Clear Care Model: A Concept Analysis

Care delivery models are an integral component for delivering patient care. With the collaboration of other members of the healthcare team, the Registered nurse is able to fully optimize his/her skill sets to provide to best quality care. As discussed consistency and coordinated care are the key. Studies must be conducted and evidence base practice must be implemented in order to find the model that is suitable for a particular unit. How models are implemented in an organization can be highly variable. Completion of this assignment has enlightened me on the profound impact that care models have in the flow of a unit. Newer models

Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by involving others in improving care. (Practice; Ethics; Resource Utilization)

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of

Examine the underlying assumptions, values, and beliefs of various nursing models, and how the major concepts, are

In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to manage efficiently the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).

Administrators utilize this form of management to enhance recruitment of professional nurses, maintain a stable professional, workforce that deliver safe effective cost conscious care. Some nurses will argue shared governance is just a organizational model of management, and “various factors lead to turnover, including excessive physical and psychological demands, unsupportive environments and long shift work” (Trinkoff, Johantgen, Liang, Gurses, Storr, Hopkinson, Han, 2010 p. 309).

In team nursing the care of the patient divided between team members- licensed and unlicensed personnel whose work is coordinated by the team leader, most of the times- RN appointed by the charge nurse.

Nursing is based on caring in nursing. Compassion and concern for protecting and enhancing the

Nurse mangers is the leader of a specific department or unit of a healthcare facility. The nurse manager is responsible for recruitment and retention of the nursing staff, collaborating with other health care providers on patient care, and assisting patients and their families when needed. The nurse manager works with administration communicating and interpreting the facility’s policies and procedures to the staff. Usually with other departments in the facility, the nurse managers develop quality improvement measures tracking the patient services and care. According to Espinoza et al (2009), the nurse manager plays a pivotal role in

To me nursing is more than treating an illness; rather it is also focusing on delivering quality patient care individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe each patient should be treated as an individual and given the best quality of care, regardless of their age, race, sexual orientation, gender, religious beliefs, socioeconomic status, or immoral choices they may have made.

In the hospital, a team includes a CEO, managers, supervisors, charge nurses, medical doctors, nurses, nursing assistants, social workers and maintenance crews; it can also include many other members. In addition, a well-functioning team is led by a good leader; a leader does not necessary mean the CEO, but someone who is driven, knowledgeable, and a good communicator. Charge nurse and nurses are normally the one that handles the care of patients in the hospital. Both charge nurses and nurses can be considered leaders. It is why, it is very crucial that nurses are good communicators. One would say that nurses are the spoke person of a hospital to its patients. The nurses care for their patient closely, they communicate with the doctors regarding the care of the patient; they communicate with the pharmacies, nursing assistant, colleagues, and many more. Those

Care delivery Model in Nursing is the managerial structure under which nursing care is delivered to patients ( ). There are several model of delivering nursing care available to health care institutions. Examples of care delivery models are

Nursing care delivery model is a method that is used by nurses as implemented by their institution in providing care to their patients. The method of care can be varied throughout different healthcare settings and carried out by a variety of organizational methods. Each delivery of care method used by an organization is determined by the effectiveness of economic issues, patient safety and quality given, and patient population. Team nursing, total patient care, primary nursing, and functional nursing are four models that have been dominant in most inpatient facilities. Functional and primary care delivery models are the most commonly used methods in the clinics (Liang & Turkcan, 2016).

As a dialysis nurse I am tasked with providing pre and post treatment assessments for each patient and through these assessments I identify if there are any patient problems that must be managed. These problems can include access issues, such as clotting or infection, fluid related problems and many others. If a patient is short of breath or complains of chest pain prior to