Types Of Client Care Delivery Systems

The ability of nurses to provide a high level of care to each individual patient will cause a decrease in inpatient complications and a decrease in rates of inpatient mortality (Needleman, Buerhaus, Pankratz, Leibson, Stevens & Harris, 2011).

Nurses over the years have studied diligently various papers especially different theories that would affect and dictate how they will manage their clients. In order for one to be more familiar with these theories, I will compare 4 grand theorists as to types identified by Afaf Ibrahim Meleis. Dr. Meleis is a professor of Nursing and Sociology at the University of Pennsylvania and has published numerous scholarly papers and books that dealt with nursing theories. She has established four types or school of thoughts of theories: Needs, Interaction, Outcomes and Caring/Becoming. These four school of thoughts

Teamwork and collaboration in nursing can be defined as the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer. (Giddens & Liesveld, 2013). This means that nurses are constantly working as a team to provide the best care for their patients. Working as part of a team may include listening to the client, getting help from another nurse to verify dosage calculations or working alongside the doctor to carefully facilitate their orders. I don’t believe any one nurse would be effective if they were working by themselves. The profession alone is demanding and one nurse working by themselves to assist the needs of more than one patient at a time would be dangerous.

Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.

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

Each facility has their specific way of scheduling and protocol for staffing; not every facility uses a model that has other nurses’ help decide the next shifts nursing assignment. Some places will have a separate person makes the assignments and determine which nurse will get which patients during each shift, this can lead to the issue of the person making the assignments not knowing specifics and the level of care needed for each individual patient. In some cases a nurse may only have a few patients and another nurse has double as many. The level of care each individual patient needs is a huge aspect to take into consideration, making pervious nurses

nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization

In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.

The focus of this paper is case management. Case management has evolved into a diverse profession which includes many disciplines and is exercised in many settings. Case management involves the process of coordinating multiple services on behalf of clients and has been practiced now for several decades. Many disciplines have engaged in case management and identify themselves as case managers. Case managers work with many populations and settings and play an important role in today’s society. The following analysis explores how case management developed, how it is defined, its components, and how it relates to other nursing care delivery models. All these aspects are reviewed with the purpose to show the importance of case management

As an example at any given hospital, on any given floor, there are anywhere from 4-6 patients to a nurse and 8-10 patients to every CNA. The total amount of patients per floor could range between 20-30 patients. There are some occasions where a nurse and nurse aid may take a much higher patient load then what is recommenced but the California Assembly Bill 394. “This bill mandated the maximum levels of patients per nurse in the hospital setting” (Cook et al., 2012, p.3). If the CNA was not there to assist the RN, then the RN would be required to complete all duties to the patients. With that large of a patient to nurse ratio and the amount of duties required by the hospital, it would be physically impossible to provide adequate care to the patient, especially since the majority of patients in a hospital are

A C.N.A. can work effectively as a member of the health care team by helping a patient or resident meet their basic human needs, for example, assisting with meals. Doing so will help the patient or resident meet other needs such as a small goal with more comfort and ease. In addition, a C.N.A. can work effectively by observing and reporting any changes in behavior or health conditions when providing for the patient's or resident's basic human needs.

Safe nursing ratios provide better outcomes for patients and provide better working conditions for nursing staff. Unsafe nursing to patient ratios have detrimental and negative outcomes in the nursing care that patients can receive in the hospital. For example, medications that are administered to patients late can alter their drug administration schedule. The late administration of cardiac drugs can be detrimental to patients’ well-being because this can cause a failure in maintaining the drugs therapeutic serum levels and consequently increasing the likelihood of arrhythmias. High patient to nurse ratios can also cause nurse burnout. Nurse burnout is precipitated by the increased physical and emotional exhaustion from being assigned too many patients depending on the type of floor that one is working. This causes nursing staff to leaves the nursing field due to the undue stress and look for positions that aren’t as stressful. This will only contribute to the nursing shortage. Patient hospital stays can also be effected due to the number of days that a patient stays in the hospital. This leads to an extended number of days in the hospital which can cause a loss of money that insurances would not agree to pay. The safety of the patients need to be a nurse’s priority and this can be a great cause of concern with an unsafe number of patients being cared for by the nurse. As nurse timing becomes a priority, it becomes important to be able to take care of each patient that is

In team nursing the responsibilities usually divided in between the personnel, so that everyone’s has its own role in patient’s care.

Nursing care delivery is defined as the way task allocation, responsibility, and authority are organized to achieve patient care. Tiedeman and Lookinland (2004) suggested that systems of nursing care delivery are a reflection of social values, management ideology, and economic considerations. (Tiedeman&Lookinland, 2004) According to Fewer (2006), the quality of nursing care delivery systems affects continuity of care, the relationship between nurse and patient, morale, nurse job satisfaction and educational preparation.(Fewer, 2006) Nurses are essential human resources to provide medical services with professional knowledge and skills in the healthcare setting. However, the registered nurse turnover rate has increased in recent years resulting

It is also used in diverse practice in global setting. It is used to guide practices to meet patient and family needs of patients in critical acute and chronic healthcare problems. It is a holistic approach that allows the nurse to conduct nursing practice base on nursing theory where by allowing individuals and families to meet their health needs that demonstrate optimum clinical nursing practice. It is a holistic approach in the care of the patient and through directing nursing education and clinical practice the Betty Neuman System Model is used. However, the effective conceptual transition among all levels of nursing education and is the basis for continuing education after graduation facilitating professional growth. It validates nursing roles and activities and in the nursing practice. It is a widely used framework used in nursing research that guides enhancement of nursing