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Consider the following questions and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community to deepen your understanding.

You may want to read the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” which is listed in the Unit Resources, for answers to the following questions.

Who holds you accountable for delegation in your organization, as well as at the state and national levels?
Is there any way you could use delegation to start a more collaborative relationship with the health care team?
What is the purpose of the delegation decision-making tree established by the National Council of State Boards of Nursing?
What are the long-term implications for health-care costs if the patient or patient population continues to have poor cost-cutting outcomes?
As a nursing leader, how can you address cost within your organization, and how does this relate to patient outcomes?


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