Issues of Professional Governance in Health

Issues of Professional Governance in Health

The paper “The Issues of Professional Governance in Health Care” is a wonderful example of a case study on nursing. Delegation is a process of entrusting work to someone or the assignment of responsibility (Hansten and Washburn, 1999). It is a legal and management-oriented concept, there are those that define it as being an art and a skill, a decision-making process; as a process delegation can never be absolute; the one delegating a task maintains ultimate answerability for the delegation and the decision-making process, and for the results of the task being delegated (Hansten et al., 1999). Efficient nursing delegation in a clinical setting is important for the proper management and implementation of the patient care process. In fact, its importance cannot be stressed enough because it is the efficiency of the nursing delegation process that decides ultimately, the level of comfort that is provided to the patient and ensures faster recovery for all intents and purposes. Issues of Professional Governance in Health

In this analysis, we shall explore the issues of professional governance as far as the medical setting is concerned in general and the delegation of nursing tasks by doctors and registered nurses are concerned in particular. For this purpose, we shall establish the role played by the regulatory bodies like the Australian Nursing and Midwifery Council (ANMC). This analysis will also focus on the laws that could be applicable in cases of patient health deterioration due to the incorrect nursing administration that has resulted from incorrect delegation practices (George, Burke and Rogers, 1997). In order to do those, the paper will look at the existing correct practices in delegation and will end with a conclusion about how the hospital, the responsible doctor and the nurse need to go about dealing with the problem.Issues of Professional Governance in Health

It must be stated at the beginning of the discussion that nursing delegation should for all aims and purposes meet the five rules of the delegation that are a part of the RN delegation task pane but would apply to other task delegation as well.


The five variables to be considered while the delegation of responsibility by RN:

  • The Right Task: One that is delegable for a specific patient, it needs to be based on the desired outcome, within the scope of practice and according to the job description of the one to whom the task is being delegated. The basic consideration under this principle is the task that is correct to perform for each specific patient needs to be based on outcomes planned in partnership with the patient.Issues of Professional Governance in Health
  • Right Circumstances: This needs to be in line with the appropriate patient setting, available resources, and other relevant factors under consideration. This is based on setting, patient situation, degree of supervision and predictability of results
  • Right Person: The right person is delegating the right task to the right person to be performed on the right person. The factors under consideration are certification/licensure, job description, skill checklist, demonstrated skill
  • Right Direction/Communication: Clear, concise description of the task, including its objective, limits, and expectations; The Four Cs of Initial Direction i.e. ‘Clear- Concise- Correct- Complete’ need to be answered (Marx and Miceli, 2008).
  • Right Supervision: This includes appropriate monitoring, evaluation, intervention, as needed, and feedback. This means that Giving and receiving feedback, while supporting each team member’s accountability, can improve performance by up to 60% of goals are also clear.Issues of Professional Governance in Health