Predictability of outcome. Show
Potential for harm. Complexity of care. Need for problem solving and innovation. Level of interaction with the client. Terms in this set (206)The statement, "You performed that procedure safely and professionally," clearly identifies what the LPN did well, so it can shape the future behavior positively. The RN should not include vague statements, such as, "Nice job," or, "Well done." The statement, "Your performance was good," could have a positive impact, but a specific behavior is not mentioned in the statement. Feedback, when given clearly and honestly, will yield a positive outcome from the UNP. When the nurse says, "You performed that task safely and professionally," or "The task was well done, but there is room for improvement," it shows that the UNP's work is recognized. Statements such as, "Nice job," are vague and ineffective. Statements such as, "What is wrong with you?" will be perceived as a verbal attack and will not have any positive effect. Questions should be open-ended, in order to encourage the UNP to share experiences with the RN. "Did the client respond positively to the nursing care?" is a closed-ended question that cannot be described further. Sets with similar terms
Home Subjects Solutions Create Log in Sign up Upgrade to remove ads Only ₩37,125/year
Review terms and definitions
Focus your studying with a path
Take a practice test
Get faster at matching terms Nursing Leadership & Management 3rd Ed. Patricia Kelly Terms in this set (26)According to the ANA (1997, p. 20), supervision is SUPERVISION "the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity." The supervisory nurse provides clear direction and information to staff concerning what tasks are to be accomplished, for what patients, at what time, and how the tasks are to be done. Hansten and Washburn's levels of supervision are SUPERVISION 1) unsupervised, 2) initial direction and periodic supervision, and 3) continuous supervision. They are based upon the type of task delegated, education, competency, experience, and working relationship of all of the people to be involved. As an RN, you would recognize that delegation involves DELEGATION the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome. When making assignments, you would identify the appropriate staff members to complete specific tasks. While the staff members are responsible for their assigned tasks, you as the RN always retains accountability. When making patient care assignments, you must consider ASSIGNMENT staff education levels, scope of practice, experience, and patient acuity. An assignment is a distribution of work that each staff member is to accomplish during a given time period according to their scope of practice. An NAP should not be assigned to irrigate a colostomy or do a dressing change of a stage II decubitus ulcer even if the NAP is very experienced. Willingness to be a team player and skill level are important, but they should not be the sole factors when making assignments. While delegation, as defined by the ANA, is NURSE MANAGER RESPONSIBILITIES "the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome," the RN can use this skill to organize how the staff is utilized to meet the patient care needs for the shift. When delegating tasks to nursing personnel, the RN should take into consideration the patient's condition (acuity), staff skills and experience, complexity of the task assigned, staff workload, desired outcomes, and the amount of supervision needed to achieve the desired outcomes for the shift. The act of being responsible (responsibility) for one's actions includes ACCOUNTABILITY AND RESPONSIBILITY reliability, dependability, the obligation to accomplish work once the assignment has been accepted, and the desire to perform at an acceptable level in accordance with one's educational level and experience. According to the ANA (2005), the act of delegation involves DELEGATION the transfer of responsibility for the performance of actions while the accountability for the outcomes remains with the delegator; it does not shift to the person performing the task. The nurse retains the accountability for the delegation. Delegation is a legal and management concept and process involving the four-step process of assessment, planning, intervention, and evaluation. Action, while important and a means of accomplishing the task goals, is not a part of this four-step process. The five rights of delegation have to do with TABLE 16-2 THE FIVE RIGHTS OF DELEGATION identifying and providing the correct (right) task, in the correct (right) circumstance, to the correct (right) person, with the correct (right) direction/communication, and under the correct (right) supervision and evaluation. Accountability is ACCOUNTABILITY AND RESPONSIBILITY being responsible for the actions or inactions of oneself and of others. Authority refers to a right to delegate based upon the state's Nurse Practice Act and nursing management. Assignment refers to the duties (i.e., patients) assigned to individuals generally on a daily basis. Delegation is the transferring of the authority to perform a selected nursing task in a selected situation to a competent individual. Through the act of delegation, the nurse is NURSING ASSISTIVE PERSONNEL (NAP) accountable for the actions or inactions of the assigned NAP. The NAP is always responsible for completing the tasks assigned, but accountability stays with the RN. Further teaching would be needed if a student included intervention and delegation as one of the steps. The NCSBN decision-making tree consists of NCSBN DECISION TREE-DELEGATING TO NURSING ASSISTIVE PERSONNEL assessment and planning, communication, surveillance and supervision, and evaluation and feedback. While intervention and delegation are important decision-making factors, they are not as vital as these other components because they relate to delegation to nursing assistive personnel. Six cultural phenomena suggested by Poole, Davidhizar, and Giger that should also be considered when delegating to a culturally diverse nursing staff are TRANSCULTURAL DELEGATION social organization, time, space, environmental control (locus of control), biological variations, and communication. All of these factors can impact how staff organize and perform their tasks. While traditional barriers, cultural expectations, and norms are also important factors to be considered when working with culturally diverse staff and patients, they are not described by Poole et al. as being as critical as those mentioned above. How people perceive that they can control or have power over their environment is called TABLE 16-8 CULTURAL PHENOMENA environmental control. Two types of this perceived control are internal locus of control, where the person relies upon his own inner (internal) resources to handle stimuli from the environment, and external locus of control, which is when a person relies more upon external forces such as luck and chance for control over what is experienced from the environment. The supervisor is complimenting you on your competence as an RN. Competence is the ongoing ability of a nurse to integrate and apply the knowledge, skills, judgment, and personal attitudes required to practice safely and ethically in a designated role and setting (Canadian Nurses Association, 2004). A patient care assignment that requires RESPONSIBILITIES OF HEALTH TEAM MEMBERS problem solving and innovation should be given to an RN. These assignments require the RN to use critical thinking and specific knowledge and skills. Also, the nurse manager would not be assigning patient care of any type to the physician. This patient, while a postoperative cardiac patient, appears to be stable; however, he is agitated. He needs DIRECT AND INDIRECT PATIENT CARE ACTIVITIES direct patient care from a nurse to assess his current state regarding agitation, to replace his electrodes, and to assist in easing his fears and need for control (demands). While teamwork would be great in this situation, it is not essential until the cause for his agitation has been determined, or unless he is a large man and assistance is required to get him back into bed. Indirect care, such as replacing his empty tissue box, would be beneficial, but it is not of top priority. According to the NCSBN (1996), competence is defined as COMPETENCE "the ability of the nurse to apply knowledge and interpersonal decision making, and psychomotor skills expected for the practice of public health safety and welfare." It concerns the ethical and safe practice in a designated role and specific setting according to state laws and regulations. The AACN (2004) reminds us that RESPONSIBILITIES OF HEALTH TEAM MEMBERS the potential for consequences and likely effects must be considered when delegating patient care. The five factors above should be contemplated before delegating care. While supervision also takes into account these important factors, they are not prerequisites before supervision can take place. Parkman (1996) suggested areas in which NAP require training and skill development are ACCOUNTABILITY AND RESPONSIBILITY basic care procedures, communication skills, decision-making skills, and critical thinking skills. While being reliable in one's thinking (thought processes) and teamwork are two other valuable areas in which personnel can gain skills, they are not essential for viable practice. While state boards of nursing operate under NEW GRADUATE RESPONSIBILITY the Nurse Practice Act, they themselves are not the legal authority of such. The Joint Commission provides guidelines and standards for safe nursing practice according to evidence-based practice guidelines, and they do have the capacity to accredit health subscribed care facilities although they are not the legal authority for nurse practice. NCLEX is not the legal authority for nursing actions. Further teaching is needed if the students responded lack of understanding of clinical principles. All new graduates should have a firm understanding of UNDERDELEGATION AND OVERDELEGATION basic clinical principles and be willing to ask for assistance for clarification of areas in which they are unsure. The new nurse graduates tendency to underdelegate is usually related to fear or resentment on the part of more experienced nurses, the need for approval or validation by completing all of their assigned duties without assistance, or they may be unsure of the scope of their duties or what they are allowed to do (such as ask for help). The most appropriate response would be to assign the NAP to FIGURE 16-2 ELEMENTS TO CONSIDER WHEN DELEGATING patients who are stable and only require routine care. You should assign the tracheostomy care to the FIGURE 16-2 ELEMENTS TO CONSIDER WHEN DELEGATING LPN/LVN. The NPAs can apply the restraints and measure vital signs and I&Os. The RN should complete the admission assessment. While the RN and LPN/LVN are capable of measuring vital signs and I&Os, you would assign these tasks to the NAPs since there are two of them. The RN should be assigned to the patient in Sickle Cell crisis because of the complexity and instability of the patient. Also, the outcome for the patient may be unpredictable. The LPN/LVN should be assigned to the patient with Congestive Heart Failure since the client is 3 days post-admission and probably stable. The NAPs can care for the patient with Scarlet Fever and provide diversional activities for the patient who is depressed. When a new graduate nurse refuses an assignment because of lack of experience, the best course of action for the nurse manager is to ASSIGNMENT reassign the patient to a more experienced nurse. The nurse manager recognizes that assignments should be based on staff education levels, scope of practice, experience, and patient acuity. The OB nurse that's been pulled should be assigned: ASSIGNMENT the 25-year-old client with severe hypertension. Hypertension is often seen on the Obstetrics unit; therefore, the OB nurse should be able to provide the appropriate care needed. Care for a client receiving peritoneal dialysis, one in a sickle cell crisis, or the client who has had gallbladder surgery may require additional experience that the float nurse does not have. Sets with similar termsUnit 17 Leadership and Care Management63 terms Phi-Viet_Phan Delegation and Supervision (Chapter 19)48 terms alewis94 Chapter 21 Managing Patient Care36 terms jwatson425 Chapter 21: Managing Patient Care62 terms brittney_b6 Sets found in the same folderChapter 25 Keypoints: Culture, Generational Differ…23 terms John_Doe204 Chapter 15 Key points: Effective Staffing27 terms John_Doe204 Chapter 21 Key points: Evidence-Based Strategies t…25 terms John_Doe204 Chapter 23 Keypoints: Legal Aspects of Health Care25 terms John_Doe204 Other sets by this creatorOrganizational behavior and magnet hospitals25 terms John_Doe204 Chapter 24 Keypoints: Ethical Aspects of Health Ca…25 terms John_Doe204 Chapter 22 Keypoints: Decision Making and Critical…25 terms John_Doe204
Time Management & Setting Patient Care Priorities…25 terms John_Doe204 Other Quizlet setsHSAM midterm25 terms sarahmb423 Exam 2 Test Q's20 terms Lola_Labiyi Ch. 6- Legal and Ethical Issues for School Counsel…15 terms Rikki_Omija9 Wor-wic OTA 150 chap 43 Supervision review37 terms Lohtips Related questionsQUESTION CH. 4 How might the use of slang, jargon, and euphemisms influence the understanding of a communication message? 15 answers QUESTION Where are the synovial cavities located? 14 answers QUESTION Executive board of the IOC is comprised of: 2 answers QUESTION This sentence is gramarical or not, meaningful or not: Colorful green ants crawls furiously. 2 answers What are the key principles that a registered nurse should consider when delegating?Five Rights of Delegation. Right task.. Right circumstance.. Right person.. Right supervision.. Right direction and communication[1]. What are the key principles that a registered nurse should consider when delegating tasks to other healthcare personnel ATI?2. Delegation The key principles that a registered nurse should consider when delegating tasks to other healthcare personnel is their level of education, the amount of training, and the amount of experience they've had.
Which factors are most important for the nurse to consider when delegating responsibilities quizlet?Although geographic factors may be considered when tasks are delegated, these are not the most significant criteria to consider. The client's acuity, not diagnosis or length of time in the hospital, is the most important client factor to consider when appropriate staff members are assigned to provide care.
Which principles are important to consider when an RN delegates tasks to UAP select all that apply?These principles include organizational and legal guidelines and policies, patient safety and accountability, and knowledge and education (Craftman et al., 2012). The legal and ethical standards to consider when questioning if delegation is appropriate include: (Select all that apply.)
|
What are the key principles that a registered nurse should consider when delegating tasks quizlet?
zusammenhängende Posts
Urheberrechte © © 2024 WIKIFI Inc.
