Assignment 4: Delegation and Prioritization Case Study

Course Details

Course Code: NURS 440

Course Title: Nursing Leadership and Management

University: Galen College of Nursing

Semester: Spring 2026

Level: Undergraduate (Year 3 or 4)

Assessment Weighting: 20%

Due Date: Week 9

Page Length: 3–4 pages

Context

This assignment builds skills in delegation and prioritization essential for nursing leadership. It aligns with NCSBN guidelines and the five rights of delegation, focusing on safe task assignment in high-pressure scenarios. Students draw from lectures on scope of practice, team dynamics, and ethical considerations to manage care effectively, preparing for roles in acute settings where quick decisions impact patient outcomes.

Task Description

Review the provided case study involving a busy medical-surgical unit with multiple patients. Prioritize care needs, delegate tasks to appropriate team members (RN, LPN, UAP), and provide rationales based on scope of practice and patient acuity. Include potential risks and evaluation strategies.

Requirements

• Use the case scenario: Charge nurse on night shift with four RNs, one LPN, two UAPs, and patients with varying conditions (e.g., post-op, unstable vitals, routine care).
• Prioritize at least five tasks or patients; delegate using the five rights (right task, circumstance, person, direction, supervision).
• Support decisions with at least three evidence-based sources.
• Format as a structured report with sections for prioritization, delegation, rationales, and evaluation.
• Adhere to APA 7th edition for citations and references.
• Submit via the online platform as a Word document, double-spaced, with title page.

Marking Criteria/Rubric

1. Prioritization (25%): Accurate ranking of tasks/patients with clear rationale using acuity tools like ABCs or Maslow’s hierarchy.
2. Delegation Decisions (30%): Appropriate assignments to team members, adhering to scopes of practice; identifies five rights.
3. Rationales and Risks (20%): Evidence-based explanations; discusses potential errors or oversights.
4. Evaluation and Ethics (15%): Plans for monitoring outcomes; addresses ethical issues like accountability.
5. Academic Standards (10%): Clear writing, page limit compliance, proper APA with references.

The charge nurse assessed the unit with a post-op patient reporting severe pain at 8/10 and unstable vitals, prioritizing them first over routine med passes. Delegation assigned the LPN to administer IV meds to a stable diabetic patient, ensuring the task matched their scope. UAP handled ambulation for a low-risk mobility case, with RN supervision outlined. Risks included potential miscommunication, so clear directions were given via SBAR. Evaluation checked patient response within one hour, adjusting as needed. As emphasized by LaCharity et al. (2021), effective delegation enhances team efficiency and patient safety in dynamic settings. This approach prevented escalation in acuity levels.

Table 1: Regional Assignment Variations

Table 2: Rubric Breakdown Trends

• References

1. LaCharity, L. A., Kumagai, C. K. and Bartz, B. (2021) Prioritization, delegation, and assignment: practice exercises for the NCLEX-RN® examination. 5th edn. St. Louis: Elsevier. Available at: https://doi.org/10.1016/C2020-0-00012-3.
2. Yoder-Wise, P. S. (2019) Leading and managing in nursing. 7th edn. St. Louis: Elsevier. Available at: https://www.elsevier.com/books/leading-and-managing-in-nursing/yoder-wise/978-0-323-44913-7.
3. Marquis, B. L. and Huston, C. J. (2021) Leadership roles and management functions in nursing: theory and application. 10th edn. Philadelphia: Wolters Kluwer. Available at: https://shop.lww.com/Leadership-Roles-and-Management-Functions-in-Nursing/p/9781975139216.
4. Motacki, K. and Burke, K. (2023) Nursing delegation and management of patient care. 3rd edn. St. Louis: Elsevier. Available at: https://www.elsevier.com/books/nursing-delegation-and-management-of-patient-care/motacki/978-0-323-69782-8.