The registered nurse (RN) should determine if her facility policies and state law permit her to hand over the particular task. The RN should also understand if this particulate task lies within the RN practice scope in her state (Potter & Perry, 2001). The RN need to be licensed and capable of performing the task they hand over and also that particular task should be authorizes as detegatable by the care facility and UAP can carry out.
If the task can be delegated the UAP are not allowed to carry out independently. For example, the hospital may permit the UAP to administer enema but only the registered nurse can decide whether she should administer this medicine at a particular time. To make the enema administration more effective the registered nurse should verify whether the UAP is competent to perform this task (TOMARU, NAKAMURA & SAITO, 2011).
If the task should not have been delegated to a UAP, the registered nurse should arrange for another certified nurse to perform the task or she should perform the task by her. She should schedule her work in a proper way to avoid task overload or time shortage.
If a care consumer has obtained proper knowledge about treatment plan that does not assure compliance. Failure to obey the recommended plan is associated with different factors. A proper teaching plan includes identification of associated factors, defining characteristics and set expected outcomes. In this context, a nurse as a teacher should give proper instruction as recommended (Morris & Faulk, 2012). Adapt the instruction in the context of what the client feels is the reason of his/her health complication and his/her concerns regarding therapy. Encourage associated other person to eradicate disincentive and increase rewards for compliance, explain community resources and give social support through the self help groups and family members of the patient.
Morris, A., & Faulk, D. (2012). Transformative learning in nursing. New York: Springer.
Potter, P., & Perry, A. (2001). Fundamentals of nursing. St. Louis: Mosby.
Tomaru, Y., Nakamura, Y., & Saito, M. (2011). Strategic Managerial Delegation In A Mixed Duopoly With Capacity Choice: Partial Delegation Or Full Delegation*. The Manchester School, 79(4), 811-838. doi:10.1111/j.1467-9957.2010.02179.x
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