Case Studies Nursing Delegation

Delegation affects nurses who are dealing with the harsh reality of financial constraint in the health care sector.When traditional nursing tasks are delegated to other health care workers, nurses are concerned about patient safety, quality of care and their own responsibility.Delegation to care providers occurs when an activity is within the scope of the delegating profession and outside the scope of the other profession.

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Delegation of a restricted activity to another professional is done on an exceptional and rare basis.

The best interest of the client population must be embedded in all aspects of decision-making regarding delegation.

Improper and inappropriate assignments can lead to poor quality of care, disappointing outcomes of care, the jeopardization of client safety, and even legal consequences.

For example, when a registered nurse delegates aspects of patient care to a licensed practical nurse that are outside of the scope of practice of the licensed practical nurse, the client is in potential physical and/or psychological jeopardy because this delegated task, which is outside of the scope of practice for this licensed practical nurse, is something that this nurse was not prepared and educated to perform.

The delegation must be made transparent to the client and may include seeking client consent.

Delegation means sharing authority with other health care providers to provide a particular aspect of care.It was part of a wider UK research project to explore how newly qualified nurses recontextualise the knowledge they have gained during their pre-registration nurse education programmes for use in clinical practice.Ethnographic case studies were conducted in three hospital sites in England.Delegation occurs when either the employer or the nurse transfers authority to a health care worker in a selected situation to do work traditionally performed by a nurse.Legislation defines the practice of nursing in very broad terms.Supervision entails initial direction, periodic inspection and corrective action when needed.c) The health care worker is responsible for having sufficient knowledge, skill, and judgment to accept delegation.In order to determine whether a decision to delegate is appropriate, the nurse must take into account the employer’s policies; patient needs; complexity of health problems; the health care worker’s job description, knowledge base, and demonstrated competency; the knowledge needed to deliver the care required; the predictability of the anticipated outcome and specific risk factors.Because the nurse is responsible for evaluating nursing care by monitoring patient outcomes, she must supervise workers to whom she has delegated.............................................................................................................................. vi List of Figures .................................................................................................................. xiii List of Tables ................................................................................................................... The aim of this research was to explore how newly qualified nurses learn to organise, delegate and supervise care in hospital wards when working with and supervising healthcare assistants.