INTERNATIONAL DELEGATION EXPERIENCES

This chapter explores international perspectives on delegation in South Africa, Canada, Brazil, and the United States. It offers insights into best practices and innovative strategies for navigating delegation's complexities in diverse healthcare landscapes and outlines the enablers and barriers to delegation in each country. In South Africa, delegation is shaped by hierarchical scopes of practice defined by a national council, with professional nurses retaining accountability for delegated tasks to enrolled or auxiliary nurses. In Canada, delegation authority and scope vary widely between jurisdictions, and nurses must adhere to provincial legislation and controlled acts to ensure legal practice, and variations in the scope of practice occur widely throughout the country. In the United States, delegation practices and autonomy vary by state, and advanced practice nurses may have full, reduced, or restricted authority depending on local laws and political environments. In Brazil, delegation is guided by the Nursing Process and national legislation, and nurses hold primary responsibility for delegating care activities, as stipulated in the Nursing Code of Ethics.