Care Delivery Model Paper

Nurse Brink designed a care modality that follows the functional model. With the functional model, care is provided by all members of a nursing team through different tasks (Yoder & Wise, 2015). Nurse Brink uses this model as each RN, LPN, and UAP are assigned a specific job. The jobs that each member of the nursing team has, correspond to their scope of practice (Yoder & Wise, 2015). By having each member complete their job, they’re supporting how a patient’s care is provided. With this design, it allows for each member of the team to work together in union. Though there may be a small number of staff members, they still have a role and responsibility to meet the needs of all patients.

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

Improving the quality of care at Caring Angel’s Hospital, will require various steps in order to achieve the primary objectives for the facility to become more efficient. The three levels to consider that will optimize the approaches to organizational coordination includes: the programming approaches to coordination, feedback approaches to coordination, and relational coordination. Programming approaches will be relevant to these situations at Caring Angel’s Hospital, because it focuses on the performance of work; and “the work is only effective when it’s understood and programmable” (Burns, Bradley, & Weiner, 2012, p.83). These will be an essential components for the organization with developing “standardized approaches”, which specifies to the activities and protocols in the levels of work which includes: (1) patient intervention: planning, policy and procedures; (2) skills: focusing on education and on- job training, meeting qualifications required by the organization; (3) and output: which identifies the intermediate outcomes passed from work, and can be used to set the needs for services being provided and goals achieved (Burns, Bradley, & Weiner, 2012, p.83). Team building is very critical with any organization to perform cohesively, programming approaches are relevant, but are not able to stand alone, without the exchanges of information. The feedback approaches are needed to facilitate the transfer of information to accomplish effective

With new direction that healthcare is taking Change in nursing practice is eminent to deliver care to a complex population from conception to death. Representations on how to practice nursing is expected to raise and transform. This new endeavor is the road to keep patient healthy. The relationship between the patient and care giver will go past actual occurrences of malady. The focus is on delivering care that is mainly focus on the needs of the patient in a continuum. In collaboration with everyone in the care team the patient is a unique person with unique needs who from one stage to another, meaning from the hospital to rehab, from rehab to home and to the community. Care for everyone in the same fashion each time without limitation. The continuum of care framework focuses on integrating the services provided to the client, rather than on the integration of service organizations.

The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.

This model promotes a system driven by the patient’s needs, and a system where the nurse can make contributions that add to the delivery of care. Developed throughout the 1990’s, this middle-range theory was initially created with critical-care nursing in mind. The AACN desired to identify concepts of certified specialty nursing practice. (Peterson & Bredow, 294). However, as will be discussed further, this model is actually applicable to chronic health care diagnosis and management as well, which is why it was selected for this DNP project.

This model of care uses the help of case managers to deliver the highly complex healthcare service effectively to the patients, who have catastrophic health problems, and high cost health conditions (Finkelman, 2016). In our hospital case managers are RNs and they work with team to achieve desired patient outcome. There is a study in Lippincott nursing center which states that the use of case management model reduced the average length of stay in hospital by 1.57 days compared to the traditional models. It also explained that the use of communication, collaboration and coordination of care through a RN case manager nursing model of care, will reduce the cost of care and at the same time it will maintain the expected high-quality care with limited human resources (Case Management Delivery Models: The Impact of Indirect Care Givers on Organizational Outcomes).

Dr. Avedis Donabedian developed a model for categorizing and measuring the quality of healthcare providing a framework that conceptualized quality in broad terms and classification to measure and assess different aspects of quality in nursing care (Sollecito & Johnson, 2013). In the footsteps of Donabedian’s framework, Dr. Beatrice Kalisch developed a model conceptualizing missed nursing care otherwise known as “unfinished nursing care” or “care left undone”. Missed nursing care as defined in the Missed Nursing Care Model is any aspect of required patient care that is omitted, either in part or whole, or delayed (Kalisch, Landstrom, & Hinshaw, 2009). The structural aspects Kalisch’s model include labor resources, nursing staff, competency level of staff, education and experience, material resources, teamwork and communication. Kalisch model indicates that nurses with recent restricted resources in the nursing process determining clinical priorities is costly making decisions either to delay or omit certain care and is heavily influenced by team perception, nurse judgment, ("Missed Nursing Care AHRQ," 2015).

quality of patient care, and can be implemented in practice, to provide solutions to nursing

According to Dobrina, Tenze and Palese (2014) nursing models guide quality nursing practice in developing and improving the nurse–patient relationship in caring for patients and families. Pridmore, Murphy and Williams (2010) state models of nursing are important as they offer a range of belief and values to guide nurses through the stages of the problem solving

The appropriate level of concern shown for each patients in regards to their medical issues

The need for effective nurse led care delivery models that provide a clear understanding of the interactions between the patient, nursing practice, health, and the environment is imperative to improve the quality of health care in the future (Benner & Feldman, 2015). Nursing Nursing theory

The three models create nurse-led health care services and expand the practice of nursing and change the delivery of patient care. Nurses have the chance to play as a leader to integrate and deliver the seamless, holistic, accessible care to the patients in non-acute care settings, such as a nurse-led clinical. In addition, PPACA also assists to establish the evidence-based protocols and comparative

QualityCare is one of the leading nursing agencies in Sydney specializing in acute care, community care, disability care, mental health care, and aged care training services. We have been in theindustry for a long time and proved ourselves as a trusted supplier of professionally qualified and skilled nursing staff to the leading healthcare facilities, aged care facilities, rehab centers and mental health facilities.

The health care is reforming in a way that care delivery models have been formed and people will be paying for quality of care as a whole (Fairman, Rowe, Hassmiller, & Shalala, 2011). The health care reform law is attempting to balance the system of health care resources in that a balance will be yielded to award care value over the volume of care provided. This reform calls into nurse leadership and the input of nurses who contribute the largest labor to the health care system. Registered nurses are vital in the delivery model of patient centered care system.