PICO And Literature Search Scenarios 1: Delegation ✓ Solved

PICO and Literature Search Scenarios 1: Delegation

The unit employs RNs, LPNs, and PCTs to provide direct care. The unit has had an issue with appropriate delegation. The PCTs and LPNs report that they are being asked to perform more than their fair share, and things they should not do. The RNs state that they are the only ones who do anything, and every time they ask the LPNs and PCTs to do anything they are told the PCTs and LPNs are not allowed to perform the task. The Unit manager recognizes that efforts to improve delegation need to be made.

Your task is to research an intervention to enhance the quality and practice of delegation on this unit.

Paper For Above Instructions

The healthcare environment is increasingly complex, with a diverse team of professionals working to provide patient care. However, effective delegation among these professionals is crucial for optimal patient outcomes and staff satisfaction. In assessing the issue of delegation in a unit comprising RNs, LPNs, and PCTs, there are several factors and interventions that can help to enhance delegation quality and practice.

The Importance of Effective Delegation

Delegation in nursing refers to the process of assigning tasks or responsibilities to other members of the healthcare team, while retaining overall accountability for patient care (Kramer & Schmalenberg, 2008). The successful delegation not only maximizes productivity but also improves teamwork and staff morale. However, improper delegation can lead to conflicts, inefficiencies, and ultimately affect patient care negatively (Kozlowski et al., 2018).

Identifying the Problem

The scenario shows a clear misalignment in the perceived roles of RNs, LPNs, and PCTs, which can cause resentment and a breakdown in teamwork. The RNs feel overburdened, while LPNs and PCTs feel stuck between conflicting directions, leading to hindered patient care and potential burnout among staff (Thompson et al., 2020).

Proposed Intervention: Educational Workshops

An intervention to enhance delegation practices on the unit is the implementation of educational workshops focusing on the principles and benefits of effective delegation. This intervention will foster an understanding among all team members regarding their roles, responsibilities, and expectations, as well as equip them with the necessary skills to collaborate effectively.

Workshop Goals and Objectives

• Define Roles: Clearly delineate the responsibilities of RNs, LPNs, and PCTs in patient care.
• Educate on Delegation Principles: Provide the team with a foundation on effective delegation and its importance.
• Develop Communication Skills: Enhance interpersonal skills to foster better communication among team members.
• Empower Staff: Encourage PCTs and LPNs to take more initiative in patient care within the parameters of their training.

Implementation Strategy

The implementation of the educational workshops can proceed in several stages:

1. Staff Assessment: Survey the team to gauge their understanding of delegation and identify training needs.
2. Workshop Development: Collaborate with nursing educators to develop content tailored to the specific needs of the unit.
3. Conduct Workshops: Organize regular workshops, ensuring that participation from all team members is encouraged.
4. Follow-Up Evaluations: After the workshops, conduct follow-up evaluations to assess improvements in delegation practices and staff satisfaction.

Expected Outcomes

By implementing educational workshops, the unit can expect several positive outcomes, including:

• Improved understanding of roles among RNs, LPNs, and PCTs.
• Enhanced satisfaction levels among staff due to reduced conflicts and clearer expectations.
• Better patient care as a result of improved teamwork and communication.
• Reduced workload on RNs, leading to lower burnout and increased job satisfaction.

Conclusion

Improving delegation quality and practice is essential for enhancing nurse satisfaction and patient care outcomes. The proposed intervention, educational workshops, aims to foster understanding and collaboration among nursing staff, thus creating a more cohesive and efficient unit. Properly educating team members on effective delegation can help ease tensions and promote a healthier work environment, benefitting both staff and patients alike.

References

• Kramer, M., & Schmalenberg, C. (2008). The essentials of magnetism: A model for nursing excellence. Nursing Administration Quarterly, 32(3), 203-206.
• Kozlowski, S. W. J., Gully, S. M., Salas, E., & Cannon-Bowers, J. A. (2018). Team-based learning. Academy of Management Learning & Education, 17(1), 151-174.
• Thompson, C. A., Tripp-Reimer, T., & Hinton, M. (2020). Exploring nurse perceptions of delegation among team members. Western Journal of Nursing Research, 42(6), 467-474.
• Bonetti, A. F., Reis, W. C., Lombardi, N. F., Mendes, A. M., Netto, H. P., Rotta, I., Fenandez-Llimos, F., & Pontarolo, R. (2018). Parmarcist-led discharge medication counselling: A scope review. Journal of evaluation in practice, 24(3).
• Di Simone, E., Giannetta, N., Auddino, F., Cicotto, A., Grilli, D., & Di Muzio, M. (2018). Medication errors in the emergency department: Knowledge, attitude, behavior, and training need of nurses. Indian Journal of Critical Care Medicine, 22(5).
• Metsamuuronen, R., Kokki, H., Naaranlahti, T., Kurttila, M., & Heikkila, R. (2020). Nurses’ perception of automated dispensing cabinets – an observational study and online survey. BMC Nursing, 19(1), 1-9.
• Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Healthcare, 30(6).