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Rosa Nursing Models
Nursing care can be achieved through several organizational methods. The types of nursing care models applied to a particular health situation can vary from one facility to another or amongst patients. Several factors including leadership beliefs, economic issues, and the ability to recruit and retain staff determine the delivery of nursing care. Nursing care delivery models provide a way in which assignments, authority, and responsibility are planned to achieve patient care. The foundation of these models is based on their correspondence to patient needs cost-effectively. Four traditional care systems have dominated inpatient health care. They include team nursing and functionality, which are task-oriented. These approaches use a mix of the nursing personnel model. Others include total patient care and primary nursing, which are patient-oriented. The nursing care models are examined by medical house staff, pharmacy services, and/or social workers before use. This essay explores provides an insight into various nursing models that can be useful in the delivery of care to patients.
A Review and Summary of Two Scholarly Resources related to the Nursing Care observed in the Practice Setting
Team nursing. The model identified in the practice setting is known as team nursing. In the article Models of Care Choices in Todays Nursing Workplace: Where does Team Nursing sit? , Fairbrother, Chiarella, and Braithwaite (2015) reveal that the team nursing model uses an RN function as a team leader who directs a small team of ancillary staff to offer care for a small number of patients. A team can consist of up to six members on the higher side and four nurses on the lower side. Every team has a team leader who assigns jobs and issues instructions to members (Fairbrother et al., 2015).
The ideas behind team nursing are philosophical. It brings together both professional and nonprofessional members of the team to work together. The team works together to identify, diagnose, and solve the medical predicament. In the book Nursing Theorists and their Work , Alligood (2014) identifies that the team in this model implements the solution and evaluates comprehensive client-centered care. This model works under a simple concept that focuses on attaining a common goal (Alligood, 2014). This approach ensures that patients are offered high-quality care due to collective decision making and the execution of special nursing skills. The method is more effective in inpatient care delivery and is applied in both outpatient and inpatient healthcare plans.
A Review and Summary of Two Scholarly Resources related to a Nursing Care model that is different from the one observed in the Practice Setting
Modular nursing. In the journal A Critique of Concept Analysis modular nursing is defined as the design of nursing care that focuses on the patients geographic locations to determine staff assignments (Draper, 2014). In this care module, the patient unit is divided into districts to make the delivery of care easy. The same caregivers are consistently assigned to the same location. Each location or district is assigned to a team leader. The leadership of modular nursing is similar to that of team nursing. However, in modular nursing, a team leader supervises other nurses and is accountable for their activities. He or she is also responsible for creating a cooperative work environment. The modular nursing health care delivery system can be used in cases of a smaller group of staff that provides health care for a smaller group of patients.
According to Shirey (2014), the primary advantage of this model is that the consistent assignment of staff members to the same location improves the delivery of health care significantly. The closeness of the geographical locations brings about efficient communication and saves staff more time as compared to team nursing. However, this approach increases the costs incurred to stock each health unit with the necessary patient care modules such as medication carts, linens, and dressings (Shirey, 2014). Furthermore, the long corridors that are common in hospital settings are not appropriate for modular nursing.
Discussion on the Implementation of the Current Nursing Care Model: Team Nursing
Team nursing might be viewed as an approach that applies a mix of primary nursing, total patient care, and nursing personnel models. It relies upon registered nurses in delivering care. It is observed that nursing care delivery models do not pertain to nursing inpatient care settings. The model is evaluated based on social workers, pharmacy services, and medical staff. The main objective of the group nursing care is to provide the best possible patient health care. This is done by utilizing the abilities of every group member with a view of supporting the needs of the patients. It offers a chance of close supervision to the group activities led by the group leader. As a result, team nursing applies to particular patient populations where victims suffer from chronic conditions such as mental illness.
However, despite the patient care models varied interest, it is hard to discern the model that works best amongst them. Both non-traditional and traditional care models for inpatient nursing have been examined rigorously for safety influence. Other emerging models from various care disciplines, settings, and specific patient populations examined lack the empirical rigorous evaluation for patient safety relationship. The available information concerning the connection between patient safety and care models is inadequate.
Recommendation for a different Nursing Care Model
Total patient care. The total patient care is an alternative nursing care model that can be implemented to improve the quality of nursing care while ensuring patient safety and staff satisfaction. In this approach, registered nurses are obligated to provide health care to their assigned patients. It is sometimes referred to as primary care. Nurses with more experience are allowed to care for special patients. They can do most care, but not all the care needed by the patient. Having the registered nurses work on lighter workloads will also help the more experienced nurses in handling patients that need complicated care. In total patient care, nurses bear the responsibility for organizing, planning, and performing the entire care including medication, maintenance of personal hygiene, emotional support, and education needs for their allocated patients.
Summary of the Lessons learned from the Nursing Care Models
The models discussed range from traditional delivery to emerging models. The outline of any two models can be operationalized in so many ways despite their perceived similarities. There are factors considered before deploying any of the models. The two main factors include the availability of nurses and other economic considerations. However, there has been limited research on nursing models. The most affected areas of research include the relationship between health care and patient safety. Future studies are expected to fill the voids of the resources analyzed in this essay concerning the nursing models. Researchers need to subject the models to test with a view of making positive development based on the comprehensiveness of patient needs.
References
Alligood, M. R. (2014). Nursing theorists and their work. New York, NY: Elsevier Health Sciences.
Draper, P. (2014). A Critique of concept analysis. Journal of advanced nursing, 70(6), 1207-1208.
Fairbrother, G., Chiarella, M., & Braithwaite, J. (2015). Models of care choices in todays nursing workplace: where does team nursing sit? Australian Health Review, 39(5), 489-493.
Shirey, M. R. (2014). Nursing Practice Models for Acute and Critical Care: Overview of Care Delivery Models. Critical Care Nursing Clinics of North America, 20(4), 365-373.
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