Healthcare Transformation And Changing Role-Myassignmenthelp.Com

Question: Discuss About The Healthcare Transformation And Changing Role? Answer: Introduction A registered nurse is defined as a graduate trained nurse, who has obtained the license from state authorities after qualifying in the license registration process. According to the NMBA, a registered nurse is defined as an individual who has qualified a particular education, demonstrates the necessary skills required for practice and is registered under the Health Practitioner Regulation Law as a registered nurse in Australia (Nursingmidwiferyboard.gov.au, 2018). The roles and responsibilities of a registered nurse are performing psychology exams, and maintaining health histories of patients, carry out health promotion, provide counselling as well as education. Registered nurses are also involved in administering medications, provide interventions, carry out analysis of patient data and showcase critical decision making skills, carry out co-ordination of care with a large number of healthcare professionals, supervise the care provided by, enrolled nurses, license practical nurses an d other nurse aides and also carry out research in order to contribute to evidence based care (Salmond Echevarria, 2017, pp. 12; Flinter, Hsu, Cromp, Ladden Wagner, 2017, pp. 287). Registered nurses function in a wide variety of settings like hospital, medical offices, nursing homes, ambulatory care setting, community health clinics, schools, among others (Rondinelli, Omery, Crawford Johnson, 2014, pp. e108). The most complex responsibility that needs to be effectively carried out by registered nurses is delegation (Hasson, McKenna Keeney, 2013, pp. 229-235). The registered nurses have the responsibility of understanding the needs of the patient and in turn delegate the necessary activities to the care givers. These care givers then under the efficient supervision of the registered nurse carries out the necessary activities that form a part of the care plan for the patient. Effective delegation not only enhances the favourable clinical outcomes but also encourages the team members under the registered nurse to carry out their duties effectively and efficiently, thereby influencing both clinical and financial outcomes (Mueller Vogelsmeier, 2013, pp. 20-27). This report provides an analysis of the role of the registered nurses in delegating effective care to patients and also assesses the role of the registered nurse in influencing the performance of the team members. Delegation It is defined as the transfer of duties to another individual, while retaining the accountability and the responsibility for any outcome whether favourable or unfavourable with respect to the performance of the duties. Effective delegation is part of the decision making process where the registered nurse (also referred to as the delegator) carries out proper judgment, assesses the patient data and uses the critical thinking and analysis skills to provide efficient and safe treatments to patients (Anf.org.au, 2018). The concept of effective delegation by registered nurses is based on the accountability, responsibility and authority (Mueller Vogelsmeier, 2013, pp. 20-27). Delegation forms an important part of the professional practice of registered nurses. It involves their ability to carry out effective clinical judgment and be responsible for the final outcome associated with the patient. Registered nurses have the role to understand the patient needs and assign suitable members of the team for the care of the patient. The registered nurses can assign patient care duties to enrolled nurses or ENs, license practical nurses or LPNs, nursing assistants, nursing aides and even to other registered nurses. The registered nurses have the responsibility to determine the patient needs and assign the skilled individual with the care of the patient. Delegation of nursing duties can only be given to individuals who are skilled and qualified to carry out the desired nursing task or intervention (Nursingmidwiferyboard.gov.au, 2018). Healthcare organizations usually face the problems associated with lack of effective care provided to patients by nurses. This not only results in unfavourable patient outcomes but also results in loss of healthcare resources apart from negatively impacting the patient and the healthcare organization in a financial perspective. Delegation is based on the concepts of Accountability, Responsibility and Authority (Rcn.org.uk, 2018). According to the Nursing and Midwifery board of Australia or NMBA, delegation is a relationship that exists between a registered nurse and other nursing professionals, such that the registered nurse can entrust that nursing professional with the care of a patient, although retaining the accountability of any outcomes (Nursingmidwiferyboard.gov.au, 2018). Apart from delegating the various duties of patient care, the registered nurses are also required to monitor whether the communications of the delegations has reached the desired individual. Moreover, they are also involved in monitoring the care provided to the patients by the relevant professionals so that favourable patient outcomes are obtained (Health.vic.gov.au, 2018). Delegation also involves assessing the risks and the capabilities of the nursing professionals before being assigned the responsibility of caring for patients. Moreover, delegation also involves the role of the registered nurses to provide necessary education to the nursing professional or the team members and also carrying out assessments of their competence (Mueller Vogelsmeier, 2013, pp. 20-27). Accountability Accountability of registered nurses involves their ability to review their own judgments and decisions along with evaluating the effectiveness of such decisions so that efforts can be made in the future to prevent any unfavourable patient outcomes with respect to decision marketing (Nursingmidwiferyboard.gov.au, 2018). Accountability is also associated with a sense of ownership for the entire care team by virtue of which the registered nurse effectively delegates patient care responsibilities with the aim to influence the activities of the nursing professional in appositive way. Accountability refers to the ability of the registered nurse to be responsible for the patient outcomes, while the team members are accountable to carry out their duties effectively as instructed by the registered nurse. With respect to any patient outcome the registered nurse remains legally answerable not only to the patients and their families but also to the healthcare organization. Thus, before delegatin g care duties, the registered nurse is required to assess the competencies of the team members and if needed provide the respective knowledge and skills training in order to enhance their competencies (Babiker et al., 2014, pp. 9). According to the NMBA, accountability refers to the role of the registered nurses in providing effective decisions and also be responsible for their actions, decisions, responsibilities and behaviour. Thus the registered nurse remains accountable for the decision to delegate, for monitoring the level of performance by the other person and for evaluating the outcomes of what has been delegated (Nursingmidwiferyboard.gov.au, 2018). Responsibility Responsibility is defined as the liability of the registered nurses with respect to performance of duties by members of the care team. Sometimes, responsibilities are shared among members of the care team if they were equally involved in the situation (Zahedi et al., 2013, pp. 1-8). Before delegating the activity of patient care, it is the responsibility of the registered nurses to assess the complexity of the patient problem and in turn predict the outcomes, which in turn would help them to delegate the appropriate skilled personnel with the duty of patient care. Responsibility is a process which involves both the registered nurse as well as the team member to whom the duty has been allocated (Imison, Castle-Clarke Watson, 2016). Registered nurses can influence the nursing practices of the team members by encouraging and rewarding their work with the aim to increase safe nursing practices (Xu, 2017, pp. 155-157). Poor teamwork which involves disrespectful behaviour, which is both rude and insulting on the part of the registered nurses can have a negative impact on the workings of the team members and can result in adoption of unsafe practices. It also gives rise to loss of trust and reduced turnover and morale of the team members (Reyka et al., 2015). Supportive and transformational leadership on the part of the registered nurses is essential in order to ensure that issues associated with nursing practices or problems in the working environment are sorted in order to foster collaborative relationships. All these in turn ensure positive outcomes for patient, self as well as the healthcare organization in general. Encouragement by the registered nurses constitutes a part of transformational leadership with the help of which the registered nurses aim to increase the productivity and the quality of the work of the team members involved in care provision (Roberts-Turner et al., 2014, pp. 236). Authority Authority is defined as the ability of the individual to carry out a task after they have been given the responsibility and they have accepted the responsibility. The registered nurses have the authority to supervise the performance of the team members to whom the tasks have been delegated. During supervision, the registered nurses play an important role in directing, influencing and guiding the team members with the aim to achieve high quality patient outcomes and also improve the skills of the team members and boost their confidence (Ncsbn.org, 2018). The registered nurses have the authority or the legitimate power to transfer a particular nursing activity to a competent member of the team and also to analyze the performance, plan and evaluate the nursing care and provide safe and effective judgment (Crnns.ca, 2017). The levels of authority include data gathering, which involves instructions to team members to monitor the vital signs of the patients and reporting it to the register ed nurse. The next step is data gathering and recommendation, which involves assessment of patient data and providing recommendations in order to achieve best outcomes for the patient. The next level is data gathering, recommendation and act, which involves validation of the recommended interventions before administration. The last level involves acting and informing others in the team after carrying out the necessary action (Armstrong, Rispel Penn-Kekana, 2015, pp. 26243). Conflict between registered nurse and team members Conflicts can arise between the registered nurse and the nursing professionals in the care team with respect to differences related to age, work ethics, roles, situation management and personality (Ghiyasvandian, Zakerimoghadam Peyravi, 2014, pp. 294). Conflicts can also arise if the nursing professionals refuse undertaking of any task delegated by the registered nurse. The willingness of the team members to respond to the registered nurse depends on the ability of the registered nurse to build a rapport with the team members. Differences in age, cultural background and gender acts as a barrier to developing rapport. Inability to develop a proper rapport with the team members, which is built on trust impacts the ability of the registered nurse to carry out effective delegation as well as supervision. For example if the enrolled nurse is older than the registered nurse and is also from a different cultural background then development of an effective rapport becomes challenging for th e registered nurse. In such situations, it is necessary for the registered nurse to establish a proper rapport with each and every one in the care team by respecting their values and competencies and also providing them with the effective support they need to enhance their skills and carry out their duties effectively (Akpabio, John, Akpan, Akpabio Uyanah, 2015, pp. 106). Hierarchical structures play an important role in influencing the delegation abilities of the registered nurse, which in turn affects the quality of care meted out to the patients (Babiker et al., 2014, pp. 9). Some of the factors that are found to affect the performance of the healthcare team and their willingness to respond and perform depends on the manner in which the registered nurse delegates the care duties. These factors are respect, trust building, status equity and time. Inconsistencies in these factors affects the communication accuracy of the registered nurses and in turn affects the performances of the nursing professionals of the team (Taylor, Clay-Williams, Hogden, Braithwaite Groene, 2015, pp. 244). Respect to all members of the team with respect to age and cultural background as well as competency has a positive effect on the willingness of the individuals to respond as well as perform effectively. With enhanced trust and respect, the team members also remain willin g to share their opinions with respect to the care needs of the patient. This results in sharing of information freely among the team members, thereby resulting in effective care coordination that in turn is highly beneficial for the patient. However, environments lacking mutual respect, trust and status equity prevents the staff to communicate their ideas with respect to patient needs to the registered nurse. Additionally, time availability also helps in proper communications, which in turn can result in development of strong rapport between the registered nurse and the care team members with respect to delegation of care (Tschannen Lee, 2012, pp. 1-7). Conclusion This report provides an overview of the role played by registered nurses in carrying out effective delegation. Registered nurses are entitled to follow the three concepts of delegation, which are accountability, responsibility and authority. The role of the registered nurses is to delegate care responsibilities to the care team members based on assessment of patient data, assessment of competencies of the team members, critically analysing the risks associated with the decision and providing effective decisions with respect to delegating appropriate tasks to appropriate members of the team with the aim to obtain favourable patient outcomes. 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