes delegate routine tasks?

A

so they are free to handle problems that are more complex or require a higher level of expertise.

Managers may delegate work if someone else is better prepared or has greater expertise or knowledge about how to solve a problem.

For nurses and managers, delegation is not an option, but a necessity.

Delegation is a managerial tool for subordinate accomplishment and enrichment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are common delegation errors?

A

Under-delegating

Over-delegating

Improper Delegating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the causes of under-delegating?

A
  • Fear that delegation may be interpreted as a lack of ability.
  • A desire to complete the whole job.
  • Fear that subordinates will resent delegated work.
  • Lack of experience in the job or with delegation.
  • Need to control or be perfect.
  • Enjoyment of the work.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the causes of over-delegating?

A

Poor managers of time who spend too much time trying to get organized.

Insecurity in the ability to perform a task.

Be careful not to over-delegate to people who are very competent.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the causes of improper delegating?

A

Wrong time, to the wrong person, or for the wrong reason.

Beyond the capability of the person or something the manager should do.

Decision making without providing adequate information.

When the task is boring and the manager does not want to do it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the 5 rights of delegation?

A

Right task

Right circumstances

Right person

Right direction/communication

Right level of supervision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the actions to ensure safe delegation?

A
  • Clear defined structure where RN’s are leaders of HCT.
  • Job descriptions defines roles & responsib.
  • Educational programs re: R & R
  • Programs to foster leadership & delegation
  • Personnel supervision, & delegation principles instruction.
  • Nsg. Programs & HCO ^ training.
  • HCO need to instruct new nurses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the responsibility of SON and HCO in preparing RN’s for delegator role?

A

Educate RN’s about the NPA re: delegation.
~ Principles, 5 rights & actions to take with unsafe or inappropriate.

Create climate where teamwork, mutual respect, are valued.

Provide environment where nurses feel free to delegate without fear.

17
Q

how is delegation a function of professional nursing?

A
  • RN’s are expected to delegate
  • Assure safe delegation organizations must:
    ~ I.D RN’s leaders of HCT
    ~ Job descriptions of R & R of all
    ~ Educational programs for R&R
    ~ Programs for delegating & Leadership
  • SON & HCO prepare RN’s to delegate
    ~ NPA, principles, & actions for safety
    ~ Support nurses, teamwork, respect & comm
  • RNs are expected to make assignments and supervise the work of different levels of employees (LPNs, UAPs)
  • Are RN’s prepared??
18
Q

how does clear communication equal effective delegation?

A

Define the task clearly.
Delineate end results, time frame, standards.
Delegate the objective, not the procedure.

19
Q

what are delegation considerations?

A

Is the individual competent in the task being delegated?

Validate the individuals ability to complete the task.

If individual challenged with delegated task. Be a role model, resource in alternative solutions

Monitor delegated tasks.

Keeps the delegated task before the subordinate and the manager.

This provides shared accountability for the delegated task completion.

20
Q

what should you know about delegating UAP (Unlicensed Assistive Personnel)?

A

~ NAP (Nursing Assistive Personnel)
` ANA replaced UAP
` Licensed & formally recognized
~ Includes nurse extenders, care partners, nurse’s aide, orderlies, assistants, attendants and technicians
~ Why do RN’s need them?
~ Increases scope of liability for RN’s

~ In assigning tasks
` The RN must be aware of the job description, knowledge base, and demonstrated skills of each person
` Must supervise
~ No federal or community standards have been established for training UAP’s. Education levels vary.
~ Many UAP’s have a task list or skills set (SBN) they must do before giving patient care.
~ Omnibus Budget Reconciliation Act 1987

21
Q

what should be known about delegating to an NAP/UAP?

A

As the RN, NEVER lose sight of your ultimate responsibility for ensuring that patient’s receive appropriate, quality and safe care.

Decision Tree for delegation
Step by step analysis nurses use
Decision on whether a task can be delegated.

No national standards of practice for UAP

22
Q

what is the criteria for delegation to UAP/NAP?

A 
Frequently occur in daily care
Performed according to standards
Little or no modification with clients
Performed with a predictable outcome
Does not involve use of nsg. Process or DM
Does not endanger client well being
Allowed by HCDS P & P
23
Q

what nursing tasks may be delegated?

A

Answering phones
Cleaning up after procedures
Patient transportation (patient must be stable)
Ordering supplies and other clerical tasks
Stocking procedure and exam rooms
Assisting with procedures
Data collection without analysis (vitals, EKG’s)

24
Q

what nursing tasks CANNOT be delegated?

A

Any task involving nursing judgment or sophisticated application of the nursing process

Physical assessments

Assessing pain

Teaching injections

Evaluation of success of a treatment

Interpreting test results

Establishing plans of care

Identifying needs

Triage

Counseling and Teaching

Supervise students

25
Q

what should be known about delegating to UAP?

A 
POTENTIAL COSTS
Liable for negligence
Issues for task delegation
     ~ Job description
     ~ Knowledge base
     ~ Demonstrated skills
Responsibility for patient outcomes
No standards have been established
26
Q

what nursing tasks CANNOT be delegated to an LPN?

A

Initiation of blood or blood products.
Mixing of IV solutions.
Initiation of cancer chemotherapy medications.
Initiation of plasma expanders.
No IV pushes (except: heparin or saline flushes)
FBN Rule 64B9-12.005

27
Q

what is a common response to delegation?

A

resistance

28
Q

what is subordinate resistance to delegation? what are the causes of resistance?

A

Causes of resistance:
~ Failure of delegator to see subordinates view
~ They feel incapable of completing task
~ Inherent risk to authority
~ Over-delegation of tasks in terms of specificity

Delegator will do delegated task independently.
~ Not appropriate, ascertain why task was denied, & take appropriate actions

29
Q

what should you know about delegating to a transcultural team?

A
  1. Communication: Dialect, volume, use of touch & eye contact.
  2. Space: Interpersonal space differs between culture.
  3. Social Organization: Family unit important
  4. Time: Past, present, & future oriented.
  5. Environmental Control: Internal locus of control.
  6. Biological Variations: Susceptibility to disease, & physiologic differences.
30
Q

what should you know about integrating L&M roles and functions when it comes to delegation?

A

Use appropriate delegation skills.
Effective delegation (right person, reason, time & scope.
Avoid delegation errors (Too late, not enough, wrong reason & person).
Supervision of delegated tasks.
Sensitivity to needs & capabilities of NAP.
Communicate clearly & directly.
Provide support & encouragement
Visionary for growth & productivity

31
Q

what are the two basic questions about the use of UAPs?

A

Do UAP free RNs from non-nursing tasks or do they require so much supervision that they hinder rather than help?

Do the lower salaries of UAP keep healthcare costs down or do they create or amplify a whole host of other problems, the greatest of which is declining
quality of care?

32
Q

what are the DOs of delegation?

A
  1. update your team constantly on your key priorities so they know what’s most important
  2. clarify your expectations by specifying how much time and effort you want people to invest
  3. give your team members the support they need to leverage you better
  4. tell you team when you’re just brainstorming so they’ll know whether to take action
  5. be patient and let others learn and grow
  6. be clear about your team’s level of authority
33
Q

what are the DON’Ts of delegation?

A
  1. expect people to read your mind
  2. be guilty of giving “drive-by delegations.”
  3. underestimate the time it takes to do things -not everything can be done as quickly as you might think
  4. micomanage
  5. delegate your unique ability activities
  6. underestimate your team’s capabilities
34
Q

what is the most basic meaning of delegation?

A

can be defined simply as getting work done through others or as directing the performance of one or more people to accomplish organizational goals.

35
Q

how does Huston (2009) define delegation?

A

defines delegation as giving someone else the authority to complete a task or action on your behalf.

36
Q

how does the North Carolina Nursing Administrative Code define delegation?

A

“transfer or hand-off to a competent individual, the authority to perform a task/activity in a specific setting/situation”

Leadership (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions