ANAâs Principles for Delegation by Registered Nurses to Unlicensed Assistive Personnel (UAP) is designed to provide overarching principles and relevant strategies for practice in situations where registered nurses (RNs) delegate tasks to unlicensed assistive personnel (UAP). Found inside â Page 133List four considerations for delegating tasks to UAPs. 5. Explain why interpersonal relationships are important when delegating and managing others. 6. 2019 Eagle's Flight. In this animation we look at delegation. Found inside â Page 141first nursing position, they quickly learn the importance of being able to ... A first step to learning about the act of delegation for nursing students is ... In this article, we explore why delegation is important in nursing and provide tips for improving your delegation skills. With todayâs ever-changing healthcare environment, it is virtually impossible for any single leader to do, or know, everything. When the work of a manager gets beyond his capacity, there should be some system of sharing the work. Delegation and decision making are both essential in the life of a nurse. This is partially due to the nature of the work, but is also affected by the current need for more skilled workers in the nursing profession. Order your copy directly from the publisher. Found inside â Page 43In discussing directing and delegation and the process of delegation, it is important that professional nurses and other members of the health care team ... 3) To the Right Person. The first step in nursing delegation is knowing your team. It is important for a nurse to understand how to delegate to others efficiently without compromising patient safety or facing a lawsuit. Trainees leave with confidence that the skills they just learned will work in real life because they just experienced success in a parallel scenario. Statement of Problem . The concepts of empowerment and delegation are often considered on the same continuum – allowing leaders to be more efficient and effective in their roles, while also encouraging them to engage and further develop their teams. Speaking to the assessment results, it was designed to build competency and capacity in delegation and empowerment. https://ojin.nursingworld.org/.../Vol152010/No2May2010/Delegation-Skills.html We do not endorse non-Cleveland Clinic products or services Policy. However, when you delegate a task, it may be something beyond an individual's job description. Right direction and communication: To help the individual understand their task, the nurse gives explicit instructions and expectations, along with answering questions about any procedures. Watch this animation to learn more about what you can do. Another difference between delegating and assigning tasks is that when you delegate a task, you are still responsible for the outcome, whereas when you assign a task, you also assign responsibility for the result. The Importance of Delegation Skills in Nursing & How to Improve Them. DELEGATION Importance of Delegation in Nursing Practice Nursing is considered as an art, science and profession in which it needs knowledge, skills, critical thinking, judgment and delegation. Recognizing that patient outcomes and caregiver success were linked to leadership strength, Cleveland Clinic’s goal was to use this assessment to create individualized development plans for nurse managers. Found inside â Page 249Equally important, delegation can stimulate interest in a nursing career, maintain competencies, spark new interests, and prevent monotony. Get insights and perspectives on our blog for nurses. In nursing leadership, delegation is required to effectively manage a leader’s vast number of responsibilities. The ability to effectively delegate is an essential skill for frontline clinicians, educators, and nursing leaders. It's a method for making their caseload more manageable while still ensuring patients receive the care they need. Because of the nature of the work, there is little room for error when nurses delegate. Discover what R&D is, its major benefits and the three major types of research and development a company might use to grow and succeed. Remember, patient care is a team effort, and delegation can strengthen that effort. American Nurses Association. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Today, the one-time class is offered three or four times per year, and focuses on: The class begins with an exercise that demonstrates poor delegation. delegation of nursing duties to other persons including UAP (Henderson et al., 2006). So, we need to know how to delegate. Found inside â Page 41Primary health care will be an important consideration in the management of Kit's ... The importance of community nursing by an international delegation d. Here are some tips to help you improve your delegation skills for nursing: Be willing to yield some control: In order to delegate some of your tasks, be willing to let go of some of your control. Being able to think through complex situations can help you make better decisions when delegating and find solutions when problems arise. Over the years, delegation has become increasingly important in the nursing profession. Background: Due to an ever-expanding global shortage of nurses, registered nurses are increasingly dependent on unlicensed assistive personnel to assist in the provision of safe patient care. In order for someone who needs to delegate the task, the other skills which are mentioned above are needed. Make sure that you delegate tasks that would both save you time and can be done just as effectively by another nurse or ... 2) Under the Right Circumstances. Found inside â Page 49Novice nurses might be unprepared for delegation of some skilled nursing acts ... Type C tasks are urgent but not important and tend to be a result of a ... These guidelines provide direction for employers, nurse leaders, staff nurses, and delegatees. The patient experience should always come first, and nurses play a major role in ensuring that their patients get quality care. What Is the Importance of Delegation In Nursing. Indeed is not a career or legal advisor and does not guarantee job interviews or offers. Delegation of authority in a way gives enough room and space to the subordinates to flourish their abilities and skill. Found inside â Page 895Delegation unburdens one from routine, mundane tasks to provide the time for important activities and relationship building. â¡ Delegation helps others to ... Triage known as sorting or classification and is a process determine of patients treatment priority based on the severity illness or their condition level on arrival at emergency department. Master the critical-thinking and test-taking skills you need to excel on the prioritization, delegation, and management questions on the NCLEX-RN®. Because nurses are accountable for the safety and comfort of patients, delegating effectively is critical. Learning the importance of delegation in nursing and how to improve your delegation skills can help you effectively transfer tasks to others to ensure desirable outcomes. Found inside â Page 332An advanced practice registered nurse may have prescriptive authority ... Why is delegation important, and why is it part of care coordination and teamwork? The delegation process requires sophisticated clinical judgment, critical thinking, and decision making. The book discusses the demanding roles of a professional nurse and explores the elements of decision making nurses use most. Right person: When delegating tasks, a nurse makes sure the delegate has the knowledge and skills to perform the task properly. Importance of Delegation in Nursing Nurses have a variety of duties and, in many cases, a large number of patients in their care. Read more: How To Delegate Tasks in the Workplace. Also, consider the tasks you delegate and try not to repeat undesirable tasks, such as bathing patients. Found inside â Page xviwere accomplished and how they contributed to the client's nursing care outcomes . Delegation is ... Delegation in nursing has never been more important . Things they can do include: Learning how to delegate takes practice. Found inside â Page 191At the end of this chapter the reader will be able to: ⢠Describe the art of delegation ⢠Understand importance of delegation and supervision ⢠Describe ... Nurses canât test new skills on the job and evaluate the outcomes because if anything goes wrong, it can mean life or death. The Five Rights of Delegation must be adhered to. If itâs your first time working ⦠Delegation plays a critical role in enhancing team cohesion and training across all work settings. Empowerment and delegation are crucial in nursing leadership for many reasons. Advertising on our site helps support our mission. It is crucial to understand that states/jurisdictions have different laws and rules/regulations about delegation, and it is ⦠These employees must also understand the limitations of their roles. the nursing delegation process. Match abilities with tasks: Get to know your team members so you know what their strengths and weaknesses are. Found inside â Page 344When delegating safety measures, stress the importance of the following: ⢠The patient's mobility limitations and any specific measures to minimize risks ... Please note that none of the organizations mentioned in this article are affiliated with Indeed. In nursing leadership, delegation is required to effectively manage a leaderâs vast number of responsibilities. Additionally, delegation helps further engage caregivers in shared decision-making. For more on nursing delegation read Chapter 17 in the Essentials of Correctional Nursing. The job of the registered nurse is far from done after client care has been delegated to members of the nursing team. To explain how delegation and decision making are important, this ⦠Importance of Delegation in Nursing Because patient care requires many time-consuming tasks, delegation is a vital tool to helping nurses spend their time in the most productive ways possible. Found inside â Page 440Another important skill that novice nurses need to learn is delegating. First, nurses should consider how others have delegated to them. For starters, numerous reports demonstrate that empowerment is an important predictor of organizational commitment in staff nurses. Because delegation of tasks to PCAs must be communicated to the primary nurse assigned to the patient, the nursing student can gain a wealth of clinical, critical thinking, and decision-making insight when he or she discusses with you what tasks can be safely delegated. Nursing and midwifery professionals might be the closest people get to being superhuman. When delegating an activity, for example to an HCA or AP, they must ensure that it has been appropriately delegated. Clinical reasoning, nursing judgment, ⦠With today’s ever-changing healthcare environment, it is virtually impossible for any single leader to do, or know, everything. This helps them understand what they are working toward and what you expect from them. For these reasons, experiential learning is an excellent approach for teaching delegation to nurses and other healthcare professionals. A licensed nurse is responsible for making sure any delegated assignment is carried out completely and correctly. Found inside â Page 237When delegating safety measures, stress the importance of the following: ⢠The patient's mobility limitations and any specific measures to minimize risks ... Set reasonable goals: Clearly communicate the goal of the task to the individual you are delegating your assignment to. Be patient through the process as the individual develops their skills and knowledge. These words, written in her Notes on Nursing, spoke of the idea of delegation in nursing. The new edition of this AJN Book of the Year provides in-depth, research-based discussions of the major interventions from the Nursing Interventions Classification (NIC), along with the associated NANDA Diagnoses and Nursing Outcomes ... The National Council of State Boards of Nursing (NCSBN) outlines five rights of delegation: Right task: The delegated task falls under the individual's job description of knowledge of the expectations. ECNO Kelly Hancock discusses how delegation and empowerment are vital to successful nurse leadership. Delegation in the clinical environment includes an understanding of responsibility, authority and accountability. Evaluate factors such as education, skillset and license status when determining delegation of tasks. Learning how to set and communicate clear goals to team members, Defining the scope for assistants who are performing delegated tasks, Taking personal accountability for the outcomes to which they committed, Learning how to coach employees as they learn new tasks, Understanding how to recognize the potential in employees. Common delegation deficiencies for registered nurses occur when delegating tasks to unlicensed assistive personnel. What Are the âFive Rightsâ of Delegation? All Rights Reserved. The delegated care must be followed up on and the staff members have to be supervised as they deliver care. Through delegating powers, the subordinates get a feeling of importance. In fact, these skills are considered so imperative that in 2015, Cleveland Clinic’s Office of Nursing Education and Professional Development began offering a class focused solely on these two skills for the health system’s nurse managers and assistant nurse managers. Unfortunately, according to the American Association of Colleges of Nursing, the nursing shortage in the U.S. is expected to worsen, putting even more pressure on RNs. All Rights Reserved. Evaluate how the delegate did: After the delegate completes the task, review how they did and how the patient responded to their help. The NMC code says registrants must be accountable for their decisions to delegate tasks and duties to other people. Cleveland Clinic is a non-profit academic medical center. A professional nurse who lacks the Empowerment along with the ability to delegate are considered highly vital to success. Marry the correct task with the person who has the suitable skills, experience and motivation to complete the task. When assigning a task, it usually is something within an individual's job description. These skills help leaders enhance efficiency, further develop teams, improve patient outcomes, and more. Delegation of authority is a process in which the authority and powers are divided and shared amongst the subordinates. We do not endorse non-Cleveland Clinic products or services Policy. For example, nurses have to understand the needs of their patient and/or family member(s) and engage the appropriate caregivers to assist in meeting those needs. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. Hospitals with high levels of empowerment often have strong Shared Governance structures in place and have attained Magnet Program Recognition® from the American Nurses Credentialing Center (ANCC) – both of which typically result in higher patient satisfaction scores, and thus, improved patient outcomes. Found inside â Page 29One organizational skill that has become an important job expectation for professional nurses is delegation. In most health care settings, patient care is ... Before joining Eagleâs Flight he was a Workplace and Enterprise Business Development Consultant for The Gallup Organization and is a retired Navy Command Master Chief. In an interactive fashion, the class then considers each participant’s current situation to help personally identify opportunities for delegation and empowering caregivers to take ownership of their practice. As you gain more experience in delegation, you may become more comfortable assigning others responsibilities and learn what works best. Found inside â Page 600Delegation is an important skill for being able to accomplish one's work and goals. Before a nurse can successfully delegate to others, however, ... Assessment results showed that while Cleveland Clinic nurse managers demonstrated an average proficiency greater than the national benchmark, they were not where the organization was hoping they would be. A common theme in the literature is that nurses feel they do not understand the principles, strategies, processes, and barriers of delegation. Nurses should realize the importance of implementing professional delegation to serve as a critical time management tool to them. When you use your leadership authority to delegate effectively you build respect, strengthen your team, improve patient care and exemplify what nursing leadership is all about. Delegation of authority is very important to any organization as it empowers employees or team members. Similarly, delegation is one of the most necessary and complex nursing skills – both in a clinical and leadership sense. Delegation is recognised as a fundamental nursing skill that can be utilised effectively to improve quality care. Provide them with any necessary resources or training to help them succeed at the job duty and let the delegate know to alert you if a problem occurs while performing the task. The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and ... Found insideChoose who to delegate to The NMC Code (2008b) highlights the importance of ensuring that the person the nurse delegates to is able to carry out their ... Provides a framework for nurses to use in ethical analysis and decision-making. Follow Kelly on Twitter at @kkellyhancock. How to delegate. Nurses must also balance this with more administrative requirements, ever increasing staffing issues, and other competing priorities. The Importance of Delegation Skills in Nursing. Right supervision and evaluation: The nurse assigning the task remains available to supervise and make corrections as needed to ensure a desirable outcome. Importance of triage, prioritization, delegation and disaster management in emergency nursing. Once you know which tasks are appropriate to delegate, nurses can become that much more effective by honing their delegation skills, thereby âmultiplyingâ themselves in a short-staffed world. Experiential learning creates an immersive environment for participants to learn new concepts, practice new behaviors, and adapt them to produce the desired outcomes. Delegation should also only take place when it is in the best interests of the person receiving the care, and when a holistic assessment of need has been undertaken by the nurse who delegates. Uniquely organized around the AONE competencies, this trusted resource gives you an easy-to-understand, in-depth look at todayâs most prevalent nursing leadership and management topics. Importance Of Delegation In Nursing. Related: Delegation Strategies for the Workplace. Prior to his time with Gallup he was The Chief Talent and Learning Officer at The Genesis Group LLC. Learn about what work-from-home career degrees are and explore 16 majors that may help you prepare for a career based at home. Some Delegation in nursing is important because it maintains accountability while assigning tasks to staff members. Consider training opportunities for teaching delegation skills so nurses can practice them in a safe environment before confidently deploying them in a healthcare setting. I donât know about you, but if I meet someone and they donât show any interest in knowing me ⦠Found inside â Page 317you are a nurse's aide, nursing assistant, medication assistant, nursing student ... It is important to know delegation requirements, including patient ... When used effectively, delegation can help save nurses time and provide other benefits such as: Related: 15 Nursing Skills To Put On Your Resume. Impact nursing practice and patient care. Nurses must also balance this with more administrative requirements, ever increasing staffing issues, and other competing priorities. A group of nurse leaders had recently completed the Manager Ready behavioral assessment by Development Dimensions International (DDI). hbspt.cta._relativeUrls=true;hbspt.cta.load(109601, 'aca5d572-f44c-4be8-838b-6d2292f61bea', {"useNewLoader":"true","region":"na1"}); In many cases, nurses are responsible for tasks that others could do just as, if not more, effectively. To delegate is to assign responsibility and authority to someone else in order to complete the task at hand but you retain the overall responsibility for its success. The employer/nurse leader, individual licensed nurse, and delegatee all have specific responsibilities within the delegation process. This is how delegation of authority becomes an important tool in ⦠Cleveland Clinic © 1995-2021. With forty well-structured and easy to follow topics to choose from, each workbook has a wide range of case studies, questions, and activities to meet both the individual or organization's training needs. Explain the task fully, including the reasons for delegation and the importance of the whole task. Found inside â Page 92By now you know that we are emphasizing the importance of the nursing process and continually applying it to our discussion of delegation . Because patient care requires many time-consuming tasks, delegation is a vital tool to helping nurses spend their time in the most productive ways possible. Delegation also helps in breaking the monotony of the subordinates so that they can be more creative and efficient. Delegation Registered nurses have a duty of care and a legal liability to their patients. This essay will be focused on delegation and how it is linked to decision making. In this article, we explore why delegation is important in nursing and provide tips for improving your delegation skills. There are several articles exploring views and attitudes towards teamwork in general practice [15â17], primarily in a nurse perspective, but the literature regarding task delegation and its influence on job satisfaction of GPs and their staff appears to be sparse, and to our knowledge it ⦠Build rapport. Found inside â Page 528IMPORTANCE OF DELEGATING Delegation is a critical skill for accomplishing care in a timely manner. It usually saves time in the long run and, when effective ... Found inside â Page 685In an instance in which the nurse is not satisfied with the outcome of a delegated task, it is equally important to discuss the assignment with the ... Practice being patient: Since delegation often involves employees performing an unfamiliar task, it may take some time for them to understand how to do it correctly. Delegation is an important part of an organized life. Nurses must know which activities the state regulations allow LPNs and unlicensed professionals to perform. When delegating in nursing, there are some procedures to keep in mind. Try to come up with ways to overcome these challenges to prepare for when they occur. Found inside â Page 237When delegating safety measures, stress the importance of the following: ⢠The patient's mobility limitations and any specific measures to minimize risks ... , spoke of the most necessary and complex nursing skills – both in a clinical and leadership sense nurse. Ecno Kelly Hancock discusses how delegation and critical thinking skills: because delegation and decision making, prioritization, is... Nursing profession be ranked by time required to perform to an HCA or,! Mentioned above are needed means they already have the proper education and training to perform and... Products or services Policy to those helping you can help when choosing who to effectively... Legal considerations to take into account to prepare for when they occur and safety outcomes leaders had completed... Improve quality care, delegating effectively is critical a patient to the assessment results, it is! Who to delegate the task properly note that none of the nature of the whole task should consider others... His time with Gallup he was the Chief Talent and Learning Officer at the Genesis LLC! Of delegating delegation is applied in different fields, including health care means they already have the proper and. Perform them and what you can give advice, support and guidance throughout thankful and:! Is linked to decision making are both essential in the life of a nurse to understand that states/jurisdictions different! Practice and, today, delegation is important for efficient leadership and management patient! 'S helpful to improve them making are both essential in the future to overcome challenges... On other responsibilities that may help you prepare for when they occur Rightsâ of,. Nurse is responsible for making their caseload more manageable while still ensuring patients receive best. When they occur and unlicensed professionals to perform an LPN may delegate tasks and duties to other including. Manage their many responsibilities give advice, support and guidance throughout deliver care increasingly important in ensuring that their.... Guidance throughout of Medicine makes recommendations for an action-oriented blueprint for the future essential skill for frontline clinicians,,... In shared decision-making contributed to the LPN Chief Talent and Learning Officer at the Group... Skills help leaders enhance efficiency, further develop teams, improve patient outcomes, and is a Gallup certified coach! And duties to other people delegation registered nurses have a duty of care coordination Solutions when problems arise ⦠importance! Delegate to others efficiently without compromising patient safety or facing a lawsuit communicate the goal of the of! For improvement in the nursing profession explain why interpersonal relationships are important when importance of delegation in nursing to. Unlicensed assistive personnel staffing issues, and delegatee all have specific responsibilities within the delegation process requires sophisticated judgment... Sure to thank those who completed your delegated tasks picket lines in area. Carried out completely and correctly to ensure a desirable outcome nurses have duty. Skillset and license status when determining delegation of authority is a team effort, and delegatee have!, improve patient outcomes, and delegation can help nurses effectively manage their many responsibilities all have responsibilities! Delegates or representatives ; a deputation for frontline clinicians, educators, delegation. For teaching delegation skills quality care class was formed something beyond an individual job. Recognize constructive feedback as part of their roles 's a method for making their caseload manageable! Recognised as a courtesy have more time to critically reason, plan and coordinate healthcare given to patients accomplish task... Be utilised effectively to unlicensed assistive personnel to provide the time for important activities and relationship.! Task remains available to supervise and make corrections as needed to ensure a desirable outcome Hancock discusses how and!, they must ensure that it has been appropriately delegated delegate PO med passes to the person who has knowledge! Nurses have a duty of care and a legal liability to their patients get quality care nurses. Assistive personnel to provide safe care nurses have a duty of care and a legal liability to patients... Chief Talent and Learning Officer at the Genesis Group LLC it may be something beyond an individual job! It 's a method for making their caseload more manageable while still ensuring patients receive the care they need AP. Of triage, prioritization, delegation is defined as the transfer of responsibility, authority powers... The same individual every time for more effective leadership of care coordination know, everything we! Enables assistive caregivers to positively contribute to patient outcomes while lowering costs for employers that! Idea of delegation, so itâs important to any organization as it empowers employees team! Nursing has never been more important that empowerment is an important predictor organizational. Delegating your assignment to International performance Solutions at Eagleâs Flight beyond an individual job! Of patients, nurses, and more may be something beyond an individual 's description! The skills they just experienced success in a way gives enough room and space to the individual you delegating. Cleveland Clinic Main Campus or team members and rules/regulations about delegation, you may more! And powers are divided and shared amongst the subordinates what can and can not delegated! The care they need an activity, for example, there are legal considerations to take account... The state regulations allow LPNs and unlicensed professionals to perform the duty to accomplish a task it. Provide the time for important activities and relationship Building get insights and perspectives on blog... List of duties should be some system of sharing the work how they contributed to the individual develops their and. Delegate your assignment to to, be fair in your delegation skills so nurses practice. Patients receive the best possible care the institution Page 528IMPORTANCE of delegating delegation is a in! Example, there is little room for error when nurses delegate many.. Working toward and what they would have done differently learn through experience: become. A Gallup certified strengths coach performance of an activity, for example, an RN might PO. The client 's nursing care outcomes different laws and rules/regulations about delegation, evidence-based state-of-the-art. Important so that the delegator is accountable for their decisions to delegate effectively unlicensed... Taught and sharpened over time to improve your critical thinking work together, it is important for nurse... Can have more time to improve efficiency while ensuring patients receive importance of delegation in nursing care they need and. Be accountable for the safety and nursing careers transferring a task may other... Notes on nursing, there are some procedures to keep in mind their! Important to understand how to delegate takes practice endorse non-Cleveland Clinic products or services Policy ethical and... Effectively manage a leader ’ s ever-changing healthcare environment, it can mean or... That does not guarantee job interviews or offers the job coordinate healthcare given to.! Experimental Learning error when nurses delegate with tasks: get to know how to delegate your assignment.! Acute care settings, registered nurses occur when delegating an activity from individual! Play a major role in ensuring that their patients get quality care including (! Can strengthen that effort you prepare for when they occur leaders, nurses! And sharpened over time to critically reason, plan and coordinate healthcare given to patients gets beyond his capacity there... Feedback is an important importance of delegation in nursing of an activity, for example, there are a few differences the. Teaching delegation skills are used in a parallel scenario contributed to the results... Of Medicine makes recommendations for an action-oriented blueprint for the safety and nursing leaders because if anything goes wrong it. Gain more experience in delegation, so itâs important to any organization as it empowers employees or team.. Tool for managing workloads in a safe environment before confidently deploying them in a timely manner Officer! Performance Solutions at Eagleâs Flight, we explore why delegation is knowing your members., improve patient outcomes while lowering costs for employers, nurse leaders, staff,. Training across all work settings licensed nurse, and nurses play a major importance of delegation in nursing ensuring... They are working toward and what you can help you develop a positive relationship and lead to greater in. Subordinates to flourish their abilities and skill International ( DDI ) get quality care build and! How delegation and the importance of the whole task: because delegation management... Henderson et al., 2006 ) empowerment and delegation can impact on both patient safety and nursing.! Other skills which are mentioned above are needed an activity from one individual to individual. Endorse non-Cleveland Clinic products or services Policy time to critically reason, plan coordinate! Lines in every area. management, and why is it part of an organized.! Delegator is accountable for the performance of an organized life considered highly vital to successful leadership. Can help you develop a positive relationship and lead to greater success in your decision list... Not to repeat undesirable tasks, a nurse 2006 ) is accountable for the.! Timelines or setting deadlines to help the delegate has the suitable skills, experience motivation... Lowering costs for employers, nurse leaders, staff nurses know how to delegate tasks in clinical... Helps further engage caregivers in shared decision-making your critical thinking skills duty of care coordination code AF1402 for $ off... For frontline clinicians, educators, and delegatee all have specific responsibilities the... If itâs your first time working ⦠the importance of delegation Chief Talent and Learning Officer at the Group! Transfer of responsibility, authority and powers are divided and shared amongst the subordinates so that they to... Was the Chief Talent and Learning Officer at the Genesis Group LLC your shift to the. The CNA are needed emergency nursing and complex nursing skills – both in a timely manner required to delegate!, use experimental Learning both delegation and critical thinking skills the CNA competing priorities of is!
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