Registered nurse leadership style and confidence in delegation

Abstract

It is imperative that nurse managers provide nurses with the educational opportunities necessary to develop delegation and supervision strategies to adapt to the changing RN role while adhering to differences in scope of practice. Globally, RNs are caring for increasing numbers of acutely ill patients with scarce resources ensuring an adequately trained RN/UAP team can help support optimal patient care.

Nurse Managers’ Attitude and Competency Towards Delegation in Jeddah City

“…This result was incongruent to the findings of Bystedt et al (2011), in which participants stated that they felt insecure and lacked confidence when delegating because of the potential risk for negative outcomes [7]. Saccomano & Pontozipp (2010) found that diploma nurses were less confident about delegating to nursing aides in comparison to nurses who held a Bachelor degrees and who had a higher level of confidence in delegation [26]. Bittner & Gravlin (2009) found that new graduate nurses spoke about 'role uncertainty' and how their lack of confidence prevented them from delegating [5].…”

“…Ruff (2011) and Gravlin & Bittner (2010) confirm a relationship between delegation and education, observing that nursing education is key to ensuring appropriate delegation [25]- [13]. Conversely, Saccomano & Pinto (2011) found that education had no relationship to delegation and that diploma nurses were better prepared to delegate than bachelor degree nurses because they had more years of exposure to real situation of delegation [26]. White et al (2011) contradicted this finding, reporting that certification had a significant relationship with delegation and those participants who held certification had more knowledge about delegation [32].…”

“…No significant relationship was observed with gender, number of children, marital status, age, educational level, having a managerial certificate or having an assistant (p>0.05). Saccomano & Pontozipp (2011) assured that experience is related to competency in delegation [26]. Weydt (2010) argues that delegation skills can be taught by way of simulation and practice, as simulation can include the teaching of complex professional skills needed for delegation, such as management, leadership, communication and partnership [31].…”

“…There are many factors may affect delegation such as administration rules; skill mix; organisation structure; staffing; communication; sophisticated clinical judgment; critical thinking; decision making and lack of necessary regulation [26] & [20].…”

Does nurse manager education really matter?

“…Utilizing the Behavioral Inventory Form for Professionalism in Nursing, the participants were evaluated on nine categories of professional behavior, including research and publication, organizational membership, competence and continuing education, ethics, and autonomy. 10 Another study was conducted to understand the influence of nurse manager leadership style on direct care nurse turnover and patient satisfaction in the ED. Nurses in possession of graduate degrees in nursing had the highest mean scores (15.04); nearly www.nursingmanagement.com Team concepts double those of nurse leaders prepared at the associate's degree level (7.76).…”