Clinical Delegation Skills: A Handbook for Professional Practice: A Handbook for Professional Practice / Edition 4

by Ruth Hansten, Marilynn Jackson

Overview

Clinical Delegation Skills helps 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 teaches readers about the world of professional health care roles and accountability, as well as how to communicate effectively, provide feedback, handle conflict, and address leadership strengths and weaknesses using higher-order critical thinking skills, emotional intelligence, and clinical judgment. The Fourth Edition has been completely revised and updated and reflects all new delegation laws and policies.

Product Details

ISBN-13:	9780763755799
Publisher:	Jones & Bartlett Learning
Publication date:	09/04/2008
Series:	Clinical Delegation Skills
Edition description:	4E
Pages:	435
Product dimensions:	6.00(w) x 8.90(h) x 1.00(d)

About the Author

Ruth Hansten RN, MBA, PhD, FACHEis the author of six books and numerous articles. Her mission is to promote healing and wholeness, transforming organizations through relationship enhancement and skills development. With over 30 years of experience in nursing, she brings both a practical and humorous approach to the essential work that nurses do. For the past 19 years her national consulting practice has worked with nursing care delivery models, critical thinking, delegation and leadership skills, and interdisciplinary team development. She has developed a care delivery model and philosophy called Relationship and Results Oriented Healthcare™ (RROHC) and this model had resulted in improved patient outcomes, clinical indicators, employee engagement, provider satisfaction, and healthcare employee retention. Her doctoral research focused on critical thinking and clinical judgment and she incorporates her research into her teaching and consulting strategies. In 2008 the 4th edition of her Clinical Delegation Skills: A Handbook for Professional Practice book will be published as will her Relationship & Results Oriented Healthcare Implementation Manual. She is most proud of being voted “boss of the year” by the MWBA in Spokane, WA, one of the “great head nurses” by the AJN in the 1980s, and helping raise 5 kids. She currently serves as a board trustee at a Pacific NW medical center. Visit her websitewww.Hansten.com, andwww.RROHC.com and her blog (www.Hansten.com/blog) for a list of her books and articles.

Noted author of numerous articles and award winning books, Marilynn’s work has focused on the concepts of delegation, critical thinking, and creative expression. She served as graduate faculty for the University of Phoenix, teaching courses in management, leadership, collaboration and conflict, among many others. Changing directions to reflect her work with intuitive nursing practice (www.intuitiveoptions.com) and energy therapies, Marilynn is now a certified healing touch practitioner and a certified clinical aromatherapist, with a growing private practice in the Treasure Valley of Oregon. She teaches classes in both modalities and is available for private and group consultation.

Table of Contents

	About the Authors	ix
	Contributors	xi
	Foreword	xiii
	Foreword to the Second Edition	xv
	Acknowledgments	xvii
Chapter 1	The Overall Process of Delegation	1
	The Definition	1
	The Model: The Key to Delegation	2
	The Skill	8
Chapter 2	Know Your World	11
	What in the World Is Going On?	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	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
	Where Do We Go from Here?	47
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
	Conclusion	82
Chapter 4	Know Your Organization: What About Where I Work?	85
	Historical Development--Or, How Did We Get Here?	85
	In the Beginning	86
	The Unionized Organization and Delegation	88
	Assessing the Health Care Organization	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
	Conclusion	110
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
	Conclusion	145
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
	Conclusion	189
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
	Conclusion	231
Chapter 8	Know How to Communicate	235
	Delegate Responses	236
	Communication Styles: Passive, Aggressive, Assertive	238
	Effective Assigning	242
	Assertive Follow-Up	248
	Nonverbal Behaviors	251
	Conclusion	252
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
	Conclusion	279
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
	Conclusion	303
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
	Conclusion	339
	Celebrate the Success of the Team!	340
Appendix 11-A	Nurse Delegation	344
	Contact Information for State Boards of Nursing	351
	Index	359