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Articles, case studies, and success stories to guide and inspire healthcare HR, Organizational Development, and Clinical professionals.


Charge Nurses & Delegation - How You Can Help Them Plan! Catalyst Learning

Many nurses are reluctant to assume a Charge Nurse role, since they are often asked to do this without any education or training. Yet charge nurses play a critical role in helping their Nurse Manager or leader achieve desired financial and clinical outcomes. Examples include: staffing, scheduling, assignments, patient placement and throughput.

 

One key competency that Charge Nurses struggle with is learning how to delegate. Many find it is difficult to delegate tasks to peers, since they rely on peers for assistance with patient care later when not in the Charge Nurse role. Staffing in some organizations require the Charge Nurses to take a patient assignment, while in other hospitals they do not. But delegation is still a key competency Charge Nurses need to exhibit to assure that units run efficiently. 

 

 

Delegation Framework

 

Following a delegation framework will help assure that the right task(s) will be assigned to the right staff member, under the best circumstance, and begin to answer issues of communication, supervision, and evaluation needed. Delegation remains an underdeveloped skill among nurses, and one that is difficult to measure - but it can be planned for! The following outlines components of the Rights of Delegation Model:

 

Assessment and Plan: As a Charge Nurse, am I giving the right tasks to the right nurse/staff member?

  • What are needs of the patients?
  • What is the predictability of the patient's response to care? 
  • What cognitive abilities are needed to perform tasks? Which team member has the best competencies to perform?

 

Communication: Is the Charge Nurse providing communication that puts the unit on the right path?

  • How will tasks get accomplished?
  • What needs to be reported?
  • What are communication expectations in emergency situations?

 

Supervision and Surveillance: Find the right amount of supervision for the unit

  • What level of supervision should the Charge Nurse provide to be optimal?
  • What is the frequency of monitoring and care observation? 
  • Can we document completion of care?

 

Observation and Feedback: Assess effectiveness of Charge Nurse Delegation

  • Was delegation successful?
  • Is there a better way to meet patient or unit needs?
  • Were there any learning moments during the shift?
  • Did the Charge Nurse provide good feedback?

 

Appropriate delegation assumes that prior to assignment of tasks, the Charge Nurse uses judgment and demonstrates critical thinking to assess the skill, competence, attitude, and experience of staff, as well as patient requirements and circumstances. Delegation paves the way for trust, effective communication, and mutual support which contribute to success of effective nursing teams. So help your Charge Nurses plan for delegation. Planning for delegation is planning for success!

Summary from:

-OIJN/ANA . "Delegation Dilemmas: Standards and Skills for Practice" Pamela Cipriano, PhD, RN, NEA-BC, FAAN

-Emerging RN Leader. "How to Delegate Care" Rose Sherman, EdD, RN, FAAN

-Nurse Leader. "Why nurses still must learn to delegate" R.I. Hansten

 




Eight Catalyst Learning customers nationally recognized for investments in frontline healthcare employees. Catalyst Learning
Do you wonder what the best healthcare companies do to invest in the skills and career development of their frontline workers?

 

If so, CareerSTAT is where you should inquire. CareerSTAT is a network of almost 200 healthcare and workforce leaders. CareerSTAT promotes investment in the skills and careers of frontline healthcare workers by supporting organizations with workforce development programs. CareerSTAT’s goal is to increase business impact, improve health outcomes, and support good jobs in America’s health companies.

 

Catalyst Learning is honored to announce four of our customers which received 2017 CareerSTAT Frontline Health Care Worker Champions or Emerging Champions recognition in 2017. Catalyst Learning also wants to showcase our four customer winners from 2015. See how these best practice healthcare organizations used School at Work (SAW) and other Catalyst Learning products as an integral component of their workforce development strategy.

 

 

2017 Frontline Healthcare Worker Champions and Emerging Champions

 

Mercy Health (Missouri) - Frontline employee development and improving compensation of employees is at the core of Mercy's business strategy. Mercy uses its Lowest Paid Worker Committee and senior leader involvement to develop strategies that improve wages and career opportunity. Mercy uses School at Work® (SAW) to give frontline workers the opportunity to brush up on basic skills and more advanced healthcare knowledge, with intent to move its lowest paid workers into more advanced clinical and support roles. Mercy offers tuition advancement programs, affordable transportation, medical premium assistance, affordable child care, on-site clinic, and other financial incentives.

 

University Health System (Texas) - Celebrating 100 years of service to the community in 2017, University Health System has been regularly named best hospital in the San Antonio region and the sixth best in Texas by U.S. News & World Report. It believes in growing its own employees and preparing them for larger roles. University Health System implements an inclusive hiring policy and is committed to equitable talent development. It offers trainings to its frontline staff, including ECHO (Expanding your Career and Health Opportunity) and SAW by Catalyst Learning. At University Health System, the CEO even hosts a party celebrating the graduates of SAW and posts success stories on the intranet and in the company
newsletter.

 

Yale New Haven Hospital (Connecticut) - Yale New Haven Hospital (YNHH) offers a wide range of career development services to its frontline workers. Some of these services include one-on-one career counseling, resume assistance, a direct tuition payment program (known as the Tuition Loan Forgiveness program), college fairs and access to internet based online, career-development tools. YNHH offers SAW, which gives frontline workers the chance to learn, or relearn, a variety of skills that prepare them for new roles. The majority of SAW graduates at YNHH have continued their education to earn an associate’s, bachelor’s or master’s degree. The business impact to YNHH’s efforts is shown in improved patient experience and achieving quality and safety goals.

 

U.C. Davis Health (California) - UC Davis Health is consistently ranked as one of the nation’s best hospitals, chosen for Consumer Choice Awards, and is a top community employer. UC Davis Health is proud of its sustained investment in its frontline workers, and was the first SAW customer on the West Coast! In addition to its nine SAW cohorts, UC-Davis Health has implemented CAPS (Accelerated Performance Series) for its Administrative Assistants Academy since 2014.

 

2015 Frontline Healthcare Worker Champions and Emerging Champions

 

TriHealth (Ohio) - TriHealth partners with the Health Careers Collaborative of Greater Cincinnati (HCC) to provide greater access to learning and foster advancement for entry-level employees. HCC is a partnership of local healthcare employers, community-based organizations, and educators. HCC programs include School at Work, CareerCare, and tuition cost for Patient Care Assistant Training. TriHealth did a large ROI study which showed how retention costs and job satisfaction were greatly improved by SAW and by being an HCC cohort participant.

 

Norton Healthcare (Kentucky) - Norton has built a culture of continual, lifelong learning. Norton Healthcare’s Office of Workforce Development serves as the primary career and financial support mechanism for frontline employees. In 2013, the office supported 550 frontline employees working toward degrees and certifications in health-related fields. SAW is one of the many programs Norton uses to advance frontline employees. Norton boasts high marks in ROI for frontline employees who earn higher certificates, diplomas, or degrees.

 

LifeBridge Health (Maryland) - LifeBridge Health has won acclaim as a Baltimore Regional Employer for its Workforce Development program. Its Workforce Development program was also a factor in winning the 2006, 2007, and 2008 Baltimore Best Place to Work Awards and making Fortune’s 100 “Best Companies to Work For” list in 2010. SAW is a part of LifeBridge Health’s workforce development program.

 

UnityPoint Health (Iowa) - UnityPoint Health has created a culture of advancement and development while providing quality care to their patients for more than 100 years. It has on-site and employee-centered training, such as SAW. UnityPoint Health has mentoring, diverse training programs, and success in growing their workforce’s wages. Working with the National Fund collaborative, Central Iowa Works, UnityPoint provides training for key industry certificates through its Workforce Training Academy, managerial development through its Breakthrough to Leadership program, and career coaching through its in-house Retention Specialist.