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NSG 4029 Week 4 Discussion

NSG 4029 Week 4 Discussion


Delegation is one of the essential talents every nurse should have. It consists of designating the execution of assignments related to patient care to another staff member while maintaining responsibility for the outcome. When a nurse is delegating a task, they must consider the five rights of delegation as a handbook to define the necessary pieces of the delegation process: right individual, proper assignment, right circumstance, the correct information, and communications and adequate supervision(Murray, 2017).

When concerning safe and quality patient care, it is necessary to understand that it requires considerable time, and all tasks demand 100% of your attention. Delegating can help nurses save significant time and use their spare time in the most effective ways possible. However, it is essential to charge correctly; we must always consider the patient’s safety. As mentioned, the nurse should assign the task to the right person. For example, a nurse can delegate a change of linen or assistance with eating to a nursing assistant. Yet, we can only trust the starting and IV or help with admission to another nurse.

Moreover, assigning the right task according to the scope of practice is essential. We must also consider the circumstances since the status of some patients won’t be favourable for delegating tasks. It is the nurse leader’s responsibility to assess the condition and necessities of the patients in her care department.

Effective communication is another essential key to ensuring we accurately deliver the information to complete the task. We must tell the task’s description, the time to meet it, the priority, and how to do it, ensuring the person comprehends all the transmission. Finally, we should follow up and supervise the delegee who did the task correctly. Following these steps when delegating is the best way to guarantee the patients’ safety (Bittner & Gravlin, 2009).

For a negotiation is necessary at least a two-way approach. One part will always differ, but both will probably share a common interest in finding a solution. The nurse leader or manager must be transparent and explain what the other side expects to avoid misunderstanding. The most crucial factor for negotiation will be communication. For this, the transmission must show respect and clarity. The leader must debate what must happen and the possible outcomes using straightforward language(Apker et al., 2005). Concerning cost-effectiveness, some studies show how using nurse specialists as central caregivers caused a reduction in expenses per quality-adjusted life-year gained compared to standard care. According to this study, nurses provided equivalent care to doctors (Arts et al., 2011).

Delegation is a complicated process that demands nursing wisdom, determination, and final responsibility for patient care. I believe it is necessary to be aware of the consequences and the risks associated with delegation to prevent them. But at the same time, I think knowing when to delegate and how to do it correctly is crucial. Effective delegation is vital for patient care because it releases the nurse to more specialized tasks that make nursing assessments.

NSG 4029 Week 4 Discussion


The role of nurse leaders and managers in providing a healthy work environment is multifaceted and essential. They are responsible for setting the tone and example for the entire organization. They are the ones who must ensure that the domain is conducive to both patient and employee health and safety. Nurse leaders and managers should take an active role in creating a safe and healthy workspace for their staff by implementing policies and procedures that promote a healthy work environment. They should also facilitate open communication, encourage team-building activities, and provide staff with the tools and resources they need to be successful. Additionally, nurse leaders and managers should strive to promote a culture of respect and appreciation for each staff member’s unique talents and contributions.

Organizations that put the health and safety of their employees first, like those that provide ergonomic office furniture and workstations that can be adjusted, give their employees access to mental health resources, and make sure they have enough breaks and vacation time, are good examples of healthy work environments today. Additionally, organizations that promote a culture of trust and respect, provide employees with clear expectations and feedback, and ensure that employees have access to meaningful work are considered healthy work environments.

The art of negotiation is essential to developing a healthy work environment. Negotiation is the process of reaching a good agreement for everyone involved. It is an important tool for making a good work environment, and it can be used to settle disagreements, build trust, and help staff members get along well with each other. When negotiating, it is important to communicate openly and honestly, listen to all perspectives, and come to a compromise that meets the needs of all involved. Negotiation also helps foster a sense of trust and collaboration, which are essential for creating a healthy work environment.

In summary, nurse leaders and managers are critical in creating and maintaining a healthy work environment. Nurse leaders and managers can make a positive and productive workplace by setting the tone and example for their staff, implementing policies and procedures that promote health and safety, and encouraging open communication and team-building activities. Also, knowing how to negotiate is important for settling disagreements, building trust, and ensuring that staff members get along well. Examples of healthy work environments are organizations prioritising staff health and safety, giving them access to mental health resources, and encouraging a culture of trust and respect.


Topic 1

 Apker, J., Propp, K. M., & Zabava Ford, W. S. (2005). Negotiating status and identity tensions in healthcare team interactions: An exploration of nurse role dialectics. Journal of Applied Communication Research, 33(2), 93–115.

Arts, E. E., Landewe-Cleuren, S. A., Schaper, N. C., & Vrijhoef, H. J. (2011). The cost-effectiveness of substituting physicians with diabetes nurse specialists: A randomized controlled trial with 2-year follow-up. Journal of Advanced Nursing, 68(6), 1224–1234.

Bittner, N., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. JONA: The Journal of Nursing Administration, 39(3), 142–146.

Murray. (2017). Nursing leadership and management for patient safety and quality care (1st ed.).1 .A. Davis Company.

Topic 2

Gardner, S. (2019). What Is the Role of a Nurse Manager? The Balance of Careers

Hannan, M. (2020). What is negotiation? Harvard Business Review

Joint Commission (2020). Healthy Work Environments The Joint Commission


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NSG 4029 Week 4 Discussion

Post your initial response to one of the two topics below.

Topic 1

Discuss the importance of effective delegation related to the following topics:

  1. Safe and quality patient care
  2. The art of negotiation
  3. Cost-effectiveness.
  4. Do you believe delegation has been an easy or more difficult skill to master as an RN? Provide the rationale for your choice.

Topic 2

Discuss the following topics about healthy work environments:

  • What is the role of nurse leaders/managers in providing a healthy work environment?
  • Provide current examples of working in a healthy vs. unhealthy work environment.
  • Discuss how the art of negotiation relates to developing healthy work environments.

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