Home Care Nursing Delegation Skills: A Handbook for Practice Book

	About the Authors
	Contributors
	Foreword
	Acknowledgments
Ch. 1	The Overall Process of Delegation	1
	The Definition of Delegation	1
	The Model: The Key to Delegation	2
	The Skill	9
Ch. 2	Know Your World: What in the World Is Going On?	11
	Why All the Change?	11
	The New World	12
	Home Health Care Responses to the Changes	29
Ch. 3	Know Your Practice: Is My License on the Line?	47
	The State Board of Nursing	48
	The National Council of State Boards of Nursing	56
	Multistate Regulation	57
	The Nurse Practice Act	58
	Rules and Regulations	59
	The Test	60
	HCFA Guidelines	68
	The LPN Role	72
	Delegation and the Nursing Process	73
Ch. 4	Know Your Organization: What about Where I Work?	81
	Historical Development - Or, How Did We Get Here?	81
	The Unionized Organization and Delegation	84
	Assessing the Health Care Organization	88
Ch. 5	Know Yourself: What Personal Barriers Must I Overcome To Realize the Benefits of Effective Delegation and Teamwork?	107
	The Transition from Hospital-Based Care to a Seamless Health Care System	107
	The Move from Acute Care to Community-Based Settings	110
	Exploring Other Barriers	117
	Determining the Potential Benefits	127
Ch. 6	Know What Needs To Be Done: If I Delegate All My Tasks, What's Left for Me To Do?	133
	Defining the Role	134
	The PTA Model	136
	Getting the Job Done	142
	Decision-Making Models	151
	Caseload/Workload Analysis	162
App. 6-A	Caseload/Workload Analysis	166
Ch. 7	Know Your Delegate: How Can I Determine the Right Delegate for the Job?	173
	Who Are the Delegates?	174
	Assessing the Role Played by Each Delegate	175
	Official Expectations of Each Role	175
	Practice Acts and Regulations	175
	The Question of Competency: Evaluating and Maintaining from a Regulatory Perspective	177
	Accountability for Competence	185
	Job Descriptions	185
	Validated Competencies: The Organizational Perspective	188
	The Impact of the Mission on Job Roles	190
	Unofficial Expectations of Each Role	191
	Assessing the Delegate's Strengths	195
	Assessing the Delegate's Weaknesses	197
	Assessing the Delegate's Motivation	202
	Your Responsibility for the "General Climate" of Motivation	206
	Assessing the Delegate's Preferences	207
	Assessing Cultural Differences	207
Ch. 8	How Can I Communicate So That the Work Gets Done Right?	215
	Delegate Responses	216
	Communication Styles: Passive, Aggressive, Assertive	218
	Effective Assigning	224
	Assertive Follow-Up	229
	Nonverbal Behaviors	232
Ch. 9	How Do I Manage My Team and Resolve Conflict	237
	Conflict As a Concept	237
	Sources of Conflict	238
	Cost of Conflict	241
	Strategies for Conflict Resolution	245
	Innovative Issue Resolution Process: A Collaborative Method	253
	Case Study Analysis of Collaborative Resolution	259
Ch. 10	Know How To Give Feedback: What Do Delegates Really Want?	267
	Benefits of Giving and Receiving Feedback	268
	The Power of Feedback	269
	The Process	269
	Giving Feedback to the Delegate	271
	The Supervisory Visit	273
	Application to the Delegation Process	273
	Requesting and Receiving Feedback	278
	Upward Feedback	279
Ch. 11	Know How To Evaluate and Solve Problems: How Well Has the Delegation Process Produced the Outcomes I Wanted To Achieve?	285
	Evaluation: Continuous, Problem Related, and Periodic	286
	Continuous Evaluation	288
	Specific Incident or Problem Related Evaluation: Critical Thinking	297
	Periodic Evaluation	308
	Case Study Analysis of Evaluation	312
	Documentation and the Delegation Process	314
	Celebrate the Success of the Team!	319
@App. 11-A	Delegation of Nursing Care Task	324
App. A	Addresses and Telephone and Fax Numbers for State Boards of Nursing	331
	Index	337