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The first state nurses' associations were organized in order to work toward state laws that would control nursing practice (American Nurses Association [ANA], 2023).

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American Nurses Association (ANA) becomes official in 1911. The ANA fought for the nursing profession to gain respect. It protects nurses and the public. The ANA also supports recommendations by the National Academy of Medicine to enable nurses to work within their scope-of-practice (ANA, n.d.)

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The state boards of nursing sought out the ANA to create a committee that could devise methods and procedures for uniformity in relation to standards of practice for nurses (ANA, 2023).

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The National Council of State Boards of Nursing (NCSBN) was founded on March 15, 1978. It is a non-profit organization created to lessen the burdens of state governments, and bring unity among nursing regulatory bodies (NRBs). The NCSBN has become one of the leading voices of regulation across the world. The NCSBN provides education, research, and evidenced based regulatory excellence for the protection and safety of patients and the public (PR Newswire, 2019).

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The ANA endorses "Nursing: A Social Policy Statement" that defines nursing, as well as the scope of practice for nurses (ANA, 2023).

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The ANA and the NCSBN adopted papers on delegation. These papers stated that delegation is an essential nursing skill, and laid out a guide to help registered nurses navigate delegation appropriately (ANA, 2019).

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The ANA and NCSBN collaborated and created a new joint statement which stated, "the abilities to delegate, assign and supervise are critical competencies for the 21st century nurse" (American Nurse Official Journal, para. 9, 2006). This joint statement explains delegation and the theory behind it, as well as the obligations of the person delegating (American Nurse Official Journal, 2006).

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The NCSBN convened with a goal of developing national guidelines to standardize the nursing delegation process. These guidelines would help provide guidelines for nurse leaders, staff nurses, and delegatees to ensure a standardized delegation process (National Council of State Boards of Nursing [NCSBN], 2016).

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Virginia state law, effective February, 24, 2017, provides criteria for delegation by nurses. These criteria include the delegating nurse to ensure that the delegated task can be safely and properly performed by the unlicensed staff delegated to, that the delegating nurse retains the responsibility for the care provided to the client, that the delegated task(s) are within the scope of practice of the person being delegated to, that the delegated task is communicated clearly with specific instructions to the delegatee. Additionally, the person whom the task is delegated must be identified as unlicensed to the patient by their name tag worn while giving care, and delegated tasks cannot be reassigned by the delegatee to another individual. Finally, nursing tasks shall only be delegated after an assessment has been performed on the patient (Commonwealth of Virginia, 2023).

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The National Guidelines for Nursing Delegation is updated in an effort to standardize the delegation process in nursing (ANA, 2019).