Clinical Delegation Skills : A Handbook for

From the authors of the AJN Book of the Year winner, Clinical Delegation Skills: A Handbook for Nurses, comes this completely updated Second Edition packed with the latest facts, strategies supported by recent research, and even more skill-building tools. With this new edition, you will learn the latest trends in nursing, analyze real clinical situations, test your communication skills, and evaluate and maintain competency of your workers from a regulatory perspective. You'll be able to build a foundation and incorporate the fundamentals so your organization can provide optimum patient care.

About the Authors

ix

(2)

Contributors

xi

(2)

Foreword

xiii

(2)

Acknowledgments

xv

Chapter 1 The Overall Process of Delegation

1

(9)

The Definition

1

(1)

The Model: The Key to Delegation

2

(6)

The Skill

8

(2)

Chapter 2 Know Your World: Why Are These Changes in My Practice Happening to Me?

10

(38)

What in the World Is Going On?

10

(13)

Karen Haase-Herrick

Influence of the 1980s Nurse Shortage

12

(1)

Health Care Reform

13

(3)

Demographic Trends

16

(2)

Health Care Delivery Trends

18

(1)

Changing Nature of Work

19

(1)

Restructuring and Redesign

20

(1)

Maturing of the Nursing Profession

21

(2)

Nursing's Responses to the Changes

23

(25)

Ruth I. Hansten

Marilynn J. Washburn

Continual Planning for Transfer and Discharge

25

(1)

Implementation of Clinical Pathways

25

(6)

Technology Evaluation

31

(1)

Client Accountability for Care: Health Education

31

(1)

Growth of Home Care

32

(1)

Redesign of Care Delivery Systems

32

(11)

Where Do We Go from Here?

43

(5)

Chapter 3 -- Know Your Practice: Is My License on the Line?

48

(32)

The State Board of Nursing

49

(8)

The National Council of State Boards of Nursing

57

(1)

Multistate Regulation

57

(1)

The Nurse Practice Act

58

(1)

Rules and Regulations

59

(2)

The Test

61

(10)

The LPN Role

71

(1)

Delegation and the Nursing Process

72

(5)

Conclusion

77

(3)

Chapter 4 -- Know Your Organization: What About Where I Work?

80

(27)

Historical Development-Or, How Did We Get Here?

80

(3)

Ruth I. Hansten

Marilynn J. Washburn

In the Beginning

81

(2)

The Unionized Organization and Delegation

83

(7)

Karen McGrath

Assessing the Health Care Organization

90

(14)

Ruth I. Hansten

Marilynn J. Washburn

The Nonunion Environment

90

(1)

The Mission Statement

90

(3)

The Organizational Structure

93

(4)

The Impact of Redesign

97

(2)

The Quality Program

99

(2)

Safety in Practice

101

(2)

Educational Resources

103

(1)

Conclusion

104

(3)

Chapter 5 -- Know Yourself: What Personal Barriers Must I Overcome To Realize the Benefits of Effective Delegation?

107

(39)

Level of Clinical Experience: From Novice to Expert

108

(4)

Exploring Barriers

112

(9)

Survivor Syndrome

121

(5)

Other Barriers

126

(9)

Determining the Potential Benefits

135

(4)

Conclusion

139

(3)

Appendix 5-A Nursing Expertise Self-Report Scale

142

(4)

Chapter 6 -- Know What Needs To Be Done: If I Delegate All My Tasks, What's Left for Me To Do?

146

(42)

Defining the Role

147

(2)

The PTA Model

149

(6)

Getting the Job Done

155

(23)

Additional Samples for Planning Care

178

(7)

Conclusion

185

(3)

Chapter 7 -- Know Your Delegate: How Can I Determine the Right Delegate for the Job?

188

(41)

Who Are the Delegates?

189

(1)

Assessing the Role Played by Each Delegate

190

(1)

Official Expectations of Each Role

190

(1)

Practice Acts and Regulations

190

(3)

The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective

193

(5)

Accountability for Competence

198

(2)

Job Descriptions

200

(2)

Validated Competencies: The Organizational Perspective

202

(2)

The Impact of the Mission on Job Roles

204

(1)

Unofficial Expectations of Each Role

205

(5)

Assessing the Delegate's Strengths

210

(2)

Assessing the Delegate's Weaknesses

212

(5)

Assessing the Delegate's Motivation

217

(4)

Your Responsibility for the "General Climate" of Motivation

221

(2)

Assessing the Delegate's Preferences

223

(1)

Assessing Cultural Differences

223

(3)

Conclusion

226

(3)

Chapter 8 -- How Can I Communicate So That the Work Gets Done Right?

229

(20)

Loretta O'Neill

Delegate Responses

230

(2)

Communication Styles: Passive, Aggressive, Assertive

232

(4)

Effective Assigning

236

(6)

Assertive Follow-Up

242

(3)

Nonverbal Behaviors

245

(2)

Conclusion

247

(2)

Chapter 9 -- How Can I Get My Coworkers To Work with Me As a Team? Resolving Conflict

249

(30)

Conflict As a Concept

249

(1)

Sources of Conflict

250

(3)

Cost of Conflict

253

(2)

Strategies for Conflict Resolution

255

(10)

Innovative Issue Resolution Process: A Collaborative Method

265

(6)

Case Study Analysis of Collaborative Resolution

271

(2)

Conclusion

273

(6)

Chapter 10 -- Know How To Give Feedback: What Do Delegates Really Want?

279

(19)

Benefits of Giving and Receiving Feedback

280

(1)

The Power of Feedback

281

(2)

The Process

283

(1)

Giving Feedback to the Delegate

284

(2)

Application to the Delegation Process

286

(6)

Requesting and Receiving Feedback

292

(2)

Upward Feedback

294

(2)

Conclusion

296

(2)

Chapter 11 -- Know How To Evaluate: How Well Has the Delegation Process Produced the Outcomes I Wanted To Achieve?

298

(45)

Evaluation: Continuous, Problem-Related, and Periodic

299

(1)

Continuous Evaluation

300

(9)

Specific Incident or Problem-Related Evaluation: Critical Thinking

309

(11)

Periodic Evaluation

320

(3)

Case Study Analysis of Evaluation

323

(3)

Documentation and the Delegation Process

326

(5)

Conclusion

331

(1)

Celebrate the Success of the Team!

331

(5)

Appendix 11-A--Delegation of Nursing Care Task

336

(7)

Appendix A Addresses and Telephone and Fax Numbers for State Boards of Nursing

343

(6)

Index

349

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The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

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Clinical Delegation Skills : A Handbook for Professional Practice

Summary

Table of Contents

Supplemental Materials