Clinical Delegation Skills: A Handbook for Professional Practice / Edition 3

Clinical Delegation Skills: A Handbook for Professional Practice / Edition 3

by Ruth Hansten, Marilynn Jackson, Marilynn J. Washburn, Marilynn Jackson
     
 

ISBN-10: 0763733261

ISBN-13: 9780763733261

Pub. Date: 02/09/2004

Publisher: Jones & Barlett Learning

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

Overview

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.

Product Details

ISBN-13:
9780763733261
Publisher:
Jones & Barlett Learning
Publication date:
02/09/2004
Edition description:
Older Edition
Pages:
375
Product dimensions:
6.22(w) x 8.90(h) x 0.73(d)

Table of Contents

About the Authorsix
Contributorsxi
Forewordxiii
Foreword to the Second Editionxv
Acknowledgmentsxvii
Chapter 1The Overall Process of Delegation1
The Definition1
The Model: The Key to Delegation2
The Skill8
Chapter 2Know Your World11
What in the World Is Going On?11
Influence of Nurse Shortages13
Demographic Trends17
Health Care Delivery Trends20
Changing Nature of Work21
Safety and Balanced Assessments22
Evolution of the Art and Science of Nursing Practice23
Nursing's Responses to the Changes25
Continual Planning for Transfer and Discharge26
Implementation of Clinical Pathways26
Technology Evaluation32
Client Accountability for Care: Health Education33
Growth of Home Care35
Redesign of Care Delivery Systems35
Where Do We Go from Here?47
Chapter 3Know Your Practice: Is My License on the Line?53
The State Board of Nursing54
The National Council of State Boards of Nursing61
The Nurse Practice Act63
Rules and Regulations65
The Test66
The LPN Role76
Delegation and the Nursing Process77
Conclusion82
Chapter 4Know Your Organization: What About Where I Work?85
Historical Development--Or, How Did We Get Here?85
In the Beginning86
The Unionized Organization and Delegation88
Assessing the Health Care Organization94
The Nonunion Environment94
The Mission Statement95
The Organizational Structure99
The Impact of Redesign103
The Quality Program106
Safety in Practice107
Educational Resources109
Conclusion110
Chapter 5Know Yourself113
Level of Clinical Experience: From Novice to Expert114
Exploring Barriers118
Survivor Syndrome127
Other Barriers132
Determining the Potential Benefits141
Conclusion145
Appendix 5-ANursing Expertise Self-Report Scale147
Chapter 6Know What Needs to Be Done151
Defining the Role152
The PTA Model154
Getting the Job Done160
Additional Samples for Planning Care183
Conclusion189
Chapter 7Know Your Delegate193
Who Are the Delegates?194
Assessing the Role Played by Each Delegate195
Official Expectations of Each Role195
Practice Acts and Regulations195
The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective198
Accountability for Competence204
Job Descriptions204
Validated Competencies: The Organizational Perspective207
The Impact of the Mission on Job Roles209
Unofficial Expectations of Each Role210
Assessing the Delegate's Strengths215
Assessing the Delegate's Weaknesses218
Assessing the Delegate's Motivation223
Your Responsibility for the "General Climate" of Motivation227
Assessing the Delegate's Preferences228
Assessing Cultural Differences228
Conclusion231
Chapter 8Know How to Communicate235
Delegate Responses236
Communication Styles: Passive, Aggressive, Assertive238
Effective Assigning242
Assertive Follow-Up248
Nonverbal Behaviors251
Conclusion252
Chapter 9Know How to Resolve Conflict: Getting Coworkers to Work Together as a Team255
Conflict as a Concept255
Sources of Conflict256
Cost of Conflict259
Strategies for Conflict Resolution261
Innovative Issue Resolution Process: A Collaborative Method271
Case Study Analysis of Collaborative Resolution277
Conclusion279
Chapter 10Know How to Give Feedback285
Benefits of Giving and Receiving Feedback286
The Power of Feedback287
The Process288
Giving Feedback to the Delegate290
Application to the Delegation Process292
Requesting and Receiving Feedback299
Upward Feedback300
Conclusion303
Chapter 11Know How to Evaluate: How Well Has the Delegation Process Produced the Outcomes I Wanted to Achieve?305
Evaluation: Continuous, Problem-Related, and Periodic306
Continuous Evaluation308
Specific Incident or Problem-Related Evaluation: Critical Thinking316
Periodic Evaluation330
Case Study Analysis of Evaluation332
Documentation and the Delegation Process334
Conclusion339
Celebrate the Success of the Team!340
Appendix 11-ANurse Delegation344
Contact Information for State Boards of Nursing351
Index359

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