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Clinical delegation skills : a handbook for professional practice / Ruth I. Hansten, Marilynn Jackson.

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Holman Biotech Commons RT89.3 .H36 2004
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Format:
Book
Author/Creator:
Hansten, Ruth I.
Contributor:
Jackson, Marilynn.
Language:
English
Subjects (All):
Nursing services--Personnel management.
Nursing services.
Delegation of authority.
Differentiated nursing practice.
Nursing, Supervisory--organization & administration.
Decision Making.
Nursing Services--organization & administration.
Personnel Management.
Medical Subjects:
Nursing, Supervisory--organization & administration.
Decision Making.
Nursing Services--organization & administration.
Personnel Management.
Genre:
Handbooks and manuals.
Physical Description:
xviii, 365 pages : illustrations ; 23 cm
Edition:
Third edition.
Place of Publication:
Sudbury, Mass. : Jones and Bartlett Publishers, [2004]
Summary:
Clinical Delegation Skills: A Handbook for Professional Practice, Third Edition will help readers better understand delegation skills and apply them effectively in their own clinical setting. Practical, easy to read, and full of checkpoints and exercises, this renowned text will teach you about the world of professional healthcare roles and accountability, as well as how to communicate effectively, provide feedback, handle conflict, and address your own leadership strengths and weaknesses. Becoming a professional and leading a team require higher-order critical thinking skills, emotional intelligence, and clinical judgment; this guide provides you with these tools.
Contents:
Chapter 1 The Overall Process of Delegation 1
The Model: The Key to Delegation 2
The Skill 8
Chapter 2 Know Your World 11
What in the World Is Going On? / Karen Haase-Herrick 11
Influence of Nurse Shortages 13
Demographic Trends 17
Health Care Delivery Trends 20
Changing Nature of Work 21
Safety and Balanced Assessments 22
Evolution of the Art and Science of Nursing Practice 23
Nursing's Responses to the Changes / Ruth I. Hansten, Marilynn Jackson 25
Continual Planning for Transfer and Discharge 26
Implementation of Clinical Pathways 26
Technology Evaluation 32
Client Accountability for Care: Health Education 33
Growth of Home Care 35
Redesign of Care Delivery Systems 35
Chapter 3 Know Your Practice: Is My License on the Line? 53
The State Board of Nursing 54
The National Council of State Boards of Nursing 61
The Nurse Practice Act 63
Rules and Regulations 65
The Test 66
The LPN Role 76
Delegation and the Nursing Process 77
Chapter 4 Know Your Organization: What About Where I Work? 85
Historical Development
Or, How Did We Get Here? / Ruth I. Hansten, Marilynn Jackson 85
In the Beginning 86
The Unionized Organization and Delegation / Karen McGrath 88
Assessing the Health Care Organization / Ruth I. Hansten, Marilynn Jackson 94
The Nonunion Environment 94
The Mission Statement 95
The Organizational Structure 99
The Impact of Redesign 103
The Quality Program 106
Safety in Practice 107
Educational Resources 109
Chapter 5 Know Yourself 113
Level of Clinical Experience: From Novice to Expert 114
Exploring Barriers 118
Survivor Syndrome 127
Other Barriers 132
Determining the Potential Benefits 141
Appendix 5-A Nursing Expertise Self-Report Scale 147
Chapter 6 Know What Needs to Be Done 151
Defining the Role 152
The PTA Model 154
Getting the Job Done 160
Additional Samples for Planning Care 183
Chapter 7 Know Your Delegate 193
Who Are the Delegates? 194
Assessing the Role Played by Each Delegate 195
Official Expectations of Each Role 195
Practice Acts and Regulations 195
The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective 198
Accountability for Competence 204
Job Descriptions 204
Validated Competencies: The Organizational Perspective 207
The Impact of the Mission on Job Roles 209
Unofficial Expectations of Each Role 210
Assessing the Delegate's Strengths 215
Assessing the Delegate's Weaknesses 218
Assessing the Delegate's Motivation 223
Your Responsibility for the "General Climate" of Motivation 227
Assessing the Delegate's Preferences 228
Assessing Cultural Differences 228
Chapter 8 Know How to Communicate / Loretta O'Neill 235
Delegate Responses 236
Communication Styles: Passive, Aggressive, Assertive 238
Effective Assigning 242
Assertive Follow-Up 248
Nonverbal Behaviors 251
Chapter 9 Know How to Resolve Conflict: Getting Coworkers to Work Together as a Team 255
Conflict as a Concept 255
Sources of Conflict 256
Cost of Conflict 259
Strategies for Conflict Resolution 261
Innovative Issue Resolution Process: A Collaborative Method 271
Case Study Analysis of Collaborative Resolution 277
Chapter 10 Know How to Give Feedback 285
Benefits of Giving and Receiving Feedback 286
The Power of Feedback 287
The Process 288
Giving Feedback to the Delegate 290
Application to the Delegation Process 292
Requesting and Receiving Feedback 299
Upward Feedback 300
Chapter 11 Know How to Evaluate: How Well Has the Delegation Process Produced the Outcomes I Wanted to Achieve? 305
Evaluation: Continuous, Problem-Related, and Periodic 306
Continuous Evaluation 308
Specific Incident or Problem-Related Evaluation: Critical Thinking 316
Periodic Evaluation 330
Case Study Analysis of Evaluation 332
Documentation and the Delegation Process 334
Celebrate the Success of the Team! 340
Appendix 11-A Nurse Delegation 344
Contact Information for State Boards of Nursing 351.
Notes:
Includes bibliographical references and index.
ISBN:
0763733261
OCLC:
53179028

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