Home Care Nursing Delegation Skills: A Handbook for Practice

Overview

Written from a nursing perspective, and completely focused on the home health setting, Home Care Nursing Delegation Skills will show you how to build a strong foundation, understand the laws and regulations, es tablish effective procedures, know your responsibilities, and incorpor ate the fundamentals, such as decision making for professional practic e, practice innovative, two-way communication techniques, test the com petency of the people you work with, learn conflict resolution techniq ues, implement ...

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Overview

Written from a nursing perspective, and completely focused on the home health setting, Home Care Nursing Delegation Skills will show you how to build a strong foundation, understand the laws and regulations, es tablish effective procedures, know your responsibilities, and incorpor ate the fundamentals, such as decision making for professional practic e, practice innovative, two-way communication techniques, test the com petency of the people you work with, learn conflict resolution techniq ues, implement easy-to-use checklists and charts, all of which keep you on track so your organization can provide optimum patient care and y ou can delegate tasks effectively, be an effective critical thinker, a nd establish effective two-way communication.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Kathie E. Yonkers, MS, RN-C, ANP (Visiting Nurse Association of Utica and Oneida City, Inc.)
Description: This book defines delegation for the caregiver in a series of application steps and regularly provides checkpoints and highlighted boxes for important points, tips, and quotations.
Purpose: Changes in the healthcare arena have added new challenges and legal dilemmas in caring for clients. The authors clarify responsibility and accountability in assessing for outcome achievement. As the healthcare system changes, it impacts values in nursing practice; proactive decision making in quality care becomes a framework of practice and thus fosters the delivery of quality, community based healthcare.
Audience: According to the authors, practicing nurses in community based settings will find value in this book. It could be a quality text for the novice or experienced nurse as well as students trying to internalize management of techniques with assistive personnel. The authors are widely published in nursing literature, and bring community health nursing experience to this book.
Features: Timely in issues impacting home care with a historical review of significant events gives the reader a clear view of legal implications and communication techniques. The use of the nursing process in the organization of thoughts and actions provides the basis for critical thinking applications as well as impact in problem solving. Decision making in regard to events involving personnel, clients, and the healthcare team is succinctly covered. Barriers and benefits in these events are clearly identified. Appendixes provide examples of realistic applications of the delegation process.
Assessment: This book qualifies as a leader in learning or applying delegation skills. The overall view and holistic approach using a delegation process that takes into account state statutes, facility policies and procedures, and professional practice provides responsible delegation and competent management. Review and use of this book should give the reader a definite sense of the scope of responsibility, legal ramifications, and successful intervention with the healthcare team members in the home care setting.
Kathie E. Yonkers
This book defines delegation for the caregiver in a series of application steps and regularly provides checkpoints and highlighted boxes for important points, tips, and quotations. Changes in the healthcare arena have added new challenges and legal dilemmas in caring for clients. The authors clarify responsibility and accountability in assessing for outcome achievement. As the healthcare system changes, it impacts values in nursing practice; proactive decision making in quality care becomes a framework of practice and thus fosters the delivery of quality, community based healthcare. According to the authors, practicing nurses in community based settings will find value in this book. It could be a quality text for the novice or experienced nurse as well as students trying to internalize management of techniques with assistive personnel. The authors are widely published in nursing literature, and bring community health nursing experience to this book. Timely in issues impacting home care with a historical review of significant events gives the reader a clear view of legal implications and communication techniques. The use of the nursing process in the organization of thoughts and actions provides the basis for critical thinking applications as well as impact in problem solving. Decision making in regard to events involving personnel, clients, and the healthcare team is succinctly covered. Barriers and benefits in these events are clearly identified. Appendixes provide examples of realistic applications of the delegation process. This book qualifies as a leader in learning or applying delegation skills. The overall view and holistic approach using a delegation process that takesinto account state statutes, facility policies and procedures, and professional practice provides responsible delegation and competent management. Review and use of this book should give the reader a definite sense of the scope of responsibility, legal ramifications, and successful intervention with the healthcare team members in the home care setting.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780834212336
  • Publisher: Aspen
  • Publication date: 1/11/1999
  • Edition description: 1E
  • Edition number: 1
  • Pages: 364
  • Product dimensions: 9.00 (w) x 6.00 (h) x 0.75 (d)

Table of Contents

About the Authors
Contributors
Foreword
Acknowledgments
Ch. 1 The Overall Process of Delegation 1
The Definition of Delegation 1
The Model: The Key to Delegation 2
The Skill 9
Ch. 2 Know Your World: What in the World Is Going On? 11
Why All the Change? 11
The New World 12
Home Health Care Responses to the Changes 29
Ch. 3 Know Your Practice: Is My License on the Line? 47
The State Board of Nursing 48
The National Council of State Boards of Nursing 56
Multistate Regulation 57
The Nurse Practice Act 58
Rules and Regulations 59
The Test 60
HCFA Guidelines 68
The LPN Role 72
Delegation and the Nursing Process 73
Ch. 4 Know Your Organization: What about Where I Work? 81
Historical Development - Or, How Did We Get Here? 81
The Unionized Organization and Delegation 84
Assessing the Health Care Organization 88
Ch. 5 Know Yourself: What Personal Barriers Must I Overcome To Realize the Benefits of Effective Delegation and Teamwork? 107
The Transition from Hospital-Based Care to a Seamless Health Care System 107
The Move from Acute Care to Community-Based Settings 110
Exploring Other Barriers 117
Determining the Potential Benefits 127
Ch. 6 Know What Needs To Be Done: If I Delegate All My Tasks, What's Left for Me To Do? 133
Defining the Role 134
The PTA Model 136
Getting the Job Done 142
Decision-Making Models 151
Caseload/Workload Analysis 162
App. 6-A Caseload/Workload Analysis 166
Ch. 7 Know Your Delegate: How Can I Determine the Right Delegate for the Job? 173
Who Are the Delegates? 174
Assessing the Role Played by Each Delegate 175
Official Expectations of Each Role 175
Practice Acts and Regulations 175
The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective 177
Accountability for Competence 185
Job Descriptions 185
Validated Competencies: The Organizational Perspective 188
The Impact of the Mission on Job Roles 190
Unofficial Expectations of Each Role 191
Assessing the Delegate's Strengths 195
Assessing the Delegate's Weaknesses 197
Assessing the Delegate's Motivation 202
Your Responsibility for the "General Climate" of Motivation 206
Assessing the Delegate's Preferences 207
Assessing Cultural Differences 207
Ch. 8 How Can I Communicate So That the Work Gets Done Right? 215
Delegate Responses 216
Communication Styles: Passive, Aggressive, Assertive 218
Effective Assigning 224
Assertive Follow-Up 229
Nonverbal Behaviors 232
Ch. 9 How Do I Manage My Team and Resolve Conflict 237
Conflict As a Concept 237
Sources of Conflict 238
Cost of Conflict 241
Strategies for Conflict Resolution 245
Innovative Issue Resolution Process: A Collaborative Method 253
Case Study Analysis of Collaborative Resolution 259
Ch. 10 Know How To Give Feedback: What Do Delegates Really Want? 267
Benefits of Giving and Receiving Feedback 268
The Power of Feedback 269
The Process 269
Giving Feedback to the Delegate 271
The Supervisory Visit 273
Application to the Delegation Process 273
Requesting and Receiving Feedback 278
Upward Feedback 279
Ch. 11 Know How To Evaluate and Solve Problems: How Well Has the Delegation Process Produced the Outcomes I Wanted To Achieve? 285
Evaluation: Continuous, Problem Related, and Periodic 286
Continuous Evaluation 288
Specific Incident or Problem Related Evaluation: Critical Thinking 297
Periodic Evaluation 308
Case Study Analysis of Evaluation 312
Documentation and the Delegation Process 314
Celebrate the Success of the Team! 319
@App. 11-A Delegation of Nursing Care Task 324
App. A Addresses and Telephone and Fax Numbers for State Boards of Nursing 331
Index 337
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