1. Delegation/Teamwork Project
Kelli Erb RN

2. Project Overview SLC- Issues with delegation
Developing trusting relationship between RN and NT is important in successful delegation (Anthony & Vidal, 2010)
Improve Communication with proper delegation
Communication between team members requires constant evaluation, feedback, and modification to meet pt care goals (Cipriano, 2010)
Increase teamwork, staff and patient satisfaction
RNs said NTs were not completing tasks, NTs said RNs gave too many tasks. So we looked at what we could change. Being more detailed about what exactly we were doing at the time. Getting waters for patients. Improve delegation skills.

3. Goals and Objectives
Through education and newly developed delegation and teamwork tools, the unit will improve staff and patient satisfaction and improve unit teamwork. Results will be measured through pre/post staff surveys and patient HCAHPS data
What needs to change and how do we do it?
Develop surveys
Develop Staff Education
Huddles
Delegation
Power Hour
Analyze data
Maintain
Develop PPT on results

4. Quality & Safety Improve communication (Yoder-wise, 2014)
Prevent CAUTIs, CLABSIs, and HAPUs
Improving communication is a national patient goal identified by the joint commission

5. Process/Progress/Completion
Staff surveys 71% took pre and 63% took post
Delegation- saw some improvement
Major improvement in huddles
Reminder pages
Accountability
Power Hour!
Surveys were done before the formal education which I feel helped with bias. In the survey, we specifically asked questions pertaining to the 5 rights of delegation. I think the RNs who took the survey felt they knew how to delegate, but I know before this project, follow up was not done consistently. The post data on the five rights showed improvement, but compared to the pre data it is not as drastic as I thought it would be. After the education was done, I know the act of delegation was being done a lot better. Looking at the survey data related to huddles throughout the shift, we saw major improvement. It helps that the secretaries page out the reminders and the majority of staff hold each other accountable. Power Hour has been a major change, but in the big picture, it has been extremely beneficial. Our patient satisfaction data is not dropping, but we haven’t seen a huge increase either. The pre data for patient satisfaction was about 89% which was for about 40 surveys we had received. My post data is still about 89% satisfaction, but it is only from 9 patient surveys. Hopefully, we see an increase. The whole point of power hour is to decrease the amount of interruptions the patient has during “shift change” time.

6. Obstacles & Challenges
Timing of power hour
Going earlier
1700 mini power hour
Admissions/Discharges
Pulled staff
Dayshift has rounds, lunches….

7. Ethical & Professional Issues
Who is charting for power hour?
Staff acceptance
Crucial conversations

8. Lessons Learned
Collaborative leadership is assuming “a leadership role within a health care or community based care setting to promote a culture of quality and safety” (Ferris State School of Nursing, 2012).
Learned how important organization is for a project manager
Learned how hard it is to deal with difficult people
Learned how nice it is to have staff support your decisions

9. Professional Growth HUGE growth Public speaking
Guest speaker-1E
Teaching classes
Increased conflict resolution skills
Can’t wait for another project…already have one I am going to work on

10. References
Anthony, M., Vidal, K. (May, 2010). Mindful Communication: A Novel Approach to Improving Delegation and Increasing Patient Safety. OJIN: The Online Journal of Issues in Nursing. 15(2). doi: /OJIN.Vol15No2Man02
Cipriano, P., (May, 2010). Overview and Summary: Delegation Dilemmas: Standards and Skills for Practice. OJIN: The Online Journal of Issues in Nursing. 15(2). doi: /OJIN.vol15No02ManOS
Portfolio Guidelines and Evaluation Process. (2012). In Ferris State University School of Nursing. Retrieved from /pid dt-content-rid _1/courses/ /PORTFOLIO%20GUIDELINES%20REVISED%20Fall%202012%281%29.pdf
Yoder-Wise, P. S. (2014). Leading and managing in nursing. (5th ed.) St Louis, MO: Mosby.