Many nurses are reluctant to assume a Charge Nurse role, since they are often asked to do this without any education or training. Yet charge nurses play a critical role in helping their Nurse Manager or leader achieve desired financial and clinical outcomes. Examples include: staffing, scheduling, assignments, patient placement and throughput.
One key competency that Charge Nurses struggle with is learning how to delegate. Many find it is difficult to delegate tasks to peers, since they rely on peers for assistance with patient care later when not in the Charge Nurse role. Staffing in some organizations require the Charge Nurses to take a patient assignment, while in other hospitals they do not. But delegation is still a key competency Charge Nurses need to exhibit to assure that units run efficiently.
Following a delegation framework will help assure that the right task(s) will be assigned to the right staff member, under the best circumstance, and begin to answer issues of communication, supervision, and evaluation needed. Delegation remains an underdeveloped skill among nurses, and one that is difficult to measure - but it can be planned for! The following outlines components of the Rights of Delegation Model:
Assessment and Plan: As a Charge Nurse, am I giving the right tasks to the right nurse/staff member?
Communication: Is the Charge Nurse providing communication that puts the unit on the right path?
Supervision and Surveillance: Find the right amount of supervision for the unit
Observation and Feedback: Assess effectiveness of Charge Nurse Delegation
-OIJN/ANA . "Delegation Dilemmas: Standards and Skills for Practice" Pamela Cipriano, PhD, RN, NEA-BC, FAAN
-Emerging RN Leader. "How to Delegate Care" Rose Sherman, EdD, RN, FAAN
Market research tells us that many acute care facilities need to do more to equip their first-level nurse leaders with the tools to succeed. Hospitals report a need for them to be better motivators, delegators, and champions for change. In today's climate of hyper-fast transformation, also equipping the Charge RNs, Assistant Nurse Managers and other first-level supervisory nurses with "business of nursing" knowledge will assist your organization in meeting its financial goals.
The measures above are closely monitored by acute care facilities and payers, in part because of their direct impact on cost and profitability. The duties of a charge nurse touch each of these in many ways, every day. From bed assignments, patient flow, and discharges, to supply management and supporting improvement initiatives, these nurses do it all. The pressure is high and retention in these positions can be low.
CLC has conducted intensive research to learn which skills these acute care nurses need, according to their own experience. Using focus groups, surveys, and research of other qualified healthcare resources, certain trends became clear across many U.S. hospitals and medical centers:
Hospitals Need- better retention in these roles and improved ability to manage the business of nursing.
Today's Charge Nurses Need- more structured training on leadership, management and interpersonal skills - and not just online.
"Online can be bland, compliance driven. We prefer classroom-based, hands-on training. There is a benefit of getting away from the unit and getting a group together to share experiences." - Charge Nurse Focus Group Participant
The result is a series of courses accredited by the Tennessee Nurses Association (TNA) which meets all ANCC guidelines. NCharge® is dynamic, instructor led classroom training that integrates the business of nursing with the skills nurses need to perform at their best as supervisors.
Visit the new product page, share this with your Clinical Education Department or reach out to your Regional Manager today for more information.