What is the most effective nursing care delivery model and why?
What is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
Lesson
Continuous Quality Improvement for Improved Patient Outcomes
Introduction
By this point in the course, you have considered a challenge to quality patient care and identified a central or relevant issue presented by the problem. So far, you have learned about theoretical frameworks or models that guide nurses to provide nursing care that is supported by evidence-based practice (EBP). PICO-formatted questions and potential interventions and activities have also been discussed. One must consider the economic, ethical, and social principles relevant to the current developments in healthcare and the current status of nursing.
All of the above elements may be a part of the rationale for a chosen solution to an identified problem. By now, you should have conducted a literature review in order to find the best and most relevant evidence, which provides a tentative solution to the identified problem. Within your own work setting, how do those problems get fixed or corrected?
The Implementation Process
When planning the implementation process, permission should be obtained to allow the project to commence and go forward. Securing permission involves communication with all the stakeholders for the change to be successful. Organizational culture, group dynamics, and informal and formal power structure are all elements that are examined during the implementation of a change.
How change is perceived depends on individual perspective. In other words, the “what’s in it for me” (WIIFM) mentality plays a role in the success of the innovation. In some situations, a pilot study may be necessary to determine feasibility for the proposed change. Before a pilot study is initiated, all aspects must be carefully planned. One must consider how to conduct the pilot study and where it will be conducted. We will discussion about pilot studies in the lesson next week.
Organization and Patterns of Nursing Care Delivery
Nursing care has been delivered in many ways over the years. Total patient care, functional nursing, team nursing, primary nursing, and patient-focused care are a few terms that come to mind when discussing patterns of nursing care. Each pattern of nursing care could be discussed as a single entity; in reality, the patterns combine. Nurses should be prepared to work with any of the patterns of care. As healthcare challenges change, so do the patterns of care.
Total patient care started as private duty nursing care in the patient’s home. In the 1920s and 30s, and again in the 1980s, the nurse assumed responsibility for the complete care of the patient. This focused the nurse’s attention and activities on one individual, thus increasing the quality of care and patient satisfaction.
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