1. Leadership Roles and Management Functions in Nursing (8th ed.)
Managing Care Assignments, Care Coordination, Case Management & Delegation
Marquis & Huston
Leadership Roles and Management Functions in Nursing (8th ed.)

2. Giddens’ Care Coordination Concept Map

3. NCSBN Delegation Model

4. Delegation Getting work done through others
Directing the performance of one or more people to accomplish organizational goals
Giving someone else the authority to complete a task or action on your behalf
Transfer or hand-off to a competent individual, the authority to perform a task/activity in a specific setting/situation

5. The Five Rights of Delegation

6. Clear Communication and Delegation
Define the task clearly.
Delineate end results, time frame, and standards.
Delegate the objective, not the procedure.
Denovati.com

7. Successful Delegation
Plan ahead.
Identify necessary skill and education levels to complete the delegated task.
Select capable personnel.
Communicate goals clearly.
Empower the delegate.
Set deadlines and monitor progress.
Monitor the role and provide guidance.
Evaluate performance.
Reward accomplishment.
Teamracket.com

8. Common Delegation Errors
Under delegating
Over delegating
Improper delegating
Linkedin.com

9. Causes of Underdelegating
Fear that delegation may be interpreted as a lack of ability to do the job completely or correctly
A desire to complete the whole job himself or herself
Fear that subordinates will resent delegated work
Lack of experience in the job or with delegation, or the need to control or be perfect
Enjoyment of the work
Reasonandmeaning.com

10. Causes of Overdelegating
Poor management of time; spending too much time trying to get organized
Insecurity in the ability to perform a task
Accelo.com

11. Causes of Improperly Delegating
Wrong time, to the wrong person, or for the wrong reason
Beyond the capability of the person, or something the manager should do
Decision making without providing adequate information

12. Question Tell whether the statement is true or false:
One drawback of delegation is that it diminishes one’s
power.
True
False

13. Answer
B. False Rationale: Delegating tasks actually increases the supervisor’s power.

14. Types of UAP and NAP Nurse extenders Care partners Nurse’s aides
Orderlies
Assistants
Attendants
HCAs
Technicians

15. Case Management Nursing
Collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual’s health needs through communication and available resources to promote quality, cost- effective outcomes
It coordinates care through an episode of illness.
The focus is on individual clients, not populations of clients.
Some feel that the role of case manager should be reserved for the advance practice nurse or RN with advanced training.

16. Disease Management
It is also known as population-based health care and continuous health improvement.
It is a comprehensive, integrated approach to the care and reimbursement of high-cost, chronic illnesses.
The goal is to address such illnesses or conditions with maximum efficiency across treatment settings regardless of typical reimbursement patterns.
A continuum of chronic illness care is established that includes early detection and early intervention

17. Managing Care With Case Management
Case managers often manage care using critical pathways and multidisciplinary action plans (MAPs) to plan patient care.
The care MAP is a combination of a critical pathway and a nursing care plan, which indicates times when nursing interventions should occur.
All health-care providers follow the care MAP to facilitate expected outcomes.
If a patient deviates from the normal plan, a variance is indicated.

18. Case Studies Marquis & Huston Learning exercise 14.3