Impact of New Technology in Nursing Research Paper

Impact of New Technology in Nursing - Research Paper Example This technology identifies the mutations of genes that expose a person to the development of chronic illnesses (American Association for Cancer Research, 2012). Genetics also identifies the carrier status, and diagnose certain uteri conditions. The medical professionals encounter patients who visit health facilities requiring treatment with their genetic sequencing and genotyping at hand. The availability of genetic data empowers the patients, and enhances better health care. The challenge that the nursing fraternity face with the introduction of the genetic technology is the education (American Association for Cancer Research, 2012). Most of the nurses in the current nursing practice have little or no knowledge about the genomics and genetics, hence lacking the required competence for delivery of effective counseling and the discharge of knowledge to the relevant patients. Contrary to the above concerns, the technology of genetic sequencing and genotyping continues to improve the interventional medicine by improving the diagnostics of nursing. (American Association for Cancer Research, 2012) The introduction of more accurate but less invasive tools in the diagnosis and treatment of diseases has changed the nursing practice. The emergence of technologies that test the existence of heart disease, monitoring the amount of blood sugar and the use of magnets to treat depression has transformed the outlook of nursing (Kelland, 2012). The use of scanning technology to identify the hard and soft body tissues is extensively important in the elimination of exploratory surgeries that inflict pain on patients in the process of determining the genesis of an illness (Miliard, 2012). These scans also detect the spread of chronic diseases faster than the x ray imaging. Despite the medical advances that come with the more accurate diagnosis tools, the challenge that the nurses face is in the use of the

MArketting Assignment Example | Topics and Well Written Essays - 2750 words

MArketting - Assignment Example This reflects the success of the company in various countries (Jumeirah International, 2013). The company has mainly eyed tourist attractions and travel destinations for the placement of its properties and this have hugely contributed towards the instant popularity of the group in that particular area. The architectural finesse of the group is appreciated the world over and these hotels and resorts are the sought after destinations for sight-seeing purposes too. As a part of its expansion plan, the Jumeirah group is viewing the feasibility of setting up its foot in India, also a country in Asia with huge population and growing economy. The hospitality sector is estimated to generate revenue of $ 30 billion by 2015 (ICRA Limited, 2011). This paper aims to undertake environmental analysis that would help the parent company in arriving at a positive decision towards establishing their business in India. In order to evaluate the macro-environment of the country with regard to the hotel industry, a PEST analysis is conducted. The sector is explored to assess the political, economic, social and technological factors that impact the business. The hospitality industry hugely contributes towards the economy by the way of taxes and tariffs, as per the luxury and services that they provide. Thus, decisions pertinent to hotel industry are definitely under the scrutiny of the government and its intervention into the operations in the sector is inevitable. Incentives and tax concessions are given to aspirant hoteliers serving foreign tourists and generating income in foreign currencies. The government also allows tax concessions for hotels in hilly areas and remote places and these concessions helped the industry wade through the economic crises. However, the terrorist attacks in Taj hotel at Mumbai has affected the sector, as the tourists do not feel enough secure in these lodging set

How Ian Mcmillan Conveys His Attitudes Towards the Death of His Mother Essay Example for Free

How Ian Mcmillan Conveys His Attitudes Towards the Death of His Mother Essay McMillan uses harsh words throughout the poem to show his grief and remorse at his mothers death. Words like â€Å"shatters† link with how he is feeling, like everything is broken and cannot be repaired. This word makes us imagine something broken into lots of tiny pieces which cant be put back together again, and it helps us to understand how broken and jumbled up he is feeling. The word â€Å"slap† when talking about â€Å"the tears (that) slap my torn face† insinuates the idea that he is in physical pain, that the emotional pain he feels is is so strong that he physically hurts. In the first stanza, we find out about his mothers death. Enjambment is used to speed up the pace of the poem, and show how quickly someones whole live can change, like in the phraseâ€Å"In the moment it takes a life to pass/ from waking to sleeping† The phrase â€Å"from waking to sleeping† highlights the opposites in what he and his mother are doing, as she passes from life to death. The word sleeping creates quiet a gentle image, and suggests that her death was not unexpected, and perhaps was drawn out and painful. Sleep is a very relaxed and calm time, the only time when the human mind can escape from problems in the day, so perhaps the idea of his mother falling asleep is comforting, like she has now stopped suffering and can rest happy. The second stanza uses a lot of words relating to the senses, to help us understand how McMillan is feeling. The sentence â€Å"outside a milk float chinks and shines† shows that the world is carrying on as normal, despite the fact that McMillans world has personally just stopped. The rhyming pattern throughout this poem is abab, but in this stanza the words â€Å"mine† and â€Å"shines† are meant to rhyme, but the fact that they don;t fully rhyme represents the disorientation he is feeling upon finding out about his mothers death, and perhaps also shows how nothing is quite right any more. Also, the word drones when describing a plane has been used to represent the deep grief he is feeling, and makes us feel like he has completely given up. In the third stanza McMillan seems to be describing a state of shock that he has fallen in to, which is quite a normal reaction when a loved one dies. McMillan describes his tears to slap his torn face; as well as slap being a raw and aggressive word, the way he describes his face as torn perhaps suggests that it was his mother who held him together, and now, without her, he is broken. This helps us to realise how important his mother was to him, which makes us sympathise for him a lot and evokes a feeling of empathy when we put ourselves in his position. McMillan says he feels trapped, like he is trapped by his own emotion and although its up to him to find a way out of this dark place, he cant see an escape. This shows how alone and scared he is feeling knowing his motherr is no longer around and also makes us think how panicked he must be feeling, as we would be if we were trapped somewhere. The word float makes us think that McMillan is no longer in control of his emotions, that what he is feeling is unstoppable, but also it instigates the sense that nothing seems quite normal around him, and that he is detached from reality. The final stanza is a rhyming couplet that summarises the grief and emptiness and the lack of will to go on without his mother. â€Å"Feeling that the story ends just here† conveys the idea that there isnt a story to continue without his mother, showing how depressed McMillan is feeling, like he has reached a dead end in his life.

International Marketing Strategy for Tesco

International Marketing Strategy for Tesco Executive Summary This report outlines international marketing strategy for Tesco for its market entry into Sweden with a range of baby wear. The SWOT and PESTAL analysis show that Tesco currently has the resource capabilities to successfully enter the market and implement a market development strategy. The report recommends that Tesco target the high-end market segment with a differentiation strategy. This report will assist in understanding and the formulation of an international marketing strategy for Tesco Plc. The report will use PESTLE and SWOT analysis to provide an insight into Tesco’s current market situation. This will help management in making the correct strategic choices in terms of corporate and international strategy in terms of lunching a range of baby wear (infant toddler clothes) into Eastern Europe (Namely, Sweden). The report will outline how Tesco will make such market diversity and also managing corporate portfolio. We will use the Ansoff Matrix to consider market entry models. The final part of this report will provide an activity plan for Tesco along with a profit and loss account. Measurements and control with contingency plans will also be discussed. Company Profile Tesco runs more than 2,300 supermarkets, hypermarkets, and convenience stores in the UK (where it is the market leader in food retail), Ireland, Central Europe, and Asia. Its operations include convenience and gasoline retailing (Tesco Express), small urban stores (Tesco Metro), hypermarkets (Tesco Extra), and financial services through Tesco Personal Finance. A global leader in online grocery sales, it owns a 35% stake in US grocery chain Safeways GroceryWorks. It is the leading online grocery store and it is now expanding its business with a TV channel and a retail based education institution†. SWOT and PESTLE Analysis of Tesco Plc A PEST analysis of the industry will examine the local, national and global influences of political, economic, social and technological factors to understand opportunities and threats well. All of those (political, economic, social, technical, legal and environmental) factors will to some extent apply to the retail industry in Sweden. POLITICAL – Following the European Integration and Free Trade Agreements, the market has opened up for British Companies to invest in Eastern Europe. Tesco already has 60 Hypermarket store in Hungary. Lidl is uncompromisingly fighting to maintain its market share with an aggressive pricing strategy. ECONOMIC the Retail sector is fairly recession prawn and also very sensitive to changes in interest rates. Since the events of September 11th the world economies have suffered heavily, stocks plummeted and prices are at all time lows. The world economy is however, now on the up post September 11th. Consumers are optimistic and the retail industry is once again booming. SOCIAL – changes in consumer taste and lifestyle represent both opportunities and threats for the industry. Opportunities in terms of new market and consumers, however, there are added threats in terms of alternative established Swedish national retailers (foreign company bias). TECHNICAL – Changes in retailing methods as such clothes sales via the Internet is now a common place in retailing. Paperless operation, the management and administration of the company are undertaken on IT systems, which are accessed through secure servers; provide flexibility in the running of the business. As Sweden is at the forefront of technological advancement with national companies like Ericsson, Tesco would enjoy the comprehensive logistic and distribution channels already in place. LEGAL – National legislation for health and safety both in terms of consumer rights and also in terms of production of own natural renewable resources for making clothes. ENVIRONMENTAL – The renewable source of resources used in production, namely cotton and wool are environmentally friendly. The threats are in terms of legal consequences for livestock’s in terms of health and safety. Market Entry Strategy We can use Ansoff’s product/market matrix to identify directions for Tesco’s strategic development. This matrix offers directions for strategic option available to Tesco in terms of products and market coverage, taking into account its strategic capability and also expectation of stakeholders Source: Johnson, G., Scholes, K., Whittington, R., (2005) We can see from the Ansoff Matrix that Tesco’s lunch of Baby wear in Sweden will involve a market development strategy. As Tesco already sells kid’s clothing (existing product) but Sweden will be a new market. Both capability and market consideration has driven Tesco to into development into new markets. Kid’s clothing is a product that can be exploited in other market segments and also geographical spread internationally. Tesco may encounter some difficulties around creditability and expectations as they attempt to enter the new market. Tesco may not be seen as a credible ‘mainstream’ supplier. Tesco Plc Target Customers Tesco must decide which market segment in Sweden it wants to target; this will subsequently determine its generic strategy. If it wishes to with the low cost retailers then it must adopt a cost leadership strategy. Otherwise it will have to look for differentiation so that it can charge premium prices at the high-end market. As the competitive rivalry in the low cost market is intense, Tesco should enter the high-end market with a differentiation strategy. However, before Tesco decides on its target customers, we need to conduct a market analysis, in terms of size of the baby clothing market in Sweden, market shares of all the existing firms in the market and finally segments within the market, to identify particular segments, so that Tesco can target these and adjust its marketing. Marketing Objective Tesco could have the following objectives: Profitability, in terms of operating margin (a 10% target) Swedish Market share (a 20% target) Customer advocacy (the number of customers who recommend Tesco branded clothing, repeat business) Respected company (the number of community stakeholders who respect Tesco) Employee motivation (the number of employees who feel motivated to deliver Tesco’s goals) Tesco must ensure that it sets ‘SMART’ marketing objectives that are measurable, time limited, attainable and relevant. Marketing Strategy Tesco’ strategy is clear, with growth being pursued from four areas – the core UK grocery business, non-food, international expansion and retailing services such as financial services, the dotcom business and telecommunication packages. Basically, Tesco is using its strong stable core to keep the business ticking over while it forges new riskier areas of growth. Pushing further into non-food in the next phase (Johnson, G., Scholes, K., Whittington, R., (2005)). Lidl is currently destroying the market by selling the products below cost price. Therefore, Tesco’s generic strategy will have to be cost leadership, unless we can successfully differentiate our line of clothing so that we can charge a premium price. A marketing strategy will involve analysing the markets, and which products to offer. The strategy is implemented through marketing tactics, which involve detailed decisions about factors such as the price and the way the product is distributed. So Tesco must decide on its model of entry in terms of, own stores, Internet selling or joint venture with an existing national retailer. Activity Plan Market Research Market Analysis (including demand for baby wear) Mode of Entry Marketing Mix Decisions (Place, Price, Product, Promotion) decisions Methods of promotion – advertising, public relations, direct mail, sales promotion and personal selling Profit Loss account Measurement Controls Tesco must also have in place both financial and strategic controls. Financial controls are in terms of profit targets, capital bids and performance appraisal. Strategic controls in terms of overall strategic balance, agreed business plan, optional services and infrastructure and any short-term constraints such as human resources. Contingency Plan The contingency plan must be in place to ensure that if the product fails having made large capital investments in new store, Tesco must have other products within its portfolio, which it can launch. References and bibliography http://www.forbes.com Johnson, G., Scholes, K., Whittington, R., (2005) Exploring Corporate Strategy Text and Cases, 7th Edition, FT Prentice Hall http://www.hoovers.com/nike/ID__14254/free-co-factsheet.xhtml ACCA Paper 3.5 Strategic Business Planning and Development (2001) The Financial Training Company M.E. Porter, Competitive Advantage: Creating and Sustaining Superior Performance, Free Press, 1985 Jeannet, J., Hennessey, D.H, Global Marketing Strategies, 6th Edition, Houghton Mifflin

Blockbuster Video Analysis Essay -- essays research papers

The video rental industry was one of the more growing services retailers in the mid-1990s. However, due to Blockbuster, many rental video companies have failed to compete against this category killer. West Coast Video, Video City, and Hollywood Video, which are among the few and only large competitor’s of Blockbuster in the tri-state area. Many family-owned video rental stores could not compete against Blockbuster’s assortment of videos. Blockbuster opened its first store in 1985 and has grown to become the world’s number one video chain. Blockbuster is open 365 days a year with 9,800 stores worldwide. Customer base has risen above 50 million in the United States as well as several million more worldwide. The Gallup Organization, known for the Gallup Polls, declared that Blockbuster has 100 percent recognition. Most importantly, 70 percent of the population in the United States lives within ten minutes of a Blockbuster store. Category killers, however, usually attract customers from far distances. Because most customers are ten minutes away, small businesses in competition will fail. A recent marketing campaign has been the promotion of DirecTV, a digital satellite service alternative to cable television. Also, an alliance with Radio Shack has been in effect promoting new technologies. To compete against the up rise of online rental services, Blockbuster has been testing online rental services which allow customers to reserve and rent videos from specific stores. The other services retailer is West Coast Video, a Philadelphia-based company that was once a supreme challenger to Blockbuster. West Coast Video was at one point, New Jersey’s largest video rental chain in 1997. That preceding year, the company acquired stores from Palmer Video, Super Video, and Great American Video. It became the fourth largest video chain with close to half of its 568 stores in New Jersey. However, the company has approximately 225 stores to avoid going out of business. This year, West Coast has closed most of its North New Jersey stores, including this analyzed store. The West Coast store has been bought out by Video City, a recent competitor trying to tackle the Northeast market. However, they only operate a small number of stores in the area and specialize in e-commerce. They have no marketing strategies as of yet. The Blockbuster store is located in Nutley, New Jersey, a... ... may become a nuisance to a customer. Overall, Blockbuster, is very appealing, especially the Nutley store. It’s large location is very attractive comparable to East Coast Video location. Blockbuster’s overall domination has 3 Blockbuster locations within ten minutes of each other; the other two are located in North Arlington and Clifton. Another advantage is that Blockbuster members can rent at any location because the stores are all linked together. Movies, however, must be returned to the store where it was originally rented. East Coast Video, on the other hand, has only one other location in Kearny and the stores are not linked. Blockbuster’s strength has been great service, family values, and moderate pricing as opposed to East Coast Video. However, they are a fairly new company. Video City’s strategy is to control the adult film rental category and attract loyalty within these customers. Their website, however, offers only the sale of videos and does not provide information about the company’s history whereas Blockbuster takes pride in their socially responsible efforts. It’s very hard to avoid Blockbuster because of the availability of products, service, and convenience.

The Life-Span Developmental Approach to Counseling Essay -- essays res

The life-span development approach addresses the basic nature versus nurture debate by allowing for both. Just as our physicals selves are determined by both genetics and lifestyle, so are our emotional selves. As a Licensed Professional Counselor, I plan to consider life-span development to specialize in counseling a specific type of person with hopes of becoming well-versed, and therefore more helpful, in the types of experiences that group faces. â€Å"Personality can be better understood if it is examined developmentally† (Santrock, 2006, p. 45). Considering cognitive, biological, and socioemotional development throughout life will provide context, guideposts, and reasonable expectations for counselors. Life-span development theories also provide a useful place to start when offering emotional support as a counselor. Understanding an individual’s previous stages of development and environment can give a counselor and individual a common place from which to start counseling. Most of the developmental theorists discussed in section one of Santrock—Sigmund Freud, Jean Piaget, Lev Vygotsky, Konrad Lorenz, and to an extent B. F. Skinner—focused mostly on early or childhood development. Early development, when considered in a life-span context of development, can give an LPC insight in an individual’s personality. Regardless of specialization, a counselor can weigh early behaviors against his or her contemporary observations, giving them a fuller context. â€Å"Actual development requires more [than genetic loading]: an environment† (Santrock, 2006, p. 98). Two cognitive developmental theories support Santrock’s assertion of environmental influence on early development. First, Piaget’s cognitive developmental theory defines how a person behaves as how a person adapts to his or her environment. An individual’s behavior is an adaptive process driven by a biological drive to obtain balance between schemes and the environment (Huitt and Hummel, 2003). This theory states that development is a byproduct linking and relating our experiences to each other, starting with general environmental knowledge, until a person’s cognitive ability is composed of more abstract reasoning. The second cognitive theory emphasizes social and cultural environment. Vygotsky’s theory points to our relationships with others as the definitions of ourselves (Nicholl, 1998, par. 13). Two other theo... ...span development is a multi-faceted approach to counseling. Using these and other theories gives a licensed professional counselor a variety of tools for counseling. I expect these theories to help me determine a specialty in my future practice, relying on the overlap and complexity of working in terms of an entire human life. References?Boeree, C. George. (1997). Erik Erikson: 1902 to 1994. Shippensburg, PA: Shippensburg University. Retrieved 21 June 2005 from http://www.ship.edu/~cgboeree/erikson.html. Huitt, W. (1997). Socioemotional development. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved 22 June 2005, from http://chiron.valdosta.edu/whuitt/col/affsys/erikson.html. Huitt, W., & Hummel, J. (2003). Piaget's theory of cognitive development. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved 21 June 2005 from http://chiron.valdosta.edu/whuitt/col/cogsys/piaget.html. Nicholl, P .M. (Trish). 1998. Vygotsky. Palmerston North, NZ: Massey University. Retrieved 21 June 2005 from http://www.massey.ac.nz/~alock/virtual/trishvyg.htm. Santrock, John H. (2006) Life-Span Development. New York, NY: McGraw-Hill.

Does Delegation Help or Hurt Nursing?

The first nursing school was established in India in about 250 B.C., and only men were permitted to attend because men were viewed to be more pure than women. If you think of a woman dressed in scrubs with a stethoscope around her neck and a clipboard in her hands, you aren’t alone. An overwhelming majority of nurses in the United States today are women. However, nursing began as a practice reserved for men. It wasn’t until the 1800's that nursing became an organized practice.During the Crimean War, Florence Nightingale and 38 volunteer nurses were sent to the main British camp in Turkey. Nightingale and her staff immediately began to clean the hospital and equipment and reorganized patient care. Nightingale pushed for reform of hospital sanitation methods and invented methods of graphing statistical data. When she returned to Britain, Nightingale aided in the establishment of the Royal Commission on the Health of the Army. As a woman, Nightingale could not be appointed to the Royal Commission, but she composed the Commission’s report. (Travel Nurses of America, 2010) Completed, the report was over 1,000 pages in length and included detailed statistical information.Nightingale’s work led to drastic changes in army medical care, the establishment of an Army Medical School and medical records, and ignited the growth of nursing as an organized profession. For these contributions, Nightingale is widely accepted as the founder of nursing. Ironically, nursing has been taken on as a feminine profession, although as aforementioned, that was not its intention. Nursing are an extremely vital component of health care settings. According to the World Health Organization, nursing is defined as such: â€Å"Nursing encompasses autonomous  and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabl ed and dying people.† (WHO, 2011)Keeping that definition in mind, nurses ensure that patients are being taken care of properly and efficiently. It is obvious that one nurse alone cannot do all the work that a health setting requires. This is where the idea of delegation comes into play. One of the vitals skill required by the Registered Nurse is the skill to assign tasks to subordinates (Saccomanos and Pinto-Zipp, 2011). When tasks are delegated to subordinates, the RN remains accountable (Nursing and Midwifery Council 2008). This concept of work delegation has positive and negative effects.On one hand, it helps the RN (Registered Nurse) do more work in a shorter period of time, yet the downfall is that if the subordinate makes any mistakes, the results could be fatal and would still rest solely on the hands of the RN. Hence, delegation involves â€Å"responsibility, accountability and authority† (Sullivan &ump; Decker 2005, p. 144). This research paper will analyze the role of a RN in relation to delegation.Chapter Two: Nursing and Delegation- Who Does What? This essay will examine the role of the registered nurse in relation to delegation. Areas that will be examined include definitions of delegation, benefits of distributing workloads, management in relation to delegation, nursing process and procedures when delegating, common mishaps of delegation, five rights of delegation, and barriers nurses must break through when to delegating. In conclusion, this paper will hopefully convey the importance of an RN, delegation, and how this effects the quality of care patients receive.Delegation can be a useful tool that cuts costs, or a costly disaster waiting to happen From a management prospective, delegation is the idea of assigning tasks to other employees that a manager is currently undertaking. While delegation can be extremely helpful for speed, the question of efficiency and accuracy come into play. Delegation is seen as a daily routine in clinic al settings which can be traced back even to the Bible. Moses delegated to his Father-in-Law Jethro, asking why would everyone sit around and have you work alone? But what does delegation mean to Nursing? Delegation, as defined by the American Nurses Association, is  the ability to handover responsibility for the performance of a duty from one person to another while being held accountable for the outcome. (ANA, 2005)While effective, delegating another person in a health setting has its risks. Supervision is an essential tool in delegation because it involves direction, evaluation and follow up which must be provided by the RN to those she/he is delegating the task to (Finkelman 2006). However, the National Council of State Boards of Nursing (1995) also defines delegation as giving authorization to a capable individual to execute a particular nursing task in a particular situation. According to Lookinland, author of Team Nursing, the Registered Nurse was solely responsible for the care of the patients but due to staff shortage, budgetary constraints and high rate of sicker patients, the need to delegate duties to other Non-Registered personnel arose.(Team Nursing, 2005)Delegation provides a lot of benefits for both the organization and the staff. Cost effectiveness and time savings have been identified as the benefits of delegation as these helps the organization to utilize resources and staff in an appropriate manner (Finkelman 2006). Consequently, Pearce (2006) suggested that delegating repetitive tasks could lead to RN’s time being used efficiently for other tasks. Moreover, when tasks are assigned to others, it leads to the tasks being done in an efficient manner and an increase in productivity (Finkelman 2006).In the same light, Potter et al. (2010) stated with delegating duties to other staff, professional growth can occur as these staff have the opportunity of learning new skills, and having enough time in engaging in other activities. When del egation is used in an effective way, it builds up teams and improves quality care (Finkelman 2006). Chapter Three: Nursing and Delegation- Management Theory.Delegation can be direct (such as verbal instructions e.g. assisting patients with activities of daily living) and indirect which involves activities carried out based on hospital policies (Masters 2009). Nursing management, when referring to Maslow’s Hierarchy of Needs, is a useful organizational framework that can be applied to the various nursing models for assessment of a patient’s strengths, limitations, and need for nursing interventions. (Smeltzer SC, Bare BG, 2004) It is noteworthy to state that in relation to delegation, the registered nurse who delegates task retains accountability and responsibility for such task (ANA 2005).Due to the risks and various factors in a health setting, it is important that a RN keeps in mind that when delegating task to any individual, the task should be well understood and t hat the individual carrying out the task should be knowledgeable, trained and competent enough to carry out the task being delegated (Masters 2009). Accordingly, and when good management is implemented among the nursing staff, when authority is passed from the RN to the delegate during delegation, it is appropriate to inform other members of the organization as they need to be aware of which task has been allocated and to who. It is also imperative for the employee to have access to resources as well as for the RN to allow the employee to take control of the task (Finkelman 2006).Also, in the textbook, Fundamentals of Nursing, Patricia Potter stated that when delegating task, the RN must ensure adequate two way communication. Communication should be clear, brief and complete as effective communication is a key element of delegation (Potter et al. 2010). As a result, good communication allows the unlicensed personnel to ask question and seek clarifications where necessary. The RN sho uld ensure that the unlicensed personnel understands what the delegated task entails and that he/she readily accepts the delegation as well as the responsibility that goes with (Finkelman 2006). Therefore, where the RN feels that when delegating task to unlicensed personnel may be unsafe, or that the person lacks competency or if she/he feels they may not be available to supervise such task, she/he has the right to inform the manager and refuse to delegate the task to any person they deem unfit. (NMC 2008)Furthermore, as indicated by the NMC (2008), no one should be under any form of pressure to either delegate or agree to do a delegated task. Many times nurses have strengths and weaknesses in their profession. It is important to understand or recognize a nurse who is uncomfortable with a task or struggling. Management should also make it clear that staff should communicate to management if they need assistance.Chapter Four: How is Nursing Organized? How is delegation run? In nursin g, there are several categories that an RN can fall into. There are matron nurses, director of nursing, nurse managers and charge nurses. The matron nurse is the head senior nurse and in charge of delegation and subordinate  tasks. If tasks and duties fail to be met, they are held accountable. The director of nursing is also a senior nurse, but tend to report to the CEO of the hospital. They oversee all tasks done by the matron, registered nurses and nurse managers. They are responsible for producing data and ensuring standards are being met.Nurse Managers are responsible for a nursing unit and typically report to the matron. They are given a unit of nurses and delegate tasks and patients to them. And then there is a charge nurse who is the frontline of management for the nurses on a shift. The charge nurse oversees all the RNs. Registered nurses are extremely important in terms of delegation. Registered nurses are above certified nurse’s assistants and licensed nurse pract itioners. It is crucial that an RN supervises and gives feedback on tasks that are performed because this creates an avenue for the subordinate to know where or what went wrong and how it could be improved upon to deliver quality health care. (Pearce 2006)In delegating tasks to an unlicensed personnel, the RN decisions should be based on the delegation process (that is assessment, planning, implementation and evaluation) which will help in reducing the risk associated with delegation (Newmann 2010). The assessment stage looks at if the delegated task is suitable for the delegate. The planning stage involves determining the competence of the individual to carry out the task and ensuring safety measures, implementation deals with the RN observations through supervision and evaluation gives a breakdown of the completion of the task (Neumann 2010). This process as indicated by Neumann (2010) is done to protect the nurse and employers against any legal issues that may arise as well as fo r the safety of the patients.Chapter Five: Nursing Delegation to Unlicensed Persons. Delegated duties to unlicensed personnel must be within their scope of practice for which that person has the training and not tasks that may require having a certificate or license (Zimmerman 2001). Tasks which may be delegated to unlicensed personnel’s include tasks like activities of daily living, taking vital signs, errands and clerical duties (Zimmerman 2001). Other tasks which Zimmerman mentioned should not delegate by the RN to unlicensed personnel include duties such as nursing skills that involve invasive procedures, expert knowledge and professional decisions relating to  patients care.If the RN delegates tasks inappropriately, it could lead to the loss of her/his registration license and issues of liability may need to arise (Finkelman 2006). Before an RN delegates a task to individual or unlicensed personnel, care must be taken into consideration in relation to assessing proper training and level of competency of the individual regardless of how easy the delegated task may appear to be (NCSBN 2005). Unfortunately, the results of a failed task or malpractice do rest on the RN. It is important to delegate to knowledgeable individuals who understand their task fully.Chapter Six: Procedure, Policies, and Error. There are certain errors and mistakes that occur during delegation. The most reported errors include over delegation, under delegation and improper delegation (Feldman et al. 2008). Over delegation arises when time management skills are not properly developed in an individual or where one is not too sure about their own capability to carry out a task (Feldman et al. 2008). Under delegation as stated by Feldman (2008) happens when the RN has no confidence in the subordinate to perform the task which is to be delegated while improper delegation means delegating task outside an individual’s expertise.In order to avoid such common mistakes and being a professional, when delegating task, the RN must be familiar with the five rights of delegation which the NCBSN (1995) identified as right task, right circumstance, right person, right direction and communication, right supervision and evaluation. The right task has to do with deciding if a task should be delegated for a specific patient. The right circumstances looks at the client’s environment, client’s conditions and available resources. The right person takes into account the right individual delegating the right task to the right person to carry out the task on the right patient.The right direction or communication focuses on communication being clear and having a concise description of the task explained including all expectation for having the tasks accomplished. The right supervision deals with monitoring the task, implementation, evaluating task and also providing feedback in relation to the task (ANA 2005). These rights as noted by the NCBSN (2005) assists t he RN to determine a suitable and appropriate method to use during delegation. Delegation is seen as a process which the RN has  to be properly equipped and well educated in (Finkelman 2006). However, delegation can become problematic in relation to shortage of staff, having to do obnoxious task and the inexperience of the subordinates (Curtis and Nicholl 2004).Chapter Seven: Impact on Administration. Administration will then face a barrier such as lack of trust in the subordinates which leads to the attitude of â€Å"doing it all by myself† (Feldman 2008). This can affect effective delegation because when leaders lack trust in their subordinate’s capabilities, they are likely to make mistakes (Feldman, 2008). Similarly, some RNs may feel they are perfectionist and as a result are unlikely to delegate because of the fear of having to deal with any negative outcomes by the subordinates (Curtis and Nicholl 2004). This causes hostility within administration. It is very expensive to have head nurses on the floor, yet if they won’t delegate workload, they must be there.This causes cost to go up, speed to go down, and employee trust to diminish. In relating this to clinical practice, some nurses may not be willing to delegate tasks to student nurses for fear of being held accountable for any mistakes. As stated by the NMC, the RN who decides to delegate is held accountable for such delegation. It causes a lack of trust on the floor from one employee to another. Another barrier as identified by Curtis and Nicholl (2004) occurs when there is shortage of staff or having inexperienced staff members. This leads to staff being overburdened with work load. As suggested by Curtis and Nicholl (2004), when there is shortage of staff, it is imperative for the work load to be lessened until there is an improvement in the availability of staff.Chapter Eight: Impact on Management. Many nurses may feel that tasks that are beneath them can be constituted as a barrier in delegation. As indicated by Feldman (2006) when managers discriminate by delegating tasks which may be unpleasant or boring to certain subordinates and keep the better or interesting tasks for certain people, it leads to subordinates refusal to perform such tasks. For this reason, it is essential to assign task which are interesting and task should be assigned equally and fairly to all individuals concerned taking into account their skills and ability (Kourdi 1999).This impacts management negatively. It causes the head nurses to get away with picking and choosing their tasks while the employees beneath them become frustrated and annoyed. Tasks must be divided up fairly, not just because the head nurse does not want to do them.Conclusion: In conclusion, delegation as discussed in the essay is considered to be an essential aspect of nursing and play an important role for the RN. As Marquis and Hustin (2008) stated, â€Å"delegation is a necessity and not an option†. So it is important that nurses as well as students preparing to become nurses are well trained and equipped in this field. As someone who is going to school in September for Nursing, I am fully aware that delegation is vital. If there is a team effort, then tasks will get done much faster and much more accurate.Delegation is an important nursing skill which requires a systematic plan to ensure optimal patient care (Finkelman 2006). Referring back to Maslow, nursing needs to be organized and delegated appropriately. Delegation is a skill that can be calculated to minimize costs, maximize quality, and ensure effectiveness. More management courses in health care should be given to depict how to delegate properly, not just with nursing, but perhaps with all health care personnel. Since delegation improves with practice, it is important for nurses understand when to delegate and how.Learning these skills will also prepare the nurses in future to delegate task when they qualify and becom e RN’s. In relation to nursing practice, registered nurses should help other nurses by delegating tasks to them that are within their level of competence as well as making sure that all tasks assigned to them are duly supervised and follow up on the delegated task.