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RESEARCH POSTER PRESENTATION DESIGN © 2015 www.PosterPresentations.com The purpose of this project is to assist the Registered Nurse in understanding the skill of delegation within his/her scope of practice and how effective delegation positively affects the work environment. Purpose Background/Significance Outcomes PracCce ImplicaCons It is an unsafe assumption that RNs understand or commit to their scope of practice when it comes to delegation. Patient safety is improved or complimented when effective communication between a RN and UAP occurs consistently. Additionally, improved understanding of each other's role assists staff members in efficient teamwork. Each discipline learns to value each other and their contributions to the welfare and healing of our clients. This was seen to improve staff morale and retention. References There was statistically significant improvement in the consistency of giving report between RNs and UAPs. The UAPs reported that they routinely met and received updates from the RNs on any patient condition changes. Additionally, there was a statistically significant improvement in the perception that the UAPs valued the RNs work. Under the regulations of Title 22, RNs are given authority to delegate tasks to UAPs and supervise their completion. The skill of effective delegation is not an inherent one amongst all RNs; some are naturally good at this skill while other struggle. The literature shows that limited discussion and practice of the skill of delegation can lead to unsafe nursing practices. The literature also shows that RNs are often uncomfortable or unfamiliar with their supervisory role and expectations. Joan Rolland RN, MBA; Debbie McKnight RN, MSN; Holly Bicknell RN, BSN; Katrina Rodriguez RN, BSN; Lynze Rubalcava RN, BSN; Diane Sauco RN, MSN, MSHCA; David Stevahn RN-BC, BSN; Debra Schultz RN, BSN; Rebecca Rogers RN, BSN; Marilou Cortes RN, MSN; Maria Alcazar RN, MSN, MSHCA; Lorraine Di'Giacamo RN, BSN; Kelly Sanchez RN, BSN Delega/on: An Acquired Skill Necessary for Success 0 10 20 30 40 50 60 70 80 Baseline Post Educa/on 0 10 20 30 40 50 60 70 80 Post Educa/on 0 10 20 30 40 50 60 70 80 Baseline Post Educa/on Methods A pre-educational survey was conducted to determine current delegation practices and job satisfaction from the perception of both RNs and UAPs. Mandatory 2-hour education on effective collaboration and delegation amongst RNs and UAPs was provided to all acute-care RNs and UAPs from a 547 bed facility. The goals of the education were to clarify and understand the scope of practice for RNs and UAPs, improve delegation skills and follow-up supervision, distinguish standard work versus delegated work, improve report between RNs and UAPs, and instill esprit de corps behaviors between the two disciplines. months later, a follow-up survey was distributed in order to determine changes in current delegation practices and job satisfaction. We hypothesized that our educational discussions would be successful if the staff members perceived an improved consistency in giving report, improved consistency in the follow-up of delegated tasks, and an improvement in perception of value in their teamwork. 1. American Nurses Association. (2010). Nursing: Scope and Standards of Practice, 2nd Ed. Silver Springs, MD: Nursebooks.org 2. Kalisch, B. J. (2011). The impact of RN-UAP relationships on quality and safety. Nursing Management, 16-22. Doi:10.1097/01.NUMA. 0000403284.27249.a2 3. Kalisch, B. J. (2009). Nurse and nurse assistant perceptions of missed nursing care. JONA 39(11), 485- 493. 4. Kelly, P., & Marthaler, M. T. (2011). Nursing delegation, setting priorities, and making patient care assignments. Clifton Park, NY: Delmar. 5. Kleinman, C. S., & Saccomano, S. J. (2006). Registered nurses and unlicensed assistive personnel: An uneasy alliance. The Journal of Continuing Education in Nursing, 37(4), 162-170. 6. National Council of State Boards of Nursing. (2002). Delegating effectively: Working through and with assistive personnel [Motion picture]. (Available from ncsbn.org) 7. National Council of State Boards of Nursing. (2006) Joint statement on delegation. Retrieved August 4, 2011 from https://www.ncsbn.org/ Joint_statement.pdf 8. Pearson, C. (2004). Patient care delivery. In M. K. (Ed.), Relationship-based care (159-183). Minneapolis, MN: Creative Healthcare Management. 9. State of California, Code of Regulations. (2009). California nursing practice act (2010 ed.). Charlottesville, VA.: LexisNexis Matthew Bender & Company, Inc. Improved consistency in giving report The UAP routinely meets/received updates from the RN on any condition change Improved value and team contribution The UAP feels respected and valued for his/her contribution to workflow. Improved consistency in follow up of delegated tasks UAP believes that tasks delegated are clear and easy to follow If you want go fast, go alone. If you want go far, GO TOGETHER! --- Aican Proverb
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