DELEGATION-BUDGETING
DELEGATION-BUDGETING
DELEGATION-BUDGETING
Right Circumstance
Right-answer Circumstance
One should consider the patient setting, available resources, and other relevant factors before
delegating a task.
Right Person
Right-answer Person
The "Right Person" describes delegating the appropriate tasks to the right healthcare person to
be performed on the correct patient.
Right Direction/Communication
Right-answer Direction/Communication
Consider the "4 C's" when giving direction and communicating, which includes clear, concise,
complete, and correct information. This should also include the objective, limits, and
expectation of the task at hand.
Right Supervision/Evaluation
Right-answer Supervision/Evaluation
Provide appropriate monitoring and evaluation as well as intervention and feedback as ne
1. Know your resources
If you’re not sure about which tasks can be delegated, know where to look this
information up. The specific hospital may have a policy you can review, or you can
check out your state board of nursing’s website. We won’t go into specifics here,
because that can change. However, it’s really important – regardless of location –
to know that the person you’re delegating the task to is competent. This means
that they have the appropriate competencies signed off to verify that they can
safely perform the task. I’ve been at facilities in which some CNA’s could perform
phlebotomy or insert foley catheters, while others could not.
2. Build rapport
I don’t know about you, but if I meet someone and they don’t show any interest in
knowing me at all and immediately starts barking orders a Introduce yourself to
your support staff… show that you care about getting to know them. Ask to
shadow them, if time allows. Show them that you value their expertise (yes, CNA’s
are experts in what they do – their knowledge is valuable to you as a nursing
student). Earn their trust. Ask them what they think about delegation and what
they like and don’t like… learn from the mistakes of others.
The S.O.C.K. Method for Mastering Nursing Pharmacology (our 4 step method)
3. Communicate clearly and respectfully
Sometimes we try to communicate something, but people don’t always hear what
we say. It’s a recipe for disaster if you just say something like, “Hey go discontinue
the foley in bed 4!” as you’re walking by, heading to lunch. Go up to the person;
let them know that Mr. Smith in bed 4 needs his foley discontinued. Show them
the order in the chart, and let them know that the sooner we get this removed,
and the sooner he pees, the sooner he can be discharged. Be detailed and give
the appropriate information, show them the order, and let them know how soon
it needs to be done and …
Time management in nursing helps nurses organize and prioritize patient care,
internal administrative tasks, educational responsibilities and personal obligations.
Although nursing is a demanding profession, nurses who develop techniques to
better manage their time can achieve balance in the face of time limitations.
Nurses who learn how to effectively manage their time see worthwhile benefits.
According to the International Journal of Caring Sciences, effective time
management in nursing can result in:
● Greater productivity
● Reduced stress
● Improved efficiency
● More opportunities for professional advancement
● Greater opportunities to achieve career and life goals
2. Implement Routinization
Routinization is a tool that helps nurses maximize time
efficiency. Routinization involves “repeating what works in your routine in
a systematic process so that the consistency helps with time
management.” Creating a consistent routine enhances time management
in nursing by eliminating unnecessary planning and turning essential tasks
into habits.
We engage in routinization every day when we wake up, shower and
brush our teeth; the same method can be applied to a nursing profession.
Routinization is designed for necessary daily responsibilities, from
collecting patient health histories to performing physical exams.
A nurse should make a list of routine tasks and sequence each task based
on the duration and prioritization of each item. Implementing a
step-by-step process for habitual duties can save time daily.
5. Delegate Work
After optimizing time management in nursing, nurses still ask for help and
rely on a network of collaborative health care workers. The American
Nurses Association (ANA) released a guide on principles for delegation to
help with time management in nursing.
According to the guide, delegation in nursing is “the assignment of the
performance of activities or tasks related to patient care to unlicensed
assistive personnel while retaining accountability for the outcome.”
The guide instructs nurses on how to make responsible decisions about
delegating nursing responsibilities. The ANA says that a nurse’s decision to
delegate should be based on the following:
9. Stop Multitasking
As a working nurse or a nursing student, you likely have several items on
your to-do list, however, you must tackle the list one item at a time.
New research finds that not only is multitasking ineffective, but it can be
damaging to our brains. Multitasking reduces your ability to comprehend
what you’re seeing and hearing by flooding the brain with competing
information. The study concluded that multitasking makes you:
● Less effective while multitasking
● Less effective after multitasking
● Less effective at prioritizing goals
● Less effective in the presence of other multitaskers
Nurses should reduce multitasking by prioritizing one task at a time.
Delegating certain tasks, prioritizing responsibilities and removing
distractions can all help curb multitasking.
CONFLICT MANAGEMENT
What is conflict management in nursing?
Learning conflict management strategies empowers nurses to
resolve conflict early and influence the work environment in
which they deliver patient care. The training shouldn't be limited
to the handling of interpersonal conflicts; it should include all
types of conflict commonly encountered in the healthcare setting.
Nursing requires teamwork for effective patient treatment. Nurses communicate daily
with doctors, patients and other healthcare professionals. Interpersonal conflict can
occur at any level and challenge collaboration among teams. With strong resolution
skills, a healthcare team can communicate and work together better. Healthcare teams
who communicate effectively could reduce patient errors.
Boosting morale
Conflict-resolution skills can reduce stress and improve the workplace culture for staff
and patients. With proper conflict management, many nurses may feel happier and
more excited to work with their teammates.
Increasing efficiency
Many healthcare employees, including nurses and nurse managers, spend part of their
workdays resolving interpersonal conflicts. Strong conflict-resolution strategies can
help redirect time and energy back to patients and their families. When teams
collaborate better, healthcare organizations often see increased productivity.
Types of conflict in nursing
There are three main types of healthcare conflict:
Task-based conflict
Task-based conflicts can be the easiest to address because there may be one correct
answer. Though nurses may learn various techniques during their training, your
organization and nurse manager likely have set practices they expect each nurse to
follow. You can consult with your nurse manager to see which techniques they prefer,
then you or your coworker can adjust your practice as needed.
If there are multiple acceptable techniques, you and your coworker can discuss the
varying outcomes of both. Sometimes by collaborating and combining strategies, you
may be able to further help patients.
Value-based conflict
Value-based conflict occurs when two nurses have different personal values. For
example, you overhear another nurse talking about their personal beliefs, which
contradict your own.
Although different beliefs and values can create tension, the goal of conflict resolution
should be to reach a mutual, positive change. When communicating with a colleague
whose values you disagree with, try to be empathetic, keeping your common interests
in mind. You can focus on the things you have in common, such as your patients and
care practices, to keep the conversations productive.
Interpersonal-based conflict
Before you talk to the other party, decide whether the issue requires addressing. Pause
and consider how this problem is affecting you and your workplace environment. Ask
yourself what change you are hoping to achieve by resolving this issue.
Determine your major concerns and the desired outcome by asking yourself what you
want out of the conversation and why. Take time to think about the conflict from the
other perspective and what goals you have in common, such as efficient patient care.
Considering the other person's perspective can also help you relate to them more,
making it easier to reach a positive resolution.
After taking some time to reflect, address the issue as soon as possible. Try to discuss
the conflict while it is still relevant and before any tension can build between you and
your healthcare teammate.
Set up a time to talk privately. Try to find a quiet, public place away from patients and
other coworkers so you can have an open dialogue. You can ask to speak with your
coworker in an empty conference room or break room.
Try to remember that you and your colleague are both in nursing for a reason: to care
for patients. Approach the conversation with this shared goal in mind. You can keep
your body language positive by uncrossing your arms and making direct eye contact.
6. Focus on the issue rather than the person involved
Try to talk about the actions rather than the other person. Say, “I noticed the patient
chart was blank at the start of my shift,” rather than, “You never fill in the patient chart
right.” By focusing on the actions and issues, you can help keep the conversation
about resolution rather than blame.
When the other person is speaking, listen actively. They may highlight a new
perspective. Nod and maintain eye contact while keeping a neutral, open facial
expression. Ask questions if you want more information or if you want to clarify
something.
Once you both stated your initial thoughts, try to shift the conversation to your desired
outcomes and brainstorm steps to get there together. You can keep dialogue
productive by focusing on commonalities and solutions. Try to compromise if needed
to reach a shared goal.
If you and the other party are having difficulty reaching a compromise, consider
bringing in an outside perspective. Try to find a neutral mediator who can provide an
unbiased opinion. You may need to reach out to a manager for help if the problem is
unresolved at this stage.
Developing your interpersonal skills, such as empathy and active listening, can help
manage conflict in nursing. With improved communication skills, you might prevent
some conflicts from occurring.
BUDGETING
● There are four common types of budgets that companies use: (1)
incremental, (2) activity-based, (3) value proposition, and (4)
zero-based. These four budgeting methods each have their own
advantages and disadvantages, which will be discussed in more
detail in this guide. Source: CFI's Budgeting & Forecasting Course.