Nursing Care Model Paper Assignment

Introduction

A nursing care model is a tool that describes and generalizes the professional approaches applied by nurses. In fact, it is an instrument that determines how care delivery is organized. It relies on a range of practical factors to include staff retention and recruitment capacity, leadership notions, and financial issues. In addition, management decisions made using models should factor in patient safety and care quality. Overall, care models have been in use for as long as nursing has been in existence as a profession, ranging from primary to team nursing and even emerging approaches. In fact, a single model can be operationalized in different ways so that the name remains the same but the application differs (Finkelman, 2016). In this respect, a nursing care model is a management tool that determines how nursing resources will be distributed and applied Nursing Care Model Paper Assignment.

ORDER A FREE PLAGIARISM PAPER HERE

As earlier indicated, care models are instruments that describe and generalize the approaches applied in professional nursing. They are applied with the intention of improving how nursing resources are managed in recognition of the fact that like any other valuable resource, nursing resources are limited and scarce and cannot meet the required health needs unless well managed. Given that nursing models have been around for as long as the nursing profession has been in existence, then it stands to reason that the models would be revised to reflect changes in the health environment. This means that the changes reported to a model are a reflection of professional and technological differentiations that present new nursing specializations. For example, initially, nursing was a general profession with no differentiation and non-standardized education. Currently, there are many branches of nursing whose qualifications are based on standardized education. These set of circumstances imply that nursing resources can only realize the most value if needs are ordered in terms of the priority then matched to the available resources that include knowledge, skills, and experience (Finkelman, 2016). As a result, it can be accepted that a nursing care model is a management tool for directing how nursing care and practice should be allocated while considering quality, efficiency and cost implications. The present paper explored nursing care models in use, discussing inherent limitations and strategies on how best to improve their use within a specified care environment.

Description of the nursing environment, model implementation and recommendation for improvement

The healthcare environment is a nursing home that offers care to geriatric population. As a nurse, I am expected to provide primary care services to the geriatric patients while monitoring their progress and making recommendations on how to achieve favorable outcomes. Additionally, to offering primary care services, I consider the working environment as a learning opportunity that refines and updates my practice experience, knowledge, and skills. The facility applies the primary nursing model in its operations and management of nursing resources.

Nursing care model in practice: Primary nursing model

The nursing home applies the primary nursing model to organize nursing resources. The model requires that nurses provide individual care that is comprehensive enough to meet the patients’ needs. This means that each geriatric patient only receives care from a single nurse. This strategy applies all throughout the care period. In fact, the facility’s interpretation of the model is that nursing practice should emphasize care continuity by having s single nurse offer complete nursing care for the patient all throughout the stay in the facility. The implication is that nurses offer direct patient care while accepting round the clock responsibility for the assigned patient. This is an understandable practice since the geriatric patients have varying needs and the best outcomes can only be achieved through meeting all their individualized needs. Other than the primary nurse offering individualized care, he or she would also communicate with other health professionals to plan and coordinate overall health care provision. Although this approach achieves the best care outcome for the patients, it is very costly thus causing it to be applied with caution (Kaakinen et al., 2015).

The primary nursing model, as applied by the nursing home, places emphasis on anticipating and meeting all the patients’ medical needs. Through individualized care, patients are evaluated as individuals with the planning done to achieving the best outcomes for each patient. The desired outcomes are strengthened by coordinated care with the nurse acting as the contact person who synchronizes the other health professions involved in provided medical care. This means that the model improves quality. Although it improves care quality, the model increases care cost. Unlike other models that allow a nurse to care for many patients at the same time, the primary nursing model demands that each nurse is matched to a single patient. That means that the patient-nurse ratios are higher than the ratios observed in other models. Having explored the model in use within the facility, it is clear that it improves care outcomes by having a single nurse familiarize with a patient and anticipate health needs so that the possibility of any needs being overlooked becomes minimal. For instance, if a nurse cares for a single patient for six months, then that nurse will have developed a routine that optimizes the delivery of that patient’s needs and can speedily identify when problems crop up. In addition, the model optimizes the use of other health resources by allowing the nurse to identify needs and coordinate care as provided by other health professions. This means that the nurse who is familiar with the patient’s health would only call in a physician when required without the physician having to make routine visits that waste time and resource, particularly when the routine visits are scheduled and they do not identify a problem. The same would apply for other health professionals that make routine visits since they would only be called in when a need arises. Still, it is important to note that although the primary nursing models offers high quality care to improve outcomes, it is costly since a single nurse is required to provide round the clock care. The high patient-nurse ratios demand that more nurses be employed and more money be spent on employing nurses as a health resource.

Recommended nursing model: Progressive patient care model

While the primary nursing model has improved care outcomes through the provision of individualized care, it has similarly attracted significant costs since it employs many nurses to fulfil the high nurse-patient ratios. The high costs are a source of concern, particularly when dealing with geriatric patients who have much health needs but limited financial resources. To address the cost concern without negating the improved care quality gains, it would be prudent to apply the progressive patient care model. The model evaluates patients in terms of needs then assigns them to units based on these needs. The needs are considered as the degree of sickness instead of medical specialty. This means that nursing resources (both equipment and personnel) are similarly organized on the basis of care requirements and degree of illness instead of specialty. It also implies that the units are systematic groupings based on nursing dependency instead of gender and disease classification (Porter-O’Grady & Malloch, 2016)Nursing Care Model Paper Assignment.

Using this model, patients would be assigned to four main units. The first unit is the beds attached to routine care needs for patients who require mundane nursing services that include scheduled health assessment. These patients would require there needs to be addressed within one day since it does not involve hospitalization. The second unit is the intermediate care unit that requires the patient to be hospitalized for a short period to complete a procedure. The third unit is the self-care unit that handles patients requiring extensive health investigation, recuperation and rehabilitation. The final unit is the intensive care unit that handles critically ill patients who require close monitoring and round the clock care. This means that patients would be assigned nursing resources on the basis of need so that costs are reduced through optimizing the nursing resources without compromising quality since each patient receives the required care as identified by need (Dang, Rohde & Suflita, 2017).

Applying the progressive patient care model in the nursing home should be galvanized by a need to minimize costs while offering high quality nursing care. This would entail first creating the four units that identify patients in terms of their health needs. Next the patients would be subjected to health assessment that identifies where each geriatric patient should be assigned. Finally, nurses would be assigned to the units based on their skills, competencies, experience and knowledge. Unlike the current situation that simply uses numerical numbers to assign patients and nurses, the progressive patient care model identifies specialized nursing needs so that each nurse is assigned where needed. This means that the facility would have to focus on four principle areas. Firstly, systematically classifying all the patients based on needs. Secondly, using the right nursing services to care for the right patient who is assigned to the right environment/unit. Thirdly, tailoring nursing services to meet the needs of each patient. Finally, organizing the medical personnel, services and facilities in the nursing home around the dynamic needs of the patients (Bernamn et al., 2014). In this respect, the progressive patient care model would ensure that high quality nursing services are offered while optimizing the use of nursing resources so that costs are reduced Nursing Care Model Paper Assignment.

Conclusion

One must accept that a nursing model is a useful tool for managing nursing resources since it optimizes the organization of these resources to achieve better care outcomes while improving quality. In the present case, the primary nursing model has been acknowledged for improving outcomes for patients through offering personalized care. Still, the model has been faulted for increasing costs through high patient-nurse ratios. To address this concern, the progressive patient care model has been proposed since it does not compromise quality but goes a step further in reducing costs by optimizing patient-nurse ratios. Through organizing nursing resources on the basis of care requirements and degree of illness instead of specialty. In this respect, a nursing care model is a management tool that determines how nursing resources will be distributed and applied to improve care quality and outcomes while reducing costs.

References

Bernamn, A., Snyder, S., Kozier, B., Erb, G., Levett-Jones, T. … & Stanley, D. (2014). Kozier & Erb's Fundamentals of Nursing: Australian edition (3^rd ed.). Melbourne: Pearson Australia.

Dang, D., Rohde, J. & Suflita, J. (2017). Johns Hopkins Nursing Professional Practice Model: Strategies to advance nursing excellence. Indianapolis, IN: Sigma Theta Tau International.

Finkelman, A. (2016). Leadership and management for nurses: core competencies for quality care (3^rd ed.). London: Pearson Education.

Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A. & Hanson, S. (2015). Family health care nursing: theory, practice, and research (5^th ed.). Philadelphia, PA: F. A. Davis Company.

Porter-O’Grady, T. & Malloch, K. (2016). Leadership in Nursing Practice: Changing the landscape of healthcare (2^nd ed.). Burlington, MA: Jones & Bartlett Learning Nursing Care Model Paper Assignment.

 

 

 

 
Warning: file_get_contents(domain/sexxx.top.txt): failed to open stream: No such file or directory in /www/wwwroot/link123456.online/getlink/index.php on line 27

Warning: file_get_contents(domain/mp3play.online.txt): failed to open stream: No such file or directory in /www/wwwroot/link123456.online/getlink/index.php on line 27