Registered Nurse Delegation and Leadership at Wisteria Village: Report

This report analyzes a case study involving a registered nurse at Wisteria Village facing a challenging night shift. The scenario involves multiple patients with varying needs and the need for effective delegation to ensure patient safety and proper care. The nurse must delegate tasks to an enrolled nurse, extended care assistants, and a nursing student. The report emphasizes the importance of leadership skills, critical analytical abilities, and communication to handle the situation effectively. The report discusses the importance of the right people, right tasks, and right circumstances when delegating. The report also highlights the role of preceptorship and the impact of the nurse's actions on the staff. The nurse needs to address issues like a patient's death, a fall, and a missing patient. The report stresses the importance of ethical considerations, professional standards, and the need for patient-centered care. The conclusion emphasizes the importance of knowledge, leadership, and effective situational management for nurses.

Running head: DELEGATION IN NURSING
DELEGATION IN NURSING
Name of the Student
Name of the University
Author Note

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DELEGATION IN NURSING
Introduction
Delegation and preceptorship in the nursing sector is very much dependent on each other
and it has been found that the leadership skills of a nurse can effectively help in handling this
kind of responsibilities. It can be stated that the knowledge of the right person, right activity,
right circumstances, right communication and right supervision and evaluation are the factors of
an authorised nurse to develop the plan of delegation as well as preceptorship (Barrow and
Sharma 2019). Based on this idea it can be found that the registered nurses hold the authority to
delegate other nursing employees to work according to the plan. However, the leadership skills
of the registered nurse play a crucial role in the process of delegation of roles and responsibility
to other nurses. In the following section the effective delegation plan will discussed in
accordance with the case study of the Wisteria Village.
Discussion
The registered nurse of Wisteria Village responsible for the night shift from 2200 hours
had faced different difficulties during this shift. The case highlighted that there was one enrolled
nurse, two extended care assistant and one nursing student present to support the registered nurse
to handle the shift hour. There were some patients including Mrs Peterson who was receiving
end of life care, Mrs Lee facing knee joint pain, Mr Lloyd was with Parkinson’s disease and
diabetes type 2 and Miss Bell who showed the issue fall. The registered nurse was well known to
the issues of Mrs Peterson and Mrs Lee and received call at 0210 hour from Mrs Lee
complaining about sore knee and asking for medicines for the condition. She also evaluated the
request of the patient and found that it was effective as well. However, other patients’ condition
was not effectively evaluated by the registered nurse. The registered nurse has been informed

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that Mrs Peterson died and her daughter was distressed. On the other hand, Miss Bell found on
the floor and the extended care assistant could not lift her up as she was unconscious. Moreover,
Mr Lloyd has not been found on his bed and near the area he was admitted to. Now, the
condition can be marked as severe and the registered nurse should manage the situation
according to the nursing standards and also focus on the patient safety. Thus, the nurse should
employ leadership skills and delegate the subordinates for proper action (Wagner 2018). In order
to plan the proper delegation, the nurse should develop a plan first in order to address all the
issues regarding the context of the patient care and safety management.
It can be found that the situation of the hospital ward was severe and the registered nurse
had to plan a proper management of the situation. Hence, she needs to employ the right people to
the right work and right circumstances. Hence, the evaluation and planning would be required.
Moreover, the influencing factors and the leadership skills are also required as the registered
nurse needs to address all the issues and manage the situation. Furthermore, the delegation would
be leading to the preceptorship for the employees of the hospital as well (Baddar, Salem and
Hakami 2016). The nurse should employ the senior extended care assistant that is Diana to
handle the situation of Mrs Peterson and her family as she has been an experienced employee
and the hospital residents know her and also respect her. On the other hand, other casual
extended care assistant that is Thomas should be employed to lift Miss Bell to her bed under the
supervision of registered nurse and with the help of her as well herself to follow the nursing
legislations. The enrolled nurse Priya would be sent for the medication supply to Mrs Lee as
soon as possible as Mrs Lee was an impatient resident of the hospital. Finally, the registered
nurse, casual extended care assistant Thomas and the nursing student Jorja should went out for
searching the other patient Mr Lloyd and take him back to his ward for his own safety.

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Moreover, the doctor should be informed about the situation of Mrs Peterson and other patients
to provide them proper support as well. The above-mentioned plan should be considered by the
registered nurse to handle the situation properly and help the patient and provide them effective
care as well. The registered nurse should have the critical analytical skills and also proper
communication and influential skills to effectively delegate the employees to the right work and
right circumstances to handle the situation in a better way (Magnusson et al. 2017). Otherwise,
the process of the handling of this situation would not be in action and the delegation would also
not be effective as well. Hence, it can be found that the leadership skills and the knowledge of
the nursing standards and legislations would be necessary for the registered nurse to handle the
situation and manage the negative condition as well (Duffield et al. 2019). Moreover, the actions
of the registered nurse and the interpersonal skills along with the involvement with all the
employees and patients for the better outcome would impact over the employees as well. This
factor would lead to the preceptorship and help other employees learn from the registered nurse
as well (Serrat 2017). Hence, it can be found that the proper implementation of the nursing
knowledge and skills along with the effective communication with the people under the leader
would help in the understanding and rapport build up as well (Khumalo and Giyose 2019). Based
on the case scenario it can be found that the employees of the hospital facility welcomed the
registered nurse warmly and also communicated with her professionally. Hence, proper
implementation of the communication skills and maintaining the rapport with the subordinates
will be helpful and also and effective trait of leadership (Auberry 2017). This process can be
helpful for the proper delegation of responsibilities on the employees without harming the
professional relationship or mental stature of the subordinates (Sayani 2016). Hence, it can be
stated that the process of the care and also effective knowledge about the handling situation

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would help the registered nurse or nursing leader to delegate employees in a way that can
effectively help the employees to learn and play the role and responsibility properly as well.
Thus, it can be stated that the proper knowledge and leadership skills are very much important
for a registered nurse to handle the negative situations occurring the hospital facilities as well.
Moreover, the ethics and also the professional standards of nursing should also be effectively
followed along with maintaining the influence over the subordinates in a positive way to
maintain the professional standards and quality of care as well (Schoenly, Crean and Hamilton
2017).
Conclusion
Based on the above discussion it can be concluded that the knowledge of professional
role and standards along with proper leadership skills would effectively help the registered nurse
or the nursing leader to handle the negative situation properly in the workplace. Moreover, these
factors would also be effective in the process of the delegation of the subordinate employees as
well as in the preceptorship on the employees. Hence, it can be stated that the process of the care
should be considered with all the factors earlier mentioned factors for the nursing leaders.
Moreover, it can also be stated that the process of the care should be considered with the patient
centred approach of care that is implementing the process of care in a positive direction and for
positive outcome seeking. Thus, it can be comprehended that for delegation and preceptorship
the nursing leader should have the knowledge and leadership skills along with effective
situational management processes.

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Referencing
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