Five Rights of Delegation by Board of Registration in Nursing

The delegation has proved itself as one of the most substantial parts of any process that includes management and employees. Delegation allows reducing the time needed for different processes by sharing some of the responsibilities with subordinate workers. The probability of successful time and tasks management is higher if more people with the particular areas of responsibility are involved because that leads to a synergy effect.

The Board of Registration in Nursing (BRN) of the Commonwealth of Massachusetts offers a list of rules for delegation. Firstly, they recommend choosing “the right task” to delegate it to the subordinates (BRN, n. d.), which is limited by job descriptions for the NSA and the nurses. For instance, nurses cannot delegate some tasks because they are entirely responsible for the “nursing care given to the patient” (BRN, n. d.). Additionally, organizational policies limit the amount and specificity of the tasks that may be delegated.

The second rule states that the right circumstances should be chosen for delegation. For example, NSA should assess the patients’ health state and provide the necessary resources to ensure meeting nursing care needs identified by the nurses (BRN, n. d.). Thirdly, BRN recommends choosing the right person for delegating the tasks. NSA should be sure that all the personnel has enough qualification that could be assessed by the organization and incorporate standards, to maintain the required level of quality while delegating (BRN, n. d.). The fourth rule concerns the necessity of proper communication in delegating. In particular, BRN suggests that there should be standards, policies, and other documents to state and contain the standards of different procedures related to delegating (n. d.). The fifth rule is devoted to evaluating the results of delegating. The procedure includes supervision of “specific nursing activities,” identifying the level of quality of each nurse, explaining the expected results to the nurses to whom the tasks are delegated (BRN, n. d.). Furthermore, the outcomes of the patients’ community should be assessed and the stages of the delegation process to provide high-quality care.

Overall, even though the medical sphere requires the highest standards to be ensured, it is no exception to the rule of delegation’s benefit. Therefore, the practical and beneficial delegation in nursing should meet various conditions concerning the area of responsibility, level of qualification, and more. Such a strict approach to the procedure allows the medical personnel to optimize resources and contribute to the System Thinking management model.

Reference

Board of Registration in Nursing. (n. d.). Five Rights of Delegation. Commonwealth of Massachusetts.