Delegation of nursing care /
Patricia Kelly-Heidenthal, Maureen T. Marthaler.
Clifton Park, NY : Thomson/Delmar Learning, c2005.
xxii, 167 p. : ill. ; 28 cm.
1401814050 (alk. paper)
More Details
added author
Clifton Park, NY : Thomson/Delmar Learning, c2005.
1401814050 (alk. paper)
catalogue key
Includes bibliographical references and index.
A Look Inside
About the Author
BIH Author Biography
Patricia Kelly-Heidenthal earned a Diploma in Nursing from St. Margaret Hospital School of Nursing, Hammond, Indiana; a baccalaureate in nursing from DePaul University in Chicago, Illinois; and a master's degree in nursing from Loyola University in Chicago, Illinois. She has worked as a staff nurse and as a school nurse. Pat has traveled extensively, teaching conferences for the Joint Commission on Accreditation of Healthcare Organizations. She was director of quality assurance for nursing at the University of Chicago Hospitals and Clinics in Chicago, Illinois. Pat has taught at Wesley-Passavant School of Nursing, Chicago State University, and Purdue University Calumet in Hammond, Indiana. She is Professor Emerita, Purdue University Calumet, Hammond, Indiana. Pat has taught fundamentals of nursing, adult nursing, nursing leadership and management, nursing issues, nursing trends, and legal aspects of nursing. She has taught nursing conferences in almost every state in the United States, as well as in Puerto Rico and Canada on quality improvement. Pat also teaches NCLEX reviews nationally with Health Education Systems, Inc., and is a member of Sigma Theta Tau and the American Nurses Association. She is listed in Who's Who in American Nursing, 2000 Notable American Women, and the International Who's Who of Professional and Business Women. Pat has served on the Board of Directors of Tri City Mental Health Center, St. Anthony's Home, and Mosby's Quality Connection. She is the editor and author of Nursing Leadership and Management, Delmar, 2003; Essentials of Nursing Leadership and Management, Delmar, 2004; and she contributed a chapter entitled "Preparing the Undergraduate Student and Faculty to Use Quality Improvement in Practice" to Improving Quality, Second Edition, by Claire Gavin Meisenheimer, Aspen, 1997. Pat has written several articles, including "Chest X-Ray Interpretation" and many articles on quality improvement. Pat is a disaster volunteer for the American Red Cross and volunteers at a church food pantry in Austin, Texas. Throughout much of her career, she has taught nursing at the university level and has continued to work part time as a staff nurse in the Emergency Department. This has allowed her to wear several hats and see nursing from many points of view. Pat currently lives in Austin, Texas, and can be reached at Maureen T. Marthaler earned a baccalaureate degree in nursing from Lewis University in Romeoville, Illinois, and a master's degree in nursing education from DePaul University in Chicago. She taught at Prairie State College in Chicago Heights, Illinois. Currently, Maureen is an assistant professor at Purdue University Calumet in Hammond, Indiana. Maureen has taught fundamentals of nursing, adult nursing, nursing leadership and management, nursing ethos, and critical care nursing courses. She has taught nursing conferences on various neurological conditions, such as assessment, seizures, Guillian-Barre, Parkinson's Disease, and blood gas assessment. Maureen has also taught NCLEX reviews nationally. She is the treasurer for Mu Omega Chapter of Sigma Theta Tau and is a member of the National League for Nursing. Maureen contributed a chapter on delegation of nursing care to the Kelly-Heidenthal textbook published by Delmar, Nursing Leadership and Management, 2003. Maureen also wrote a continuing education program for Sigma Theta Tau International on delegation. Her most recent publication "SARS: What Have We Learned" in the nursing journal Registered Nurse, was co-authored with her colleagues at Purdue University Calumet. She has traveled to Romania and assisted a nursing school there with curriculum development. Throughout her career, she has continued to work part time as a staff nurse in the Intensive Care Unit at St. Margaret's Hospital in Hammond, Indiana. Maureen has been licensed as an RN for over 23 years. She is married to David, a very supportive husband. She is the mother of two wonderful teenage boys, Luke, 15, and Jake, 13. They live in Crete, Illinois, where Maureen can be reached at
This item was reviewed in:
Doody's Reviews, November 2004
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Long Description
The long standing nursing shortage has prompted many institutions to rely on nurses to delegate critical tasks. Delegation of Nursing Care establishes safe delegation as an indispensable skill in delivering quality patient care. The book discusses the demanding roles of a professional nurse and explores the elements of decision making nurses use most. It also highlights the importance of communication, time management, and accountability, and is designed to build the diverse skills needed in the world of nursing.
Table of Contents
Contributorsp. vii
Reviewersp. xi
Prefacep. xiii
Organizationp. xiv
Chapter Featuresp. xv
Acknowledgmentsp. xvii
About the Authorsp. xix
List of Patient Descriptionsp. xxi
Concept of Delegationp. 1
Perspectives on Delegationp. 2
Delegationp. 6
Assignmentp. 6
Assignment versus Delegationp. 7
Supervisionp. 8
Accountabilityp. 8
Authorityp. 9
Responsibilityp. 9
Types of Delegationp. 13
Direct Patient Care Activitiesp. 14
Indirect Patient Care Activitiesp. 14
Underdelegationp. 15
Overdelegationp. 15
Organizational Responsibility for Delegationp. 16
Chain of Commandp. 18
Critical Thinking, Decision-Making, and an Ethics Testp. 20
Decision Making Process and Delegationp. 21
Case Studyp. 21
An Ethics Testp. 23
Delegation Decision-Making Grid and the Five Rightsp. 29
The National Council of State Boards of Nursing (NCSBN) Delegation Decision-Making Gridp. 30
The Five Rights of Delegationp. 32
State Boards of Nursingp. 35
Knowledge and Skill of Delegationp. 35
Powerp. 35
Delegation Responsibilities of Health Team Membersp. 40
Nurse Manager Responsibilityp. 40
New Graduate Responsibilityp. 41
Registered Nurse Responsibilityp. 41
LPN/LVN Responsibilityp. 42
UAP Responsibilityp. 44
Delegation Suggestions for RNsp. 47
Effective Communicationp. 53
Elements of the Communication Processp. 54
Sender and Messagep. 54
Communication Channel and Receiverp. 55
Feedback and Educational, Cultural, Emotional, and Perceptual Influencesp. 55
Communication and Delegationp. 55
Communication Skillsp. 56
Attendingp. 58
Respondingp. 58
Clarifyingp. 58
Confrontingp. 58
Culture and Delegationp. 61
Communicationp. 61
Spacep. 61
Social Organizationp. 61
Timep. 62
Environmental Controlp. 62
Biological Variationsp. 62
The Professional Role of the Nursep. 63
Potential Barriers to Communicationp. 67
Genderp. 67
Angerp. 68
Incongruent Responsesp. 69
Conflictp. 70
Thought Distortionsp. 70
Additional Barriers to Communicationp. 73
Overcoming Communication Barriersp. 73
Helpful and Non-Helpful Roles in Communicationp. 73
Destructive or Difficult Behaviorsp. 75
Myers-Briggs Personality Typesp. 78
Workplace Communicationp. 79
Communicating with Superiorsp. 81
Communicating with Co-Workersp. 82
Communicating with other Nursing and Medical Practitionersp. 85
Time Management and Setting Prioritiesp. 97
GeneralTime Management Techniquesp. 99
Outcome or Goal Orientationp. 100
Analysis of Nursing Timep. 100
Value of NursingTimep. 100
Use of Timep. 101
Activity Logp. 101
Create MoreTimep. 104
Effective Use of Available Timep. 106
Setting Priority Patient Outcomesp. 106
Priority Trapsp. 107
Considerations in Setting Prioritiesp. 108
More Priority Settingp. 111
Shift Report and Making Assignmentsp. 112
Making Assignmentsp. 115
Making Patient Care Roundsp. 117
Evaluation of Outcome Achievementp. 119
Legal Aspects of Patient Care and Delegationp. 131
Tort Lawp. 132
Negligence and Malpracticep. 133
Do Not Attempt to Resuscitate (DNAR) Orders and Following Ordersp. 140
Resources for Safe, Legal, and Ethical Nursing Practicep. 141
State Nurse Practice Actp. 141
Policies and Procedures of the Institutionp. 141
Good Samaritan Lawsp. 142
Good Communicationp. 142
Documentationp. 144
Patient Advocacy and Ethical Behaviorp. 144
Risk Management Programsp. 145
Malpractice/Professional Liability Insurancep. 148
Nursing Risk in Litigationp. 150
Common Monetary Awardsp. 151
Selected Monetary Liability Limitsp. 152
Other Legal Risks for the Nurse/Practitioner/Hospitalp. 152
Nurse-Attorney Relationships in a Lawsuitp. 154
Glossaryp. 163
Indexp. 165
Table of Contents provided by Rittenhouse. All Rights Reserved.

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