The delegation of tasks conducted by Nurse Joserine should be evaluated according to the official requirements for the delegation in nursing practice. American Nurses Association and the National Council of State Boards of Nursing (n.d.) emphasize the importance of following the Five Rights of Delegation. The first component is the right task, and the tasks delegated by the nurse can be considered appropriate. The second component includes the right circumstances. As Nurse Joserine does not have enough time to cope with all nursing tasks, such situation can cause the low quality of care provided to patients. Therefore, the circumstances appear to be appropriate for delegation. The third component is the right person. A nursing coordinator and a clinical nurse specialist appear to be the right persons for delegation of the tasks. However, the third component can be considered appropriately followed by Nurse Joserine only if the fourth component, the right directions with communication, is taken into account. Nurse Joserine did not provide effective communication with the colleagues, as he did not give appropriate guidance on the delegated tasks. The fifth component, including the right supervision and evaluation, also does not appear to be fulfilled by Nurse Joserine, as he did not put much effort in supervising the process of completing the tasks by the colleagues and did not ensure that this process is properly evaluated. Therefore, the delegation conducted by Nurse Joserine can be considered inappropriate.
Both individual accountability and organizational accountability for delegation should be taken into account while analyzing the case. The medical unit should provide access to competency information for the staff and develop organizational policies on the delegation with the active participation of all nurses. Therefore, the organization, the nurse is working for, will be held accountable for the outcomes of the delegation of tasks as it has to ensure efficient activities educating the nurses about appropriate elements of effective delegation. Nurse Joserine will also be accountable for the outcomes of the delegated tasks because providing all conditions for efficacious delegation of tasks is his primary duty. The nurse should take into consideration all aspects influencing the ability of the colleagues to complete the delegated tasks, including training, cultural competence, and experience. The nursing coordinator and the clinical nurse specialist will also be held accountable for the outcomes of the tasks, as the completion of tasks directly depends on the way they follow the recommendations and guidelines provided by Nurse Joserine and the medical unit. Therefore, all participants of providing health care services involved in the process of regulating the process of delegation and completing the delegated tasks will be held accountable for the outcomes and should put much effort in ensuring the effectiveness of delegation.
Reference
American Nurses Association, & the National Council of State Boards of Nursing. (n.d.). Joint Statement on Delegation. Web.