10536120 delegation
TRANSCRIPT
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DELEGATION
Fundamental aspect of managers job;
Transferring a task or procedure to someone else!
BECOMING A MORE URGENT ISSUE IN
NURSING PRACTICE
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Delegation:
Transferring responsibility for the
performance of an activity fromone individual to another while
retaining the accountability for the
outcome (ANA, 1993)
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Supervision:
Providing guidance for the
accomplishment of a task or activity
with direction, periodic inspection of
accomplishmentfunction of
qualification
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WHAT DELEGATION IS NOT
dumping work indiscriminately giving orders
abdicating control or responsibility
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Delegation implies that thesubordinate is given the
authority to do the job, canmake independent decisions,
and has the responsibility for
seeing that the job is done well.
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Delegation involves:
Determination of the task to be
accomplished
Assessment of each persons competency
Amount of decision making needed
Level of supervision available
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SIX PRINCIPLES OF
DELEGATION1. Know yourself and team members
2. Assess strengths, weaknesses, job, situation and
skills3. Understand the state practice act, limitations, and
job descriptions
4. Know the job requirements5. Keep communication clear, complete and constant
6. Evaluate-review what happened/measure results
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FOUR BASIC STEPS:
1. Select a capable person
2. Explain the task and outcomes to occur
3. Give the necessary authority and means for
doing the job
4. Arrange to keep in contact and give
feedback.
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VERBAL AND WRITTEN
INSTRUCTIONS AND/OR
DETAILS
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MAKING THE DECISION TO
DELEGATE: the potential for harm
the complexity of the nursing activity
the required problem solving and innovation
the predictability of the outcome
the extent of client interaction
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RIGHTS!
Right task
Right person
Right communication
Right feedback
CRUCIAL LEGAL ISSUE REMAINS NURSING JUDGMENT
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PITFALLS OF DELEGATION
Managers reluctance to give away
Feeling that need to do it yourself
Lack of confidence in subordinate
Fear of losing authority
Name others!
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Legal Aspects of Delegation
Age old fear of what a nurse can be sued for!
Delegation is part of the nurses role
Nurse assumes responsibility for supervision,
whether physically present or not
Liability if found negligent in the process of
delegating and supervisiong Nursing judgment should not be delegated
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ACCOUNTABILITY
Being obligated to answer for ones
acts, including the act ofsupervision.
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...DUTY AND OBLIGATION
TO ACT IN THE EVENT OF
A BREAKDOWN IN CLIENT
CARE WHEREVER IN THECHAIN THAT BREAKDOWN
OCCURS.
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LEADERS/MANAGERS
SHOULD NEVER ATTEMPTTO
DELEGATE:
Personal accountability
Discipline of employees Recognition and praise/actions associated
with morale and related motivation