This article discusses the concept of delegation in nursing leadership and management. It explores the role of unlicensed assistive personnel (UPA) and registered nurses (RN) in patient care. The article also highlights the importance of delegation in reducing the workload of RNs and ensuring quality patient care.
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RUNNING HEAD: NURSING0 Nursing Leadership and Management Delegation in Practice Student Details
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NURSING1 Delegation in Practice The word ‘Delegation’ refers to the assignment or the work given by authority to another person and the work is to carry out the activities specifically given to him or her to perform. It is part of management leadership(Mindtools, 2019). The ‘Delegation in Practice’ includes the work, which the authority assigns to the “Unlicensed Assistive Personnel” to perform. This work is related to the patient care and this task has to be performed by the unlicensed assistive personnel, as they are accountable for the further outcomes. In addition, the registered nurse cannot delegate their responsibilities, which are related to judgments of making nurse(Nursing World , 2019). The authority that has the power to issue the license of work or task to the nurses is named as “State Board of Nursing”. The “State Board of Nursing” is a regulatory body, which has the state-specific license and sets as per the safe nursing care standards. This authority decides the practice scope for the nurses as per the jurisdiction(NCSBN, 2019). In addition, issues the licenses to candidates, who are qualified.Some of these candidates have applied for the registered nurse. These registered nurses have to do to the numerous tasks and their core nursing responsibility is to delegate frequently the task to the “Licensed Practical Nurses” and “Unlicensed Assistive Personnel”(Nursing Center , 2019). The “Unlicensed Assistive Personnel” refers to the class of the paraprofessionals, whose work is to assist the individuals, which are physically disabled, having mental issues and other healthcare problems to cope up with the daily requirements(Zimmermann, 2015). Unlicensed Assistive Personnel (UPA) is the individuals who have the responsibility to perform as health care providers without having a license. They are trained to provide support to the activities of the patients and the registered nurse delegates this authority to UPA
NURSING2 (Nursing Center, 2019).The function of UAP is to perform the assistive role for the licenced nurse in taking care of the patient as per the provision as they have the specialized training in the specific areas. The UPA includes theGI techs, GI Technical Specialist, and GI assistants, which have the responsibility to take care of the patients directly. In addition, the Registered Nurse supervises UPA(AMSN, 2019). “Registered Nurse” (RN) is that kind of nurse, who have done the graduation in the nursing programs. In addition, they have to meet with the requirements that are outlined by the licencing body, which provides the nursing license(Learn How To Become, 2019). The legislation and the professional body determine the registered nurse scope of practice. To becomea registered nurse, the individual must have to do the graduation in this field and have to clear the NCLEX-RN examination(Registered Nursing , 2019). Only after clearing the exam, the individual could get the state license. The responsibility ofthe registered nurse is to do the various task such as perform the diagnostic tests, supervise the less skilled nurse which are licensed or unlicensed, have to prepare the patients for the test and treatments. Moreover, they have to give advice to patients and their families in different health conditions(Study.com, 2019). The “Registered Nurses”have the responsibility to delegates the task of patient care to the “Unlicensed Assistive Personnel”, which includes the five rights of delegation such as the right task, the right circumstances, the right person, the right direction and communication and the right supervision(NCBI , 2019).The registered nurse delegated the authority to the UPA by doing professional interaction in which RN transfer some of the authorities to be performed by the selected nurse and after the delegation, the selected nurse is responsible and accountable for the client or the patient care. The individuals perform all these responsibilities of the registered nurse and the unlicensed assistive personnel in the hospitals or clinics. In addition, the hospitals have the two main divisions where these responsibilities
NURSING3 are performed, which are the General Medical-Surgical Unit” and the “Intensive Care Unit” (Fakhry, Buehrerx, Buehrer, & Sheldon, 2011). The difference between the “Intensive Care Unit” and the “General Medical-Surgical Unit” is based on the level of providing care. In the case ICU, the level of the care is more as compared to the surgical units In ICU, the patients are the individuals who are seriously injured, having any serious medical condition while in the surgical unit the patients admitted are the one who has injured but no have any critical issues(Ausmed , 2019). In the case of assigning the duties to Unlicensed Assistive Personnel, there is also the difference between the ICU and Surgical Unit. In the case of the General Surgical Unit, the registered nurse plays a vital role and delegates some of its responsibilities to the UPA. Under this responsibility, UPA have to provide the meditation on time to the patients, taking care of patients food and sanitation, taking care of the necessities of the patients, recording the blood pressure level if the RN assigned them this task, regularly cleaning the teeth of the patients, every and Changing the bed sheet of the patients(Nursing Center , 2019).In the case of ICU, also the RN delegates some of its responsibilities to UPA. Under this responsibility, the highly experienced nursed should be placed in ICU, as this unit have the critical cases of patients so here the patients’ need the nurses which takes care of them with proper attention. In addition, every patient in ICU has its own UPA, which provides excellent care and do its work very calmly as the UPA is highly experienced so the UPA provides the full intensive care significantly required in this unit. Therefore, it can be concluded that delegation in practice plays an important role, as it is impossible for the nurse to perform all the responsibilities alone. Hence, RN has the authority to delegates the some of its responsibilities to the UPA, which helps RN in reducing the workload and helps in taking care of the patients whether they are admitted in ICU or in
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NURSING4 the General Surgical Unit. In addition, the state board of nursing says that it is compulsory for the “Unlicensed Assistive Personnel” and the “Registered Nurse” to follow the principles, rules and regulation, specified by them.
NURSING5 Bibliography AMSN. (2019, June 23).Unlicensed Assistive Personnel (UAP). Retrieved from AMSN: https://www.amsn.org/practice-resources/position-statements/archive/unlicensed- assistive-personnel-uap Ausmed. (2019, June 23).Differences between Medical-Surgical Nursing and ICU Nursing. Retrieved from Ausmed: https://www.ausmed.com/cpd/articles/medical-surgical- nursing-and-icu Fakhry, S. M., Buehrerx, J. L., Buehrer, & Sheldon, G. F. (2011). A comparison of intensive care unit care of surgical patients in teaching and nonteaching hospitals.Ann Surg, 214(1), 19–23. Learn How To Become. (2019, June 23).WHAT DOES A REGISTERED NURSE DO? Retrieved from Learn How To Become: https://www.learnhowtobecome.org/nurse/registered-nurse/ Mindtools. (2019, June 23).Successful Delegation. Retrieved from Mindtools: https://www.mindtools.com/pages/article/newLDR_98.htm NCBI. (2019, June 23).Nursing Five Rights of Delegation. Retrieved from NCBI: https://www.ncbi.nlm.nih.gov/books/NBK519519/ NCSBN. (2019, June 23).The world leader in nursing regulatory knowledge. Retrieved from NCSBN: https://www.ncsbn.org/index.htm Nursing Center. (2019, June 23).The role of unlicensed assistive personnel in the patient handoff. Retrieved from Nursing Center:
NURSING6 https://www.nursingcenter.com/journalarticle? Article_ID=4017799&Journal_ID=54016&Issue_ID=4017657 Nursing Center. (2019, June 23).Understanding RN and Unlicensed Assistive Personnel Working Relationships in Designing Care Delivery Strategies. Retrieved from Nursing Center: https://www.nursingcenter.com/journalarticle? Article_ID=485657&Journal_ID=54024&Issue_ID=483907 Nursing Center. (2019, June 24).Definitions. Retrieved from Nursing Center: https://www.nursingcenter.com/journalarticle? Article_ID=634881&Journal_ID=54035&Issue_ID=634846 Nursing World. (2019, June 23).Principles for Delegation. Retrieved from Nursing World: https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/ principlesofdelegation.pdf Registered Nursing. (2019, June 23).Assignment, Delegation and Supervision: NCLEX-RN. Retrieved from Registered Nursing: https://www.registerednursing.org/nclex/assignment-delegation-supervision/ Study.com. (2019, June 23).Nursing Duties, Responsibilities and Career Options. Retrieved from Study.com: https://study.com/nursing_duties.html Zimmermann, G. (2015). Increased use of unlicensed assistive personnel: Pros and cons. Journal of Emergency Nursing, 21(6), 541-549. doi:doi.org/10.1016/S0099- 1767(05)80271-5