Nursing Care Models
Nursing care models range from the traditional models to the latest improved models. The models are designed to improve the quality of care being given to patients as well as reducing the workload of the patients. Nursing models makes organization easier and improve level of accountability. The choice of nursing models is influenced many factors ranging from finances available, staff adequacy and cases common in the hospital among others. (Campeau & Terry, 2017) The nursing models include but not limited to: functional nursing, team nursing and primary nursing, complementary model and case management model.
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Two scholarly articles on primary nursing
According to Dunphy (2015) primary nursing is one of the most effective models of care that ensures continuity of care which is highly personalized and equally costly. It is mostly considered quite effective because the patient is specifically allocated a registered nurse who has to account and document all the care being given to that patient…
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Scholarly Articles Not related to Primary Nursing
Team nursing is another model of care that involves team of nurses working in collaboration with other nurses and health professionals. A group of patients in a certain unit are attended to by a team of health professionals. Each team has a team leader who oversees collaboration and coordination of care delivery.
Observations on model of care implementation
In my hospital visit and assessment for the model of care being employed, I realized that primary nursing was well implemented. The hospital has a bed capacity of 700 and staff of 400. The hospital is never fully packed but there are new admissions every day. The patient nurse ratio is quite favorable for primary nursing care. Each patient is allocated a registered nurse 24 hourly with an associate nurse. The associate nurse works to assist the primary nurse or continue the care when the primary nurse is off. The primary nurse plans the care and is fully accountable to the patient. Therefore, the associate nurse makes sure to report to the primary nurse every time. The primary nurse works in collaboration with other professionals to ensure that every need of the patient is completely attended to. The nurse communicates to other health workers to ensure that there is continuity of making.
Model recommendation
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In conclusion, health care models keep on improving to achieve the best for the patient and care givers. A factor considered in selecting model of care includes staff availability, cost of care, the workload and the hospital setting. Primary nursing is quite beneficial in improving the nursing skills and decision making skills. It can be challenging to less experienced nurses. There is high level of accountability in this model because care is personalized. Team nursing is effective in areas with high patient capacity. Constant research and improvement strategies should however be implemented whenever it’s necessary.
References
Compeau, D. R., & Terry, A. (2017). Connecting medical records: an evaluation of benefits and challenges for primary care practices. Journal of innovation in health informatics, 24(2), 204-215.
Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art and science of advanced practice nursing. FA Davis.
Kutzleb, J., Rigolosi, R., Fruhschien, A., Reilly, M., Shaftic, A. M., Duran, D., & Flynn, D. (2015). Nurse practitioner care model: meeting the health care challenges with a collaborative team. Nursing Economics, 33(6), 297.
Lewis, K. B., Stacey, D., Squires, J. E., & Carroll, S. (2016). Shared decision-making models acknowledging an interprofessional approach: a theory analysis to inform nursing practice. Research and theory for nursing practice, 30(1), 26-43.