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Essay / Research Paper Abstract
A 4 page research paper that discusses the topic of nursing delegation, describing it in terms of responsibility, accountability and the five rights of delegation. Bibliography lists 5 sources.
Page Count:
4 pages (~225 words per page)
File: KL9_khnurdele.doc
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welfare that adheres to the legal requirements of the nurse practice act that applies to the nurses clinical environment. The following examination of nursing delegation investigates the issues of responsibility,
accountability and how they are encompassed by nursing delegation. Contemporary healthcare is plagued by cost considerations, and registered nurses (RNs) typically deal with being understaffed and sizeable patient workloads.
Delegation to licensed practical nurses (LPNs) and nursing assistants provides a means to not only control costs, but deal with the requirements of patient care more effectively and efficiently, providing
higher quality patient care. To address delegation successfully, the RN must have the skills necessary to match the skills of available assistive staff to appropriate tasks that meet the needs
of patients and their families (Weydt, 2010). National Council Licensure Examination (NCLEX) guidelines indicate that when delegating tasks, nurses should consider delegating to nursing assistants those tasks that have "the
most specific guidelines (e.g., collecting a urine sample, feeding, providing hygiene, ambulating)" (Zerwekh and Claborn, 2009, p. 116). Marc Cornock, a lecturer in law at the Open University, sums
up concisely the issues of accountability and responsibility in regards to delegation by pointing out that responsibility is a "duty for which one is responsible," while accountability refers to the
fact that an individual "can be called to account for ones actions in regard to a duty" (Cornock, 2008, p. 64). While responsibility for performing a task can be
successfully delegated to others, with the proviso that the assistive personnel to whom the task is delegated have the knowledge, skills, and supervision necessary to accomplish this task successfully, accountability
and the possibility of liability cannot be delegated (Cornock, 2008). An RN, as the individual who is accountable, must ensure that, first of all, the delegated task is performed and
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