Friday, October 18, 2019

Helping the Elderly Essay Example | Topics and Well Written Essays - 1750 words

Helping the Elderly - Essay Example Going by this theory, elders are in the stage of self actualization and in this stage, they are not attracted by desires etc. All they need is peace and they will be in a position where they know about themselves clearly. At this stage most of the needs are fulfilled. Relating the theory with the case clearly shows one of the major needs of elders - health. Most of the elders are in need of drugs and medicines to relieve them from their diseases. So medicine also becomes the basic need for elders. Most of the drug/medicine businesses are targeted at this basic need of elders. The elders are in a stage of dependency due to their physical and mental weakness. In this case, both the government and Insurance companies must come to the aid of elders as the elders depend directly on medicine for their survival. The role of Doctors, Health care Industry (Drugs), Insurance Companies and Government have a direct impact on the life of elders. These key persons must change their attitude and mindset from looking at elders as a revenue source and start helping them in their own ways. It's no secret that average costs of prescription drugs have raised dramatically in the past decade. According to the Kaiser Family Foundation, average retail prices for brand name drugs in the United States more than doubled between 1990 and 2000, from $27 in 1990 to $65 in 2000. The obvious question is: Why? One of the major reasons is the advertising cost spent by health care companies. The amount of money that has been spent promoting drugs since the new FDA regulations went into effect is staggering. In 1996, the drug industry spent $791 million on mass media advertising. Four years later, that number more than tripled to $2.5 billion. ... I approached the case study considering the important people in the case. i.e. Doctors Health care Industry (Drugs) Insurance Companies Government Elders The role of Doctors, Health care Industry (Drugs), Insurance Companies and Government have a direct impact on the life of elders. These key persons must change their attitude and mindset from looking at elders as a revenue source and start helping them in their own ways. The decisions to be taken by doctors are to charge less to elders. The decisions to be taken by health care industry personnel are to provide drugs at a cheap cost to elders. The decisions to be taken by Insurance companies are to charge low premium from elders and compensate them quickly on their medical expenses. The decisions to be taken by Government are to provide tax cut and provisions on high priced medicines to elders. If possible, the Government must distribute them free of cost to elders. Why are prescription drug prices so high The drug prices are tremendously huge. It's no secret that average costs of prescription drugs have raised dramatically in the past decade. According to the Kaiser Family Foundation, average retail prices for brand name drugs in the United States more than doubled between 1990 and 2000, from $27 in 1990 to $65 in 2000. The obvious question is: Why One of the major reasons is the advertising cost spent by health care companies. The amount of money that has been spent promoting drugs since the new FDA regulations went into effect is staggering. In 1996, the drug industry spent $791 million on mass media advertising. Four years later, that number more than tripled to $2.5 billion. All told, the U.S. drug industry spent $15.7 billion

Thursday, October 17, 2019

Balancing Stakeholders Interests In Case Of A Conflict Essay - 2

Balancing Stakeholders Interests In Case Of A Conflict - Essay Example The CAW accepted a wage freeze that would last three years approximately. Vacations would have to go for lesser time and employees would have to contribute higher towards their benefit plans. From the abstract what is clear is that the bailout necessitated that employees do most of the heavy lifting. Suffering wage cuts, taking shorter vacations while the owners who happen to also be external stakeholders do not seem to suffer that much. How then can the interest of employees and shareholders be balanced in case a conflict arises? To answer this question I will use Edward Freeman’s stakeholder’s theory to delve in depth into this issue pitting both moral responsibilities and profit maximization objectives of the business unit. Stakeholder hypothesis is a theory of executive management and trade ethics that deals with principles and values in running an organization. In the conventional view of the firm, the investor view, they are the proprietors of the company and the corporation has a compulsory duty to put their needs first, to boost value for them. Stakeholder conjecture fights that there are added parties involved, including workers, clientele, providers, investors, society, legislative bodies, political lobby groups, trade links, and unions. Even rivals are sometimes counted as stakeholders - their position being consequent from their aptitude to affect the company and its stakeholders. The nature of what is a stakeholder is extremely contested The stakeholder view of policy integrates equally a resource and a market-based view and adding up a socio-political stage. This outlook of the corporation is used to describe the precise stakeholders of a firm (the normative presumption (Donaldson) of stakeholder identification) mutually examines the conditions beneath which these parties ought to be treated as stakeholders.

Response Strategies Essay Example | Topics and Well Written Essays - 250 words

Response Strategies - Essay Example In risk assessments i.e. interviews should be founded on the basis of the organizations or projects objectives. This is so as to determine which risks and opportunities are available that can affect the realization of the objective. This makes it easier to be able to identify any strengths or weaknesses in the area of study. It gives more insight about recent developments in the area of study which might positively or negatively affect the venture. Help also determine the legal and policy requirements that might post any risk to the entity (Fan, 2008). Following discovery and analysis of risks, appropriate action in response to the identified risks must be taken focusing on risks of most significance. The risks may be in form of opportunities or threats. The response actions to an opportunity may include; exploitation, sharing and enhancement. These actions aim at realizing that the available opportunities are realized. Responses to threats include avoidance, transferring and mitigation of threats. It is necessary therefore to start with the handling of the high-priority opportunities since they foster the growth of a certain project. The opportunities action strategy will insure a positive impact is realized, and maximizing the benefits realized for the project. Unlike the threats which may involve the incurring of costs or termination of a project even before it is realized. Hence, it’s quite appropriate to maximize on the opportunities

Wednesday, October 16, 2019

Helping the Elderly Essay Example | Topics and Well Written Essays - 1750 words

Helping the Elderly - Essay Example Going by this theory, elders are in the stage of self actualization and in this stage, they are not attracted by desires etc. All they need is peace and they will be in a position where they know about themselves clearly. At this stage most of the needs are fulfilled. Relating the theory with the case clearly shows one of the major needs of elders - health. Most of the elders are in need of drugs and medicines to relieve them from their diseases. So medicine also becomes the basic need for elders. Most of the drug/medicine businesses are targeted at this basic need of elders. The elders are in a stage of dependency due to their physical and mental weakness. In this case, both the government and Insurance companies must come to the aid of elders as the elders depend directly on medicine for their survival. The role of Doctors, Health care Industry (Drugs), Insurance Companies and Government have a direct impact on the life of elders. These key persons must change their attitude and mindset from looking at elders as a revenue source and start helping them in their own ways. It's no secret that average costs of prescription drugs have raised dramatically in the past decade. According to the Kaiser Family Foundation, average retail prices for brand name drugs in the United States more than doubled between 1990 and 2000, from $27 in 1990 to $65 in 2000. The obvious question is: Why? One of the major reasons is the advertising cost spent by health care companies. The amount of money that has been spent promoting drugs since the new FDA regulations went into effect is staggering. In 1996, the drug industry spent $791 million on mass media advertising. Four years later, that number more than tripled to $2.5 billion. ... I approached the case study considering the important people in the case. i.e. Doctors Health care Industry (Drugs) Insurance Companies Government Elders The role of Doctors, Health care Industry (Drugs), Insurance Companies and Government have a direct impact on the life of elders. These key persons must change their attitude and mindset from looking at elders as a revenue source and start helping them in their own ways. The decisions to be taken by doctors are to charge less to elders. The decisions to be taken by health care industry personnel are to provide drugs at a cheap cost to elders. The decisions to be taken by Insurance companies are to charge low premium from elders and compensate them quickly on their medical expenses. The decisions to be taken by Government are to provide tax cut and provisions on high priced medicines to elders. If possible, the Government must distribute them free of cost to elders. Why are prescription drug prices so high The drug prices are tremendously huge. It's no secret that average costs of prescription drugs have raised dramatically in the past decade. According to the Kaiser Family Foundation, average retail prices for brand name drugs in the United States more than doubled between 1990 and 2000, from $27 in 1990 to $65 in 2000. The obvious question is: Why One of the major reasons is the advertising cost spent by health care companies. The amount of money that has been spent promoting drugs since the new FDA regulations went into effect is staggering. In 1996, the drug industry spent $791 million on mass media advertising. Four years later, that number more than tripled to $2.5 billion. All told, the U.S. drug industry spent $15.7 billion

Tuesday, October 15, 2019

Response Strategies Essay Example | Topics and Well Written Essays - 250 words

Response Strategies - Essay Example In risk assessments i.e. interviews should be founded on the basis of the organizations or projects objectives. This is so as to determine which risks and opportunities are available that can affect the realization of the objective. This makes it easier to be able to identify any strengths or weaknesses in the area of study. It gives more insight about recent developments in the area of study which might positively or negatively affect the venture. Help also determine the legal and policy requirements that might post any risk to the entity (Fan, 2008). Following discovery and analysis of risks, appropriate action in response to the identified risks must be taken focusing on risks of most significance. The risks may be in form of opportunities or threats. The response actions to an opportunity may include; exploitation, sharing and enhancement. These actions aim at realizing that the available opportunities are realized. Responses to threats include avoidance, transferring and mitigation of threats. It is necessary therefore to start with the handling of the high-priority opportunities since they foster the growth of a certain project. The opportunities action strategy will insure a positive impact is realized, and maximizing the benefits realized for the project. Unlike the threats which may involve the incurring of costs or termination of a project even before it is realized. Hence, it’s quite appropriate to maximize on the opportunities

A better representation of the network Essay Example for Free

A better representation of the network Essay Centralization sums up my primary reason for implementing Active Directory. The Active Directory structure makes it possible for you to achieve truly centralized management of users, regardless of how big your client’s network has become. If youve worked with Windows NT before, you know that in Windows NT a domain is a completely independent entity. While its possible to create a trust relationship between domains that exist on a common network, the domains are never truly integrated with each other because there is no higher authority that manages the domains. The situation is different with Active Directory. Whereas the domain level was the highest level of abstraction in Windows NT, the highest level of abstraction in Windows 2000 and 2003 Server is the forest, which is basically a collection of domains. Microsoft chose to call this unit a forest because you can place domains into the forest, and you can place entire trees of domains into it. A domain tree consists of a parent, child, grandchildren, and great grandchildren domains. You can have as many layers of subdomains within a domain tree as is necessary to achieve the desired organizational structure. The Active Directory domain structure is handy to have whether your client’s network is big or small. See more: Old Age Problem essay As you may recall, in Windows NT, each domain had its own Administrator account and its own Domain Admin group that was responsible for managing that domain. In Windows 2000 and 2003 Server, the domain Administrator account and the Domain Admin group still exist and can be used the same way that you were used to using them in Windows NT. There is also an Enterprise Admin group. Members of this group can manage any object within the entire Active Directory, regardless of what domain it exists within. Managing trust relationships The first time that someone tried explaining the concept of parent and child domains, forests, and trees to me, my head was spinning. All I could think about was that managing trust relationships for an organization that made use of all of these structures must be a real chore. However, managing trust relationships in Windows 2000 and 2003 Server is much easier than in Windows  NT because there are essentially no trusts to manage. Within a forest, every domain trusts every other domain automatically. The only time youd really have to worry about managing trust relationships would be if you had a relationship between domains residing within different forests. The only time that you would likely have to set up an interforest relationship would be if you needed to set up a trust relationship with a domain in another company’s network. These enhanced management capabilities make Windows 2000 and 2003 Server more scalable than Windows NT. This is especially true for larger organizations. Windows NT has a limit of about 40,000 objects within a domain. Windows 2000 Server expands this limit to over 10 million objects. I have not yet seen the object limit figures for Windows 2003 Server, but I’m sure that it’s possible to have over 10 million objects. Organizational units improve scalability Another way that Active Directory improves scalability in large organizations is through the use of organizational units (OUs). An OU is basically a collection of users and computers. The idea is that if you have a large domain, you can organize the domain into OUs. For example, suppose that your clients company used one large domain that spanned the entire corporation. Normally, this would mean that the administrative team would be responsible for managing the entire domain and all of the objects within it. Now imagine that your clients company has a really large finance department and that the finance department’s secretary is good with computers. You could create an OU named FINANCE and move all of the user accounts and computer objects for the finance department into this OU. After doing so, you could delegate the authority to reset passwords for this OU to the finance secretary. When someone in finance needed a password reset, they wouldn’t have to contact the help desk; they could just ask the secretary. This would give the department faster turnaround on password resets and free the help desk from some of the administrative burden. When you delegate authority to an OU, the person that youre delegating control to only has the permissions that you allow and only for that OU. Therefore, the secretary in finance wouldn’t be able to reset passwords for the rest of the company. The secretary also would not be able to perform any other administrative tasks within the OU, unless, of course, you delegated additional permissions. If you like the  idea of delegating authority, you’ll be happy to know that you can also delegate authority to create, delete, or manage user accounts or groups within the OU. Multimaster replication and sites Another cool benefit of an Active Directory environment is the concept of sites and multimaster replication. In Windows NT, when you make a change to the SAM, the change is applied directly to the PDC and is later replicated to each BDC. In an Active Directory multimaster replication environment, each domain controller contains a copy of Active Directory, not just the information for a single domain. Therefore, when a change is made to Active Directory, the change is applied to whatever domain controller is the closest, and is then replicated to the remaining domain controllers. This prevents a designated PDC from being overburdened. You can really see the benefits of multimaster replication when you consider how sites work. Sites are a logical Active Directory structure completely independent from domains. The idea is that if part of a domain is connected by a slow link, you may designate each side of the link as a separate site. Each site has its own domain controller. Therefore, when someone within a site needs to make an Active Directory update, the updates are applied to the domain controller within the site. The changes are collected and then replicated to the domain controller on the other side of the site link at preset intervals. This domain controller is known as a bridgehead server. It’s the bridgehead server’s job to intercept the updates and replicate them to the remaining domain controllers. Sites can be a little complicated to understand, but the basic idea is that they greatly decrease the amount of traffic that must flow across your slow or high-cost network links.

Monday, October 14, 2019

Analysing Delegation In Transition To Professional Practice Nursing Essay

Analysing Delegation In Transition To Professional Practice Nursing Essay Newly registered nurses or nurses re-entering the workforce face many challenges. One of these issues is delegation. In this essay you are required to develop an in depth and detailed understanding of delegation and how it apply to you as a newly registered nurse. You will need to critically analyse the literature to: Define delegation and how it applies to the registered nurse in the clinical setting Analyse the role of the registered nurse in relation to the responsibility of delegation Analyse the relationship between accountability and delegation Discuss how delegation is different to patient allocation Analyse how professional competence impacts on delegation with specific reference to clinical effectiveness Discuss the interpersonal relationships of team members when delegating within a team Introduction Being a newly Registered Nurse entails a lot of challenges, how we deal with our clients and effectively communicating what their needs are in a multi-cultural setting gives us these difficult tasks of rendering proper and appropriate health care. RNs (Registered Nurses) are known to provide care from womb to tomb, without preference to age, gender, race, religion and status. RNs need to understand the importance for them to know by heart, what are the tasks they can delegate to their co-workers because problem could arise if tasks are delegated inappropriately and clients would be the one to suffer the consequences. Delegation of activities will be relied more heavily due to decreasing workforce and increasing workload thats why nurses should understand fully the different guidelines on how one can appropriately apply delegation in their professional practice. The role of RN in the delegation process takes unprecedented importance. The independent licensee of the RN imposes a legal accountability on the part of the nurse to the patient/recipient of care. This becomes a primary responsibility, with the accountability to other disciplines or the employer being secondary. Because the RN is responsible for the practice of other lesser skilled licensed or unlicensed nursing personnel (i.e., Enrolled Nurses and Unlicensed Health Care Worker), it is imperative that registered nurses understand the guidelines and parameters set for delegation and training. All RNs and midwives must be willing to accept accountability and responsibility when undertaking activities within their individual scope of practice after considering: legislation or restriction of practice, professional standards of practice, current evidence for practice, individual knowledge skill and competence and contextual/organizational support for practice [Nursing Board of Victoria ( NBV) 2007]. The responsibility of the RN prevails whatever the employment setting or status of employment and that legal accountability cannot be removed or assumed by another individual or by the employer. We can never work alone, thus we are always a part of a multidisciplinary healthcare team and this is where the issues of delegation come into place. I. Definition of delegation and application in clinical setting The Queensland Nursing Council (2005) defined delegation as conferring of authority on a person to a person to perform activities. In the same way, delegation is conferment of authority to an individual who is not authorized to perform a particular task autonomously but can do so under direct or indirect supervision (Nursing Midwifery Board of South Australia 2005). Direct supervision means that the RN is actually present during performance of the delegated task, observing and guiding the person who is being supervised while indirect supervision is provided when the RN does not directly observe the person performing the delegated task but should be easily contactable by phone or electronic devices when the need arises [Royal College of Nurses, Australia (RCNA) 2005]. Delegated task can either be new, meaning that the delegated task is not normally part of their role or established, which means that the task has already been done before and no change in context was made [Queensland Nursing Council (QNC) 2005d, sec. D 7.0; Nursing Board of Tasmania (NBT) 2006, pp.5-6]. As a Registered Nurse working as part of the healthcare team, we cannot do away of the process of delegating tasks to other health practitioners be it to another Registered Nurse (RN), Enrolled Nurse (EN), or an Unlicensed Health Care Worker (HCW). It is both beneficial to the health care team and the client because if properly and accurately done, it speeds up the process of rendering the care needed by the client without sacrificing the quality of care being given. Health professionals should always remember that delegation of tasks are made not just to ease ones workload but are made to meet the clients need and to ensure that the right person is available at the right time to pro vide the right care to the client [Australian Nursing Midwifery Council (ANMC) 2007]. There are tasks that an RN cannot delegate to Enrolled Nurses and Unregulated Health Workers. According to the QNC (2005d, p. 4), care planning and delegation of activities from a nursing care plan cannot be delegated, some aspects of drug administration by Enrolled Nurses which are restricted by the council as per the Health (Drugs and Poisons) Regulations 1996 and tasks as defined by the Nursing Act 1992 to be solely exclusive for RNs or midwives. Registered nurses have the right to clarify, validate and support their professional judgment when it disagrees with an employer or supervisors direction, facilitate resolution of disagreement with an employer or supervisor and help resolve disagreement whether it is appropriate to advance their practice through accepting a delegation (QNC 2005c). II. Role and Responsibilities of Nurses in Delegating Tasks Only RNs may delegate nursing acts, functions or tasks. A registered nurse that delegate nursing acts, functions, or tasks should first determine whether it is within the RNs scope of practice, that the individual is qualified, competent and has the necessary skills to perform the task safely, that the RN delegating the task is available to directly or indirectly supervise the individual and evaluate the result after the delegated task was performed and that the RN should always remember that only the task is delegated and not the ultimate responsibility and accountability that goes with it. As stated in the ANMC (2007), RNs should understand the requirements for delegation and supervision of practice an example of which is by accepting delegated tasks only if it is within ones scope of practice and by raising concerns about inappropriate delegation with relevant organizational or regulatory personnel. Activities delegated by a RN cannot be re-delegated to another professional or hea lthcare worker (QNC 2005a). Registered nurses should provide guidance, support, assistance and clinically focused supervision, ensure that the person to whom the delegation is being made understands their accountability and is willing to accept the delegation, they should reflect on ones own practice, provide competency assessment of the individual who will accept the delegated task and evaluate the outcome of the delegated task (ANMC 2007; QNC 2005a). Accountability goes hand in hand when delegating tasks to other health care personnel. RNs carries with them a very big responsibility when delegating tasks to another member of the team because the RN retains the accountability and must see to it that the person to whom the task is being delegated to is competent enough to perform such task so as not to compromise the quality and safety of the care provided. RNs who delegates health care tasks are accountable to the State where they are registered, to their employer, and to their clients for their own actions and decisions. The RN must see to it that only those that can be performed safely to the patient be delegated, and it is critical that there is a clear and effective communication between the two parties. Expectations and outcomes are to be set so as to have an exact basis of evaluation if the delegated tasks are successfully performed to that of the accepted level of standard. Responsibility can be delegated to others so that the person to whom a task is delegated to remains responsible of the action while the accountability remains with the one who delegated the task. The independent license of the RN imposes a legal accountability on the part of the nurse to the patient/recipient of care. This becomes a primary responsibility, with the accountability to other disciplines or the employer being secondary. Because the RN is responsible for the practice of other lesser skilled licensed or unlicensed nursing personnel (i.e., Enrolled Nurses, Unregulated Health Care Workers), it is imperative that registered nurses understand the guidelines and parameters set for delegation and training. Liability cannot be delegated a nurses registration is at risk if he or she delegates a task inappropriately. Appropriate delegation begins with knowing what skills can be delegated. There are published guidelines which helps nurses in delegating tasks in accordance with the RNs legal scope of practice, an example of these are the five rights of delegation (National Council of State Boards of Nursing, 1995) wherein the fundamental basis of public protection should be the basis of all decisions related to delegation of nursing activities can be used as a mental checklist to assist nurses clarify critical elements of the decision-making process. The RNs final responsibility is to evaluate whether assistants performed a task properly and whether desired outcomes where realized. RNs should use the principles of delegation to guide them in deciding whether a particular task can be delegated or not. III. Principles of Delegation According to the Australian Nursing Federation (2004, p. 1), each state and territory in Australia governs the practice of registered nurses and midwives through published nursing and midwifery acts and that the ANFs purpose of publishing the guideline is to clarify the role and obligation of the RNs and midwives when delegating aspects of nursing and midwifery care, guide RNs and midwives through the issues to be considered in delegating aspects of nursing and midwifery care and to clarify the role and obligations of employers in the delegation of aspects of nursing and midwifery care by nurses and midwives. The principle of delegation should be used when considering delegating an activity to another health care provider. The following are the principles of delegation as stated in the Nurses Board of Victoria (NBV), Guidelines: Delegation and Supervision for Registered Nurses and Midwives (2007, p. 4): RNs should always remember that the primary motivation in delegating tasks is to meet the health needs and improve health outcomes of clients, it must be consistent with the acceptable standards of nursing and the policy of the service providers, that the delegated task is based on appropriate planning and consultation, delegated tasks should only be accepted if the person to perform the ask is deemed competent after proper assessment by an authorized personnel, the RN should see to it that he/she is accountable not only for their decision to delegate but also in monitoring the delegated individuals standard of performance and that the activity delegated should presently be part of the RNs current role. Likewise, the delegating nurse has also the responsibility to apply the five rights of delegation, namely: (1) the right task; (2) the right circumstances; (3) the right person; (4) the right direction or communication; and (5) the right supervision (Crisp and Taylor 2005, p.366). If either one of these rights are missing, the task being delegated is considered to be unsafe and can result to negative outcomes. Delegation is different from allocation or assignment which involves asking another person to care for one or more consumers on the assumption that the required activities of consumer care are normally within that persons responsibility and scope of practice (ANMC 2007; NBV 2007, p.4). When a patient is admitted during your tour of duty, and you are the nurse on deck, this means that the patient will then be allocated to you on the assumption that the required activities for consumer care are normally within your responsibility and scope of practice and you must holistically take care of all the needs of the patient while in the case that the admitted patient was assigned to another RN which then delegates a task to you, like getting the patients initial vital signs, the accountability and overall responsibility remains with the admitting RN with you sharing the responsibility of the outcome of the task. Using reflective practice, the RN should then evaluate their individual contribution to the achievement of patient outcomes, if he or she was able to properly apply the scope of nursing practice decision-making framework in delegating tasks to other health care professionals and if patients are properly allocated based on individual skills, experience and competency of the receiving person. Reflective practice also helps nurses establish what they have learned from the experience of providing nursing care and responding to patient needs and is important for novice RNs as it helps them identify areas in their practice that they need to improve ensuring that they make better choices and decisions in the future (NBWA 2004). According to Usher Holmes (2005, p.110), self awareness is the foundation skill upon which reflective practice is based. Self awareness offers RNs an opportunity to see themselves in certain situations and how they affected the situation and the situation affected them (Atkins 2000 cited in Usher, K Holmes, C 2005). IV. Professional competence, delegation and clinical effectiveness Competence is an individuals ability to effectively apply knowledge, understanding, skills, and values within a designated scope of practice at a standard acceptable to the client and others who has the same experience and background (ANMC 2005, p. 8). Critical thinking, or the practice of questioning, is necessary so that practitioners integrate relevant information from various sources, examine assumptions, and identify relationships and patterns (Parker Clare 2000 cited in Usher, K Holmes, C 2005). Health care organizations have made dramatic advances and transformations during the last few decades, resulting in rapid growth of technology and theory. If nurses are to deal effectively with complex change, increased demands and greater accountability, they must become skilled in higher level thinking and reasoning abilities and this is where the use of critical thinking becomes vital in examining simple and complex situations in nurses day to day responsibilities. RNs who are critical thinkers practice sound clinical judgement by practicing critical thinking skills to investigate and reflect on all aspects of a clinical observation or problem in order to decide on an appropriate course of action based on factual evidence rather than conjecture and is able to arrive at a reasoned conclusion that can be justified. The process of critical thinking will enhance the ability of nurses to properly identify and assess the need of delegating tasks to other health care professionals and to determine if they carry with them the professional competence needed to efficiently perform the assigned task which would definitely result in clinical effectiveness by delivering the care plan and attending to the needs of the client faster rather than performing the care plan alone even if the task is legally delegable. (Simpson Courtney 2002). V. Interpersonal Relationships between team members during delegation of tasks Registered nurses work within the health care team to properly address the different complex health care needs of clients and each of the team members knowledge and contribution is valued and respected. Interpersonal relationship is the association or connection between unit managers staff nurses within a nursing unit interpersonal relationships within team members during delegation of tasks should be built on trust. Acceptance, care, feeling, integrity, respecting the values all revolved on trust, thus, trust building should be the focus of every activity within an organization. Interpersonal relationships are built through effective communication skills, listening to each member queries and actively participating during supervision of a delegated task builds confidence on their part. An interpersonal relationship is a dynamic system that changes continuously wherein social associations, connections, or affiliation between two or more people are present. Effective delegation forces you to spend time with your employee thus developing your interpersonal relationship. This holds true to RNs who personally see to it that each member of the team to whom different tasks are delegated will continually grow as their experiences and skills develop in time, building the confidence, competency a collaboratively harmonious interpersonal relationship needed to properly and effectively care for each patien t within their jurisdiction. Working in partnership and cooperation with other members of the health care team for the benefit of the clients receiving health service where delegation of a nursing intervention is not required means that a collaborative relationship exists between the health care team. It is then important to maintain enhance relationships among employees by creating a social environment in which the team can attain their goals. Conclusion In summary, delegation is a process wherein new RNs must be able to understand to avoid any professional legal dilemma that may arise due to ignorance. There are tasks that the RN cannot delegate (QNC 2005a), aspects of nursing care like assessment of the client, planning on how to provide care, evaluation of the expected outcome was met after implementation and these should be strictly followed. Allocation of accountability in QNC (2005d, p. 15), states that RNs and midwives are accountable for delegation decisions and for the standard of care provided but if the RN or midwife ensured that the delegation decisions and level of supervision were appropriate, they would not be held accountable for inappropriate or unauthorized actions by another care provider. It is the role responsibility of the RN to see to it that the person to whom the task is being delegated to have the necessary education, experience skill to perform competently. It is important that a harmonious interpersona l relationship between team members are present because this would be the basis of a therapeutic, collaborative approach in rendering the best care possible to clients assigned to them. 2846 words