Abstract
Delegation is the key for nurse managers and future leaders in order to guarantee productive outcomes. The use of delegation in nursing management can solve many issues including nurse shortages. The study aimed to describe nurse managers’ attitude and competency to delegate effectively in a hospital setting. Descriptive correlational design was used which is a type of non-experimental design to collect data from five hospitals, first is University Hospital affiliated to King Abdulaziz University, other four hospitals are affiliated to the Ministry of health. Non probability purposive sampling technique was used to recruit 90 nurse managers. Data were collected by a questionnaire to measure nurse mangers, attitude and competency in delegation. In general nurse managers were unsure about their attitude towards delegation, but agreed that it saves time. Regarding competency, nurse managers’ agreed on the importance of competency and that communication is an important part of delegation. All nurse managers agreed that they were familiar with their legal responsibility regarding delegation. The study concluded that there is a highly significant correlation between the attitude and competency where Pearson correlation coefficient is 0.000**. This study recommended that nurse managers should communicate and facilitate the delegation process through developing clear guidelines as well as creating an environment that supports delegation, resolution of conflict and encourages teamwork.
Highlights
Delegation is a vital skill of nurse mangers
Nurse managers are actively involved in delegation, as required by their duties [25]
These findings is different from Bergman and Shubert (2013), who highlighted the importance of time management and how it delegation saves time [3]
Summary
Professional nurse managers need to be knowledgeable and responsible in order to achieve effective delegation [9]. It is an important element in day-to-day nursing activities and one of the reasons why organisations must have clear policies and guidelines regarding delegation. It is a great tool to reduce turnover among novice nurses, especially that 21% to 50% of new graduates are leaving the profession in the first or second year [6] Using skills such as time management, prioritization, working in a non-threatening environment and creating real clinical scenarios can help nurse managers to practice and teach appropriate delegation [3]. There are many factors may affect delegation such as administration rules; skill mix; organisation structure; staffing; communication; sophisticated clinical judgment; critical thinking; decision making and lack of necessary regulation [26] & [20]
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