As defined in the previous exercise, the process of delegation requires knowledge of the concepts of responsibility, accountability, and authority. It is often a breakdown in the transfer of one of these processes that causes delegation to be unsuccessful.
- Read each of the following scenarios in class.
- In group discussion, identify whether responsibility, accountability, and/or authority have been transferred, have not been transferred, or are currently shared.
- You are the 3-11 charge nurse on a medical unit. Your nurse manager has instructed you to inform a 3-11 staff nurse that she has been terminated, based upon a progressive disciplinary plan with which you previously have not been involved.
- You are the nurse manager of a busy labor and delivery unit. A staff RN has just expressed an interest in orienting the new unlicensed assistive personnel to the unit. You agree that it is a great idea.
- Mr. Leland has been struggling to manage his evening wound care by himself at home. His health insurance will only cover daily RN visits, although you believe he warrants twice-daily dressing changes. As the case manager for Mr. Leland, you instruct the home health aide to report to you any deterioration of the wound when she sees him in the evenings.
- The staff has requested a self-governance structure. Most specifically, they have expressed an interest in self-scheduling. You agree to let them cover the next month's schedule, but state, "If anyone is unhappy with the final schedule, don't tell me about it."
Steps of Delegation
- Define the task
- Decide on delegate
- Determine the task
- Reach agreement
- Monitor performance and provide feedback
- Evaluate outcome
Sullivan, E.J. and Decker, P. J. (2004). Effective Leadership and Management in Nursing. (6th ed.). Upper Saddle River, N.J.: Prentice Hall