NUR3020 Assessment 1a: RN Accountability and Delegation

This essay provides a critical analysis of the registered nurse's (RN) role, focusing on accountability, delegation, and decision-making in patient care. The essay explores the four universal accountabilities: professional, legal, ethical, and employment, emphasizing the RN's responsibility for their actions. It evaluates the importance of effective delegation, communication between RNs and ENs, and the significance of a safe healthcare environment. Key findings highlight the RN's role in patient-centered care, the delegation of tasks, and the need for clear communication within the healthcare team. The essay concludes by emphasizing the RN's duty to assess patient needs, provide comprehensive care, and contribute to the patient's mental and emotional well-being. The provided references include books and journals that support the analysis of the RN's role in nursing practice.

ESSAY
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Table of Contents
INDTRODUCION .........................................................................................................................3
CRITICAL EVALUATION.......................................................................................................3
KEY FINDINGS RELATED TO NURSES:..............................................................................4
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6
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INDTRODUCION
In this context a professional accountability refers to the process of decision making. The
four universal accountability are professional, legal, ethical and employment. In the nursing field
it can describe as a nurse is responsible for their actions towards others. The registered nurse is
accountable towards patient care.(Davis, 2017). Professional nurse need to be manage things
with full knowledge and responsibilities in order to achieve effective delegation. This report
contains the critical analysis of the health care professionals responsibilities towards the patient
care and having accountability, effective delegation, communication between the RN and EN,
attitude, function and perspective. The patient needs some necessary care like healthcare
environment should be safe, provide sustainable requirement and it should be effective. The duty
of the RN should be to gain proper knowledge of the patient history and is conditions.
CRITICAL EVALUATION
It is a section of a critical evaluation of the role of the registered nurse which is related to
the effective delegation and accountability. The environmental care that an RN and EN has
towards the patient is huge.(Porter-O'Grady, T., 2019)The RN and EN should provide a better
care like positive environment, equal delegation communication, hygiene level, emotional care,
discharger planning, giving medicine on time and healthy diet according to is medical condition,
directly delivery care to the patient for better outcomes, patient satisfaction, The RN has to take
decision according to the patient history and maintaining strong communication between the
RNs and NAs and having leadership quality, improving team work, positive attitude, time
management, implementing bedside shift report for the patients, personal experiences,
professional development, managing and planning the daily shift structure for nurse and trainee
and positive attitude towards delegation, bringing productive outcomes,effective delegation
improve the confidence, trust, skills, build a self esteem, working without any laziness, showing
and improving the activities to work more in a effective manner, respect of senior staffs and
increasing motivation between each other these are the positive aspects of the hospital nurse and
following hospital rules and regulations. The healthcare institution have a mixture of lightings
that is daylight and electric lights or artificial lightings. According to researchers it is said that
such lightings plays a very vital role in health care settings. The odour in a health care settings
affect the mood of the working staffs, therefore it is very important for the management to set the
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environment in such a way that it pleases the nursing staff and other workforce to get effective
outcomes in the institution. (Schmidt, and McArthur, 2018) It is very important to have a high
quality of nursing staff for better caring and treatment facilities for the patient. And maintaining
a hygiene level. The purpose of this study was to explore the nurses working condition and what
are the problems they are facing in their environment and how they can pay more attention to the
patients care and improve is medical conditions. It is necessary for an a hospital to maintain safe
environment for their employees and patient.
KEY FINDINGS RELATED TO NURSES:
Registered nurses are patient centred and are responsible for providing sensitive and safe
nursing environment to its healthcare consumers or patients. The nursing practise can be
performed by non registered nurses as well. The nursing activities are defined by the legal
parameters of the state authorities. The nurses needs to be delicate and should look for the
patients physical and mental strength. Delegations means transferring of responsibility from one
individual to the other but the accountability of outcome of the treatment retains. (Cope, and
Murray, 2018) The registered nurse can not delegate the responsibility related to making
decisions or making nursing judgements. The registered nurses delegate the assignment of the
performance of nursing activities to the junior or unlicensed nurses or personnel. The RN 's has
to communicate with the team mates in order to have a clear gaol and take personal
accountability. Nurses job is very hectic and puts an individual in a lot of pressure that is why it
is important for them to prioritize tasks, make quick decisions and makes them delegate certain
activities to its other team mates. The large issues can not be solved a single individual therefore
delegation at individual level provides ease the burden of the nurses and improves patient
experiences. (Kaya,and Boz, 2019) In the beginning the person needs to analyses which task to
be delegated according to the level of the responsibility the nursing assistants can reduce the
work load on the RN's. As the health care department has very unique responsibilities and
requirement when it comes to delegate the task . Delegating of responsibility is very important as
nurses are responsible for the safety and health of the patients. It is very important to analyse and
evaluate the result of delegation because if at all the outcome is negative that can even cause
death. Effective delegation will benefit the healthcare department.
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CONCLUSION
It is the duty of a registered nurse to check and record the medical history and symptoms
of the patient. The nurse sets a plan and handle them with the details of medicines for the
patients treatment. It is very important for the nurses to take proper care of patients physical as
well as mental and emotional needs. The nurses have a caring nature and relationship with the
patients, which gives mental strength to the patient and helps him/her to have a proper treatment.
The nurses are required to observe and monitor the patient to get better understanding of the
disease, and with that information it would become easier for them to assist the decisions for the
treatment.
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REFERENCES
Books and journals
Cope, V. and Murray, M., 2018. Use of professional portfolios in nursing. Nursing
Standard, 32(30).
Davis, C., 2017. The importance of professional accountability.
Kaya, A. and Boz, İ., 2019. The development of the professional values model in
nursing. Nursing ethics, 26(3).pp.914-923.
Porter-O'Grady, T., 2019. Principles for sustaining shared/professional governance in
nursing. Nursing management, 50(1). pp.36-41.
Schmidt, B.J. and McArthur, E.C., 2018, January. Professional nursing values: A concept
analysis. In Nursing forum (Vol. 53, No. 1.pp. 69-75).
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