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DELEGATION AND BUILDING TEAMS TIMOTHY OU BNRS271 Theories and Concepts in Professional Nursing


Delegation “Transfer of responsibility of the performance of a task from one individual to another while retaining the accountability for the outcome...a skill requiring clinical judgment and final accountability for client care” Decision-making and problem-solving process High-level skill Defined in state Nurse Practice Act (NPA) Key to effective time management Cost-effective model of care delivery (American Nurses Association & National Council of State Boards of Nursing, 2006; Kearney-Nunnery, , 2012)


DYNAMIC EXCHANGE Delegator : accountable for decision to delegate, the delegated task, and outcomes Delegatee : accountable for decision to accept the task and performance Symbiotic relationship built on mutual trust and respect Outcomes d ependent on : Personality Communication style Cooperation (Anthony & Vidal, 2010; Cipriano, 2010)

Delegation Process: The Five Rights :

Delegation Process : The Five Rights Right circumstances: Appropriate setting Available resources Right person: Select most qualified personnel Consistent with scope of practice Right task: Plan ahead Assessment Identify necessary skills Consider risks Outline desired outcomes (ANA & NCSBN, 2006; Kearney-Nunnery, 2012)


DELEGATION PROCESS: THE FIVE RIGHTS (CONT’D) Right supervision and feedback: Monitor progress Provide guidance M aintain availability Evaluate performance Reward accomplishment Right communication and direction: Communicate task clearly Convey goals/expectations Set time frames Confirm understanding Come to a mutual agreement Empower delegatee (ANA & NCSBN, 2006; , 2012)

Ineffective Delegation:

Ineffective Delegation Common delegation errors: Underdelegating Overdelegating Improper delegating Barriers to successful delegatio n: Feelings of ineptitude Inherent resistance to authority Failure of delegator to see subordinate’s perspective (Marquis & Huston, 2012)

Effects of Delegation on Leadership & Management:

Effects of Delegation on Leadership & Management Reflects legitimate authority Increases unit productivity Reduces health care costs Promotes development of skills Instills feelings of accomplishment and enrichment Requires highly developed leadership and management skills Promotes team spirit (Marquis & Huston, 2012)


ASSIGNMENT Identify 2 examples from the youtube clip of improper delegation. From your 2 example of improper delegation, what would you have done differently? Does this happen at your hospital and if so, what can you do to prevent these situations?


A LESSON IN DELEGATION: https://www.youtube.com/watch?v=_YeKSuPGksc


TEAM BUILDING Motivated group of people who work together, share resources, and are committed to a common objective through coordinated efforts Effective teams are characterized by a common purpose, clear goals, unified commitment, collaborative climate, mutual accountability, and standards of excellence Leader/manager has the responsibility to plan, coordinate, and monitor the group's activities and to convey a vision, inspiring team collaboration (Amos & Herrick, 2005)


TEAM-DEVELOPMENT STRATEGIES Team Building Collaboration Using Conflict Management Climate Index Assess how your organization manage conflict. Respectful Negotiation Containment of Negative Behaviors Evaluating Effectiveness of groups Goal attainment Member participation Cohesiveness Communication patterns Attendance Kearney-Nunnery, 2012


SOCIALIZATION Ways to encourage socialization: Mentoring and Role Modeling Create positive work environment Using appropriate teaching theories to assist with teaching and training staff Process by which individuals acquire the specialized knowledge, skills, attitudes, values, norms, and interests needed to perform their professional roles acceptably Molds a fit between new staff members and the unit Can help build loyalty and team spirit (Marquis & Huston, 2012)


UNIQUE SOCIALIZATION NEEDS New Nurse International Nurse Culturally and Ethnically Diverse Student Nurse Employees with Role Status Change Experienced Nurse in Role Transition (Marquis & Huston, 2012)


TIPS FOR TEAM LEADERS Patient care is provided by teams. Everyone who works on your unit is a part of the patient care team. Work with the team you have Diversity is not only a policy; it is a fact of life. Address the needs and concerns of you team members


ASSIGNMENT: Identify how you being the primary nurse would have handle this situation? From your work experience, what did you do when no one helped you or didn’t offer team support?


TEAM BUILDING https://www.youtube.com/watch?v=-POcbwrQCRE

T.E.A.M. :

T.E.A.M. T-together E-everyone A-achieves M-more


References Amos, Hu, J. & Herrick (2005). The impact of team building on communication and job satisfaction of a nursing staff. Journal for Nurses in Staff Development, 21(1), 10-16. ANA & NCSBN. (2006). Joint statement on delegation . Retrieved August 2, 2012 from http://www.nursingworld.org/readroom/position/joint/ana_ncsbn_jointdelegation.pdf Anthony, M. & Vidal, K. (2010). "Mindful Communication: A Novel Approach to Improving Delegation and Increasing Patient Safety" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 2, Manuscript 2. Cipriano, P., (May 31, 2010) "Overview and Summary: Delegation Dilemmas: Standards and Skills for Practice" OJIN: The O nline Journal of Issues in Nursing Vol. 15, No. 2, Overview. Garfield, J., & Stanton, K. (2005). Building effective teams in real time. Harvard Management Update, 10(11), 1-3. Kearney-Nunnery, R. (2012). Advancing you career: Concepts of professional nursing (5th ed.). Philadelphia, PA: F. A. Davis Company. Kupperschmidt, B., Kientz, E., Ward, J., Reinholz, B., (Jan. 31, 2010) "A Healthy Work Environment: It Begins With You" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 1, Manuscript 3. Lindeke, L. & Seickert, A. (2005). “Nurse-Physician Workplace Collaboration” OJIN: The Online Journal of Issues in Nursing. Vol. 10, No. 1, Manuscript 4 Marquis, BL & Hu ston, CJ (2012). Leadership Roles and Management Functions in Nursing (7 th ed.). Philadelphia, PA).

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