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Doody's Review ServiceReviewer: 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.