Home Care Nursing Delegation Skills: A Handbook for Practice

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Author(s):	Ruth Hansten, RN, MBA, PhD, FACHE, Principal, Hansten Healthcare PLLC Virginia Kenyon, MS, BSN Marilynn Washburn, RN, MA, BSN
Details:	ISBN-13: 9780834212336 ISBN-10:0834212331 Paperback 347 pages © 1999
Price:	International Sales $87.95 US List Add to Cart Request a Review Copy

Overview

Clinical efficiency is crucial to success in today's home care market. With the advent of new categories of multiskilled workers and the increasing number of unlicensed assistive personnel, home care nurses must be skilled in the process of clinical delegation. From the authors of the AJN Book of the Year winner, Clinical Delegation Skills, comes the ultimate how-to guide on the professional practice of clinical delegation in the community practice setting. Written from a nursing perspective, and completely focused on the home health setting, Home Care Nursing Delegation Skills will show you how to build a strong foundation, understand the laws and regulations, establish effective procedures, know your responsibilities, and incorporate the fundamentals, such as decision making for professional practice, practice innovative, two-way communication techniques, test the competency of the people you work with, learn conflict resolution techniques, and implement easy-to-use checklists and charts, all of which keep you on track so your organization can provide optimum patient care and you can delegate tasks effectively, be an effective critical thinker, and establish effective two-way communication.

ShowTable of Contents

Contents: The Model: The Key to Delegation * Influence of the 1980s Nurse Shortage * Health Care Reform* Demographic Trends * Health Care Delivery Trends * Changing Nature of Work * Maturing of the Nursing Profession * Home Health Care Responses to the Changes * Education of the Client/Public* Growth of Home Care * Use of Unlicensed Personnel * The State Board of Nursing * The National Council of State Boards of Nursing * Multistate Regulation * The Nurse Practice Act * Rules and Regulations * HCFA Guidelines * The LPN Role * Delegation and the Nursing Process * Assessing the Health Care Organization * The Transition from Hospital-Based Care to a Seamless Health Care System * The Move from Acute Care to Community-Based Settings * Exploring Other Barriers * Determining the Potential Benefits · Decision-Making Models * Caseload/Workload Analysis * Who Are the Delegates * Official Expectations of Each Role * Accountability for Competence * Job Descriptions * Your Responsibility for the General Climate of Motivation *Communication Styles: Passive, Aggressive, Assertive * Effective Assigning * Assertive Follow-Up * Nonverbal Behaviors * Sources of Conflict * Cost of Conflict * Strategies for Conflict Resolution * The Power of Feedback * The Supervisory Visit * Requesting and Receiving Feedback * Evaluation: Continuous, Problem-Related, and Periodic * Specific Incident or Problem-Related Evaluation: Critical Thinking * Documentation and the Delegation Process * Celebrate the Success of the Team! * Appendix: Addresses and Telephone and Fax Numbers for State Boards of Nursing
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ShowAbout the Author(s)

Ruth Hansten, RN, MBA, PhD, FACHE-Principal, Hansten Healthcare PLLC

Ruth Hansten RN, MBA, PhD, FACHE is the author of six books and numerous articles. Her mission is to promote healing and wholeness, transforming organizations through relationship enhancement and skills development.

With over 30 years of experience in nursing, she brings both a practical and humorous approach to the essential work that nurses do. For the past 19 years her national consulting practice has worked with nursing care delivery models, critical thinking, delegation and leadership skills, and interdisciplinary team development. She has developed a care delivery model and philosophy called Relationship and Results Oriented Healthcare™ (RROHC) and this model had resulted in improved patient outcomes, clinical indicators, employee engagement, provider satisfaction, and healthcare employee retention. Her doctoral research focused on critical thinking and clinical judgment and she incorporates her research into her teaching and consulting strategies. In 2008 the 4^th edition of her Clinical Delegation Skills: A Handbook for Professional Practice book will be published as will her Relationship & Results Oriented Healthcare Implementation Manual. She is most proud of being voted “boss of the year” by the MWBA in Spokane, WA, one of the “great head nurses” by the AJN in the 1980s, and helping raise 5 kids. She currently serves as a board trustee at a Pacific NW medical center. Visit her website www.Hansten.com, and www.RROHC.com and her blog (www.Hansten.com/blog) for a list of her books and articles.

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