A Summary Of Nursing Care Models Based On Observation Of Staff (Case Study Sample)

Nursing Care Models Name Instructor’s Name Institution Nursing Care Models Introduction The pressure mounting the healthcare sector across the world is to manage costs, document care models, implementation of care models and assessment of their effectiveness in order to improve efficiency in care delivery. Hospitals, on the other hand, are working towards improving patient flows and reducing patients time spend in the hospital. Nursing entails promotion, protection, health and abilities optimization, injury and illness prevention, suffering alleviation through diagnosis, treatment, and advocacy in caring for populations, individuals and families. Nursing care models are also referred to as the nursing care delivery system. Nursing model is a set of outlined nursing principles that helps professionals to formulate a care plan, assess the success and address possible problems that may arise. Nursing practice models play a vitally important role in the provision of infrastructure for organization and quality care delivery to the patient and family. They are also a reflection of patient care philosophical foundation and current organizational culture. There are five major types of nursing practice models comprise of; team nursing, functional nursing, case management, primary nursing, and total patient care. The care given influenced by the situation and changing needs of each and every individual patient. Adult patient care has increasingly shifted to the involvement of family members. This paper is a discussion and summary of nursing care models based on observation of staff delivering care during my visit to a certain health facility. Nursing Care Model Observed Each and every medical practitioner in a given health facility have their distinguished ways of handling issues. In the context of psychiatric care delivery in the nursing unit visited, the healthcare specialists implemented the primary nursing model. In this case, practical nurses and psychiatrists were allocated as primary nurses to a number of patients basing on the complexity of required care. The care delivery comprised of a primary nurse (registered nurse) in charge and other associate nurses. The primary nurse provided continuous patient care for 24hours to a small countable number of in-patients hospitalized with different ailments which lasted for a week. Whenever she was off-duty she clearly delegated her roles that were well stipulated in writing to her assistant nurse. The primary nurse provided direct care both to the patient and the family. The primary nurse is actively involved in coordination, provision of feedback, advice, support and promoting communication amongst patients and other healthcare specialists. Thus, primary practice model was applied in this circumstance. Summary of Primary Nursing Model Primary nursing model. It was introduced the late 1970s. Primary nursing entails the provision of individualized comprehensive care by the very primary nurse throughout the specified period of care provision. Continued care is offered by one nurse within the care service unit to a manageable group or number of inpatients throughout their hospitalization period. The model and roles call for registered nurses who possess good leadership skills and are very competent. The nurse establishes a good nurse-patient relationship and also ensures the patient’s predetermined outcomes are achieved. The primary nurse is involved in the provision of direct care to both the patient and the family. The works together with the colleagues and other professionals. The primary nurse develops a care plan for her associate nurses to follow whenever she is off-duty. Primary nurse is required to have knowledge about the patients assigned to her and also must uphold the clinical autonomy of the highest degree and ability to maximize their competence and skills to provide quality care. Patient expectation is to receive highest quality care and detailed information concerning their medication and care. The model benefits the patient since there is continued and tailored care. It also encourages communication among health professionals and the patient’s family to give accurate information concerning the patient. It promotes patient service satisfaction, mental well-being and a sense of attention and individual care. Some of the shortcomings of this model include inadequate staff and staff retention challenges. Primary nursing is perceived as a care delivery system where the primary nurse assumes all the roles and responsibilities limiting team and collaborative efforts. Implementation of Primary Nursing Model Observed Quality patient care delivery call for good planning and horizontal collaboration. The model affects pliability of utilization of available staff resources, organization’s costs and staff members. Under primary nursing practice model, the named nurse is responsible for a patient from admission to discharge and is also answerable to the patient’s family and her colleagues. This implies that planning and care implementation entirely involves the primary nurse and the patient. The primary nursing model has gained implementation widely as it is believed to be the best and suitable method of organizing the delivery of nursing care. The model incorporates patient-centered approach and also supports nurses’ independent decision-making, detailed job descriptions, professionalism, and autonomy. The key component is that nurses’ greatest concern in their work is addressing patient needs rather than performing other tasks under functional structures. This model is being implemented for instance, in some certain hospital primary nursing units are grouped in two teams each with two registered nurses assigned a group of seven patients. this allocated shift lasts for a week. The implementation is based on hand-on-job training, in-service training and developing staff activities that aim at improving caregivers’ skills in coordination, care provision, planning...