NRSG 412 From your perspective, what steps could the leadership team have taken to better implement the change?

NRSG 412 From your perspective, what steps could the leadership team have taken to better implement the change?

NRSG 412 From your perspective, what steps could the leadership team have taken to better implement the change?

It is interesting to learn about California’s provision regarding the delegation of tasks. The nurse practice law for the state of New Mexico also limits functions that registered nurses can delegate to unlicensed personnel (New Mexico Board of Nursing, 2022). While it does not identify exact duties, the law states that delegation is not allowed on evaluation, assessment, and roles that require nursing judgement. I believe the restriction is important because it ensures that unlicensed staff do not handle duties that they have no capacity to perform, which would put patient safety in jeopardy. I agree, even when delegating tasks, it is important to maintain the responsibility and accountability of handling sensitive nursing tasks that are critical to patient safety. You had an interesting change experience. Most healthcare changes as I have observed from my organization encounter challenges, especially miscommunication and resistance. As a way to promote successful change, organizations should invest in effective communication channels and inspirational leadership (Pereira et al., 2022).

References

New Mexico Board of Nursing. (2022). Laws & Rules: Practice Acts. Retrieved from New Mexico Board of Nursing: https://nmbon.sks.com/nursing-practice-act.aspx

Pereira, V., Silva, S., & Carvalho, V. (2022). Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews. Health Research Policy Sys, 20, 13. https://doi.org/10.1186/s12961-022-00815-4.

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This is a great discussion on delegation. The North Carolina law on delegation is quite unique in that it allows

NRSG 412 From your perspective, what steps could the leadership team have taken to better implement the change
NRSG 412 From your perspective, what steps could the leadership team have taken to better implement the change

healthcare organizations to set tasks that can and cannot be delegated while most states outline the duties that are restricted from delegation. I also find the North Carolina law more expansive in requiring health facilities’ responsibility towards training the personnel to ensure they have adequate expertise to perform delegated tasks (Moore et al., 2020). As a registered nurse, I view the responsibility of delegation as weighing greatly on the delegating nurse who has to make effective judgements and be accountable for any decision or actions related to task delegation. About the change, it must have been an undesirable experience for the staff. Typical of healthcare changes that are not well thought out, challenges often occur especially with resistance and inability to smoothly integrate change with the existing organizational system. I concur, the leadership should have been proactive and created a test site to evaluate how the change will play out in the organization and make improvements before organization-wide implementation (Øygarden et al., 2020).

References

Moore, C., Kabbe, A., Gibson, T., & Letvak, S. (2020). The Pursuit of Nurse Practitioner Practice Legislation: A Case Study. Policy, Politics, & Nursing Practice, 21(4):222-232. doi:10.1177/1527154420957259.

Øygarden, O., Olsen, E., & Mikkelsen, A. (2020). Changing to improve? Organizational change and change-oriented leadership in hospitals. J Health Organ Manag, 687–706. https://www.doi.10.1108/JHOM-09-2019-0280.