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Prioritization, Delegation and Assignment

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Title: Prioritization, Delegation, and Assignment

Authors: Linda A LaCharity, Candice K Kumagai, Barbara Bartz

Publisher: Elsevier Press

Reviewer: Anne Duell, registered general nurse, Birmingham Community NHS Trust

What was it like?

La Charity et al’s book is an interactive resource, which supports healthcare staff to understand the need to appropriately prioritize and delegate some of the tasks that they encounter on a daily baisis. 

The book is designed to cover events, which occur in routine nursing environments while expanding to cover more complex health events. Each section has been broken down into logical sections eg: musculoskeletal problems, respiratory problems or cardiovascular concerns. In each of these the reader is presented with a simply presented scenario that requires the nurse to consider the most appropriate way to delegate care to meet needs in a time effective manner. The scenarios range in degreee of complexity requiring the individual to deliberate about the required skills and mangement required for the task at hand. At the end of the book the proposed answers to each scenario are given to facilitate reflection for the decision maker to consider.

What were the highlights? 

The highlights to this book comes primarily through its desired outcome. There are only a small amount of books, which are totally scenario based that challenge nursing staff to use an evidence base when considering their rationalle when delegating care and tasks to other staff. The introduction of patient specific scenarios are a further highlight since it keeps the execrises relevant to events that are prevalent to nursing care.

Strengths & weaknesses:

The strengths of this book come from its layout and clear simply written scenarios. The design of this book means it could easily be employed in a clinical supervison session; encouraging nursing staff/shift leaders to discuss the proposed scenario and using a relevant evidence base can discuss how they can achieve the optimal outcome with the various skills mix to hand. The only weakness is some of the terminology employed since this book is written with the American nursing environment in mind. Despite this is is certainly a great resource for use in any healthcare setting.

Who should read it? 

This book should be considered for reading in any nursing environment, incorporating hospital and community homes where an inidiviual is cared for by a range of health care staff. It should be read by learning and develpment departments where they suport nursing staff with clinincal decision making. I would further recommend it to be used on a ward level where nurses/shift leaders could review scenarios and discuss potential interventions.  Mentors also could benefit from this resource when they have management students with them as an aid to introduce the complexities and challenges in managing patient needs with the available skills mix.

Prioritization, Delegation and Assignment

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