Write 5 pages with APA style on Professional Practice Issues Nursing. It means, in effect, entrusting some part of the work of management to subordinates. Responsibility is not, though, surrendered, a

Write 5 pages with APA style on Professional Practice Issues Nursing. It means, in effect, entrusting some part of the work of management to subordinates. Responsibility is not, though, surrendered, as no nurse avoids ultimate responsibility by delegating. The work is delegated and the superior holds the subordinate accountable. "Delegation within the context of nursing is the action by which an RN/Midwife delegates aspects of client care to another care provider who has the appropriate education, knowledge and skills to undertake the activity safely" (Scope of Nursing Practice Decision-Making Framework 2001).

A set of pre-established rules and expectations directs the course of client-nurse or client-unregulated care provider interactions. There may be some overlap in these interactions with those involving friends and family, but one factor in particular differentiates helping relationships from social relationships. A helping relationship is established for the benefit of the client, whereas kinship and friendship relationships are designed to meet mutual needs. In particular, this relationship is established to help the client achieve and maintain optimal health. These relationships are entered for the benefit of the client, but such a relationship is more effective if it is mutually satisfying. Clients are satisfied when their health care needs have been met and they sense that they have been cared for. Nurses feel a sense of accomplishment when their interventions have had a positive influence on their clients' health status and when their conduct has been competent and caring. Client-nurse relationships may be a mutual learning experience, but in general the goals of therapeutic relationships are directed toward the growth of clients. "Delegating to an unregulated care provider occurs when the required task is performed primarily by registered nurses and is outside the role description and training of the unregulated care provider" (Assigning and Delegating to Unregulated 2007). Clients and nurses alike come to the relationship with unique cognitive, affective, and psychomotor abilities that they use in their joint endeavor of enhancing the clients' well-being. Nurses are responsible for encouraging this interchange of ideas, values, and skills. In an effective helping relationship there is a definite and guaranteed interchange between clients and nurses in all three dimensions (Guarding Principles of Delegation among Nurses 2003).

Registered nurse delegate only tasks. The main implications of delegation are: (1) "the responsibility for the practice of nursing cannot be delegated. (2) under certain conditions, a registered nurse may delegate selected tasks for a specific client. (3) the best interest of the client must be embedded in all aspects of delegation decisions. (4) the unregulated care provider must have sufficient training, supervision and support to perform the delegated task safely" (Assigning and Delegating to Unregulated 2007).