Clinical Delegation Skills: A Handbook for Professional Practice
Author: Ruth Hansten
Practical, easy to read, and full of checkpoints and exercises, this renowned text will teach you about the world of professional healthcare roles and accountability, as well as how to communicate effectively, provide feedback, handle conflict and address your own strengths and weeknesses.
Table of Contents:
Ch. 1 The Overall Process of Delegation 1
The Definition 2
The Model: The Key to Delegation 3
The Skill 8
Delegation as Integral to Professional Practice 9
References 12
Ch. 2 Know Your World 15
Influence of Nurse Shortages 17
Evolution of Healthcare Payment Systems 20
Demographic Trends 23
Healthcare Delivery Trends 26
Changing Nature of Work 27
Safety and Balanced Assessments 28
Evolution of the Art and Science of Nursing Practice 29
Continual Planning for Transfer and Discharge 33
Implementation of Clinical Pathways 33
Technology Evaluation 38
Client Accountability for Care: Health Education 39
Growth of Home Care 42
Redesign of Care Delivery Systems 42
Where Do We Go from Here? 54
An Invitation 55
References 58
Ch. 3 Know Your Practice: Is My license on the line? 63
The State Board of Nursing 65
The National Council of State Boards of Nursing 72
The Nurse Practice Act 74
Rules and Regulations 76
The Test 77
The LPN Role 89
Delegation and the Nursing Process 91
Conclusion 97
References 99
Ch. 4 Know Your Organization: What About Where I Work? 101
In the Beginning 103
The Nonunion Environment 111
The Mission Statement 111
The Organizational Structure 116
The Impact of Redesign 116
The Quality Program 122
Safety in Practice Models 124
Educational Resources 127
Your Role in Organizational Success 129
References 131
Ch. 5 Know Yourself 135
Level of Clinical Experience: From Novice to Expert 138
Exploring Barriers 142
Other Barriers 156
Determining the Potential Benefits 166
Conclusion 171
Appendix 5-A Nursing Expertise Self-Report Scale 175
Instructions for Completingthe Nursing Self-Report Scale 177
References 178
Ch. 6 Know What Needs to Be Done 181
Defining the Role 183
The PTA Model 185
Getting the Job Done 192
Additional Samples for Planning Care 216
Conclusion 221
References 224
Ch. 7 Know Your Delegate 227
Who Are the Delegates? 228
Assessing the Role Played by Each Delegate 230
Official Expectations of Each Role 231
Practice Acts and Regulations 231
The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective 232
Accountability for Competence 240
Job Descriptions 240
Validated Competencies: The Organizational Perspective 242
The Impact of the Mission on Job Roles 245
Unofficial Expectations of Each Role 246
Assessing the Delegate's Strengths 250
Assessing the Delegate's Weaknesses 253
Assessing the Delegate's Motivation 259
Your Responsibility for the "General Climate" of Motivation 263
Assessing the Delegate's Preferences 264
Assessing Cultural Differences 266
Conclusion 268
References 270
Ch. 8 Know How to Communicate 273
Communication as a Part of the Plan for the Day, Shift, or Case 274
Delegate Responses 275
Communication Styles: Passive, Aggressive, Assertive 278
Effective Assigning 283
Assertive Follow-Up 289
Nonverbal Behaviors 292
Conclusion 293
References 297
Ch. 9 Know How to Resolve Conflict: Getting Coworkers to Work Together as a Team 299
Conflict as a Concept 299
Sources of Conflict 300
Cost of Conflict 304
Strategies for Conflict Resolution 306
Innovative Issue Resolution Process: A Collaborative Method 317
Case Study Analysis of Collaborative Resolution 322
Conclusion 326
References 329
Ch. 10 Know How to Give Feedback 331
Benefits of Giving and Receiving Feedback 334
The Power of Feedback 335
The Process 337
Giving Feedback to the Delegate 339
Application to the Delegation Process 341
Requesting and Receiving Feedback 348
Upward Feedback 349
Conclusion 352
References 353
Ch. 11 Know How to Evaluate: How Well Has the Delegation Process Produced the Outcomes I Want to Achieve? 355
Evaluation: Continuous, Problem-Related, and Periodic 357
Continuous Evaluation 359
Specific Incident or Problem-Related Evaluation: Critical Thinking 368
Periodic Evaluation 384
Case Study Analysis of Evaluation 386
Documentation and the Delegation Process 389
Conclusion 395
Celebrate me Success of the Team! 396
References 399
Appendix 11-A Nurse Delegation Forms 402
Index 419
New interesting textbook: Introduction to Globalization and Business or Leadership and Power
Mobilizing the Modern War: The Political Economy of American Warfare, 1865-1919
Author: Paul A Koistinen
"With this volume, Koistinen hits his stride in conveying his mastery of the history of the political economy of American warfare and military institutions. His work will long remain the principal authoritative study of American economic mobilization for World War I and its long-run impact and implications."—Russell F. Weigley, author of The American Way of War
"A real tour de force. Based on prodigious research, this book provides a thorough and insightful account of the material basis for the United States military in one of the most important periods in American history."—John Whiteclay Chambers II, author of To Raise an Army
"This fascinating analysis of the political economy of warfare in the United States during the Gilded Age, the Progressive Era, and World War I is a major contribution to our understanding of the forces that have shaped American society. It is part of a monumental study of the origins and development of the military-industrial complex. For military historians, economic historians, and scholars of United States history, the notes alone are worth the price of the book."—Ronald Schaffer, author of America in the Great War
"A most impressive book. I am awed by Koistinen's grand design and outstanding research. When completed, this series will be one of the most distinguished feats of scholarship of our time."—Edward M. Coffman, author of The War to End All Wars
Author Bio: Paul A. C. Koistinen is professor of history at California State University-Northridge. His other books include Beating Plowshares into Swords: The Political Economy of American Warfare, 1606-1865; Planning War, Pursuing Peace: The Political Economy of American Warfare, 1920-1939; and The Military-Industrial Complex.
Booknews
The second volume of a proposed five-volume work that is intended to offer a comprehensive, schematic, and interdisciplinary study of the economics of America's wars from the colonial period to the present. Discussion of the period from 1865 through the Progressive Era elucidates the major systems involved in the economic, political, and military developments of the time. The focus in the remainder of the book shifts to the preparation and economic mobilization for war. Annotation c. by Book News, Inc., Portland, Or.
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