|
|
Studies and field research shows us that few RNs are comfortable with delegation and supervision of nurse assistive personnel (NAP). Ineffective bedside team leadership produces hazardous patient environments and substandard clinical outcomes through chaotic care delivery. Omitted and/or delayed care may lead to FTR (Failure to Rescue), pressure ulcers, falls with injuries, readmissions, and unpaid "Never Events." NAP are disengaged and disgruntled when they work with RNs who do not lead well and do not appreciate their grueling jobs.
Ineffective nurse delegators often:
Are uncomfortable with their jobs. |
|
Clock out of work feeling guilty about not knowing which tasks were completed. |
|
Fear holding NAPs accountable. |
Turnover among RNs and NAPs adds to the difficulty in establishing trusting relationships. Instead of using critical thinking skills to reflect on and improve their care processes each day, teams are unable to improve and deliver patient and family sensitive service-oriented care.
| "I thought it was always going to be a power struggle as an RN, but I discovered we can be a team and I can be good at delegation!" ~RROHC Student |
|
Hansten Healthcare has a proven track record in helping organizations train RNs and NAPs for better teamwork. Application of a clear framework and model for "A Day in the Life of an Expert RN" creates a template for performance and is followed by skill development. Practical application of delegation and supervision principles has resulted in up to 37% improvement in professional practice and enhanced patient, physician, and staff satisfaction.
We know from preparation and past performance that through education, skill practice, feedback, coaching, and experiential application of the principles, concepts, and models, those who choose to become an Ultimate Charge RN are consistently transformed. Additionally, our team's vital advice for organizational development assists executives and managers to individualize care models and hurdle obstacles to the best patient and family driven care.
| "We must become brilliant at the basics to become world class." ~Roger Dow and Susan Cook |
We will work with you to create the best kit configuration for you, based on your organization's size and complexity and the number of RNs you wish to educate and coach to expert leadership, delegation, and supervision.
NURSE DELEGATION 101: TEAMWORK AT THE POINT OF CARE
Updated from our 2009 webinar, this one hour introductory overview of delegation, supervision, and teamwork presents the basic concepts nurses need to know to remain accountable as leaders of bedside teams. Recent research evidence will be offered that emphasizes the importance of communication at the point of care for avoiding hospital acquired conditions and improving clinical outcomes.)
This webinar can be used as an adjunct to orientation and to assist shared governance councils to review the standards of delegation and supervision as they work on solutions to unit level issues. Our popular AONE webinar, Nurse Leader article, and AONE convention poster session topics will be discussed. Dr. Hansten's textbook, Clinical Delegation Skills: A Handbook for Professional Practice (2009), currently in its 4th edition, was awarded the AJN Book of the Year recognition in its first edition in 1994.
Objectives
|
Review the current evidence pointing to delegation and supervision skills as essential to patient safety and cost-effective care. |
|
|
Structure step-by-step methods for daily work through the 5 Rights of Delegation, Supervision and Teamwork. |
|
|
Rate your unit's or department's delegation and supervision skills. |
|
|
Base decisions to prioritize, delegate and supervise using the patient’s/family's desired results. |
|
|
Discuss the ANA and NCSBN’s Joint Statement and review resource location. |
$295/per site
$500/per site for customized presentation
NURSE DELEGATION 201: CARE DELIVERY MODELS AND MAKING ASSIGNMENTS
This one-hour webinar delves deeply into the highly complex process of making assignments and using the Delegation/Supervision principles (The 5 Rights) to create workable care delivery plans. A review of possible teamwork configurations and methods to deploy assistive personnel undergirds the content. Research about how best to utilize RNs and nurse extenders will be indispensable to novice RNs to experienced charge RNs and department leaders as they plan how best to use the personnel available in their communities. We recommend that you and your staff attend the Delegation/Supervision 101 webinar before participating in this workshop. If you wish to gain additional consulting support related to how best to configure care delivery models for your unit or hospital, we will arrange further consulting conference calls to assist you.
Objectives
|
|
Examine current research about care delivery models and how best to utilize RNs, LVN/LPNs and nurse assistive personnel. |
|
|
Define 3 categories of charge RN roles. |
|
|
List factors that need consideration in deployment of assistive personnel to provide initial direction and periodic follow up. |
|
|
Configure assignments with PCTs (or UAPs, LPNs/LVNs, and RNs) given varying patient conditions. |
$295/per site
$500/per site for customized presentation
OTHER WEBINARS AVAILABLE
|
Professional Development 301: Knowing Yourself and Your Team |
|
RROHC Revisited: Overview of RROHC Philosophy and Bundle Best Practices (Complimentary for Current RROHC Clients) |
|
Leadership 401: Conflict Resolution and Offering Feedback |
|
Professional Development 501: Critical Thinking |
ORGANIZATIONAL COACHING for individualization and application of care model for each unit or department.
$500 per 1-hour conference call
For more information, or to sign up for a webinar or organizational coaching session, contact Kathy Watkins via phone at 773-224-6999 or via email at Email Kathy Watkins.
PUBLICATIONS/ASSESSMENTS
|
Clinical Delegation Skills: A Handbook for Professional Practice, by Ruth I. Hansten, RN, PhD, FACHE, 4th edition 2009 (Jones and Bartlett)
$64.95 Buy Now
Delegation Toolkit Workbooks (Hansten Healthcare PLLC, 2010): per student cost is $425, including Teamwork Assessment Tool, access to PPT slides and recording of webinar. Institutional licensure is available.
Online Teamwork Surveys: $3500 (base rate) for overall organizational professional practice survey or delegation/supervision assessment for up to 50 participants, with planned customization and detail determined through agreed upon outcomes and interpretations, including graphs of responses and 1-hour conference call to discuss results. Fees for additional breakout of specific units or departments will be determined on a per-organization basis through conferencing with consultants.
For the past 20 years, Ruth Hansten RN, PhD, FACHE, has taught delegation, teamwork, and professional practice skills in consultation with over 160 organizations nationally. Her book, Clinical Delegation Skills: A Handbook for Professional Practice (Jones and Bartlett, 2009) is in its 4th edition and was awarded the AJN Book of the Year award in 1994.
Her work with bedside care delivery models is featured in other nursing textbooks. Dr. Hansten's doctoral study about critical thinking and clinical judgment informs her ability to teach effectively and create optimal patient outcomes, while reenergizing staff's excitement and personal commitment to their healing connections.
Anthony, M. K., Standing T, Hertz J (2000) Factors Influencing Outcomes after Delegating to Unlicensed Assistive Personnel. JONA 30 474-481.
Comics are copyrighted by Matthew S. Shirley (2009/2010). All rights reserved
Dow, R and Susan Cook. Turned On. (1996) Harper Business Press.
Druskat, Vanessa Urch and Anthony T. Pescosolido, (2000) The Content of Effective Teamwork Mental Models in Self-Managing Teams: Ownership, Learning, and Heedful Interrelating. Presented at the Annual Meeting of the Academy of Management, Toronto Canada, August.Gravlin G and Bittner N. (2009). Critical Thinking, Delegation, and Missed Care. JONA 39, no 3. 142-146. (March)
Gravlin, G. and N. Bittner. (2010) Nurses' and Nursing Assistants' Reports of Missed Care and Delegation, to be published in JONA June 2010
Hansten R, Jackson M. (2009). Clinical Delegation Skills: A Handbook for Professional Practice. 4th Edition. Sudbury, MA: Jones and Bartlett.
Hansten R. 2005. Relationship and Results Oriented Care: Evaluate the Basics. Journal of Nursing Administration, December.
Hansten, R (2004-2010). Delegation and Supervision of Assistive Personnel: Making Teamwork Work! www.MyFreeCE.com.
Hansten, R. (2008). Relationship & Results Oriented Healthcare Planning & Implementation Manual. Port Ludlow, WA: Hansten Healthcare PLLC, www.Lulu.com or www.Amazon.com
Hansten, R. (2008). Why Nurses Still Must Learn to Delegate. Nurse Leader. October: 19-25.
Kalisch, B, Landstrom, G., Williams, R., (2009). Missed nursing care: errors of omission. Nursing outlook. 57, 3-9
Kalisch, B. (2009) Nurse and Nurse Assistant Perceptions of Missed Nursing Care. JONA 19:11: 485-493 November
National Council of State Boards of Nursing. (1995). Delegation: Concepts and Decision-Making Process. Issues. December: 1-4.
National Council of State Boards of Nursing. Entire Website is excellent resource.
Relationship & Results Oriented Healthcare® website and Blog: www.Hansten.com/blog, www.RROHC.com
Standing, T., Anthony MK, and Hertz, J. (2001). Nurses Narratives of outcomes of delegation to unlicensed Assistive personnel. Outcomes Management for Nursing Practice,5 , 18-23.
Theresa S. Standing, PhD, RN Mary K. Anthony, PhD, RN (2009) Delegation: What it means to acute care nurses, Applied Nursing Research 21: 8-14
Virkstis, Katherine L.; Westheim, Jared; Boston-Fleischhauer, Carol; Matsui, Paul N.; Jaggi, Tonushree (2009) Safeguarding Quality: :Building the Business Case to Prevent Nursing-Sensitive Hospital-Acquired Conditions: Journal of Nursing Administration. 39(7/8):350-355, July/August.
Whiteside, Carol (1997) "A model for teaching critical thinking in the clinical setting." Dimensions of Critical Care Nursing 16 (3) May-June: 152-162.
Yen J et al, Volz R. Implementing Shared Mental Models for Collaborative Teamwork by John Yen , Xiaocong Fan , Shuang Sun, Rui Wang , Cong Chen , Kaivan Kamali (2003) In the Workshop on Collaboration agents: autonomous agents for collaborative environments in the ieee/wic intelligent agent technology conference 2003 Halifax, Canada. 115-126.
