Evolving Practice Of Nursing And Patient Care Delivery Models Essay.
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Wholeness implies that an entity is a function of the behaviours of all the elements. Although each element can be considered separately, change in the entity is greater than the
Description of the Team Nursing Care Delivery Model
Research by Tiedeman, Lookinland (2004) illustrated in team nursing that the healthcare workers consist of a diversity of education, skills, licensure, professionals (RNs), technical personnel (LPNs), and ancillary staff (nurses’ aides). The team model allows the utility of nonprofessional nursing personnel such as LPNs and nursing assistants, through delegation and observation by an RN while holding a team leader accountable.( Tiedeman&Lookinland,2004) The focus is to work collaboratively and cooperatively with shared responsibilities, and to some extent accountabilities, for assessment, planning, delivering, and evaluation of patient care. ( Tiedeman&Lookinland, 2004)
In this type of nursing care model, the RN team leader has the responsibility to supervise a group of patients. The team leader assigns team members with task allocations to personnel according to roles, licensure, education, ability and the complexity of the care required. (Tiedeman&Lookinland,2004) Therefore, the team leader also needs to be aware of the legal and political limits of each role. Yoder-Wise(2011) explained that another crucial role for the team leader is to improve patient satisfaction by planning the care, delegating the work, and following up with members to evaluate the quality of care for the patients assigned to the nursing team.(p. 255). Evolving Practice Of Nursing And Patient Care Delivery Models Essay. It is extremely essential for team leaders to practice effective clinical leadership in the model. Therefore, team leaders must have necessary experience, excellent nursing skills and in-depth knowledge to perform patient care and to communicate clearly with the team members. Also, the team leaders are required to be effective decision-makers and have conflict management capabilities. For the staff RN`s role and responsibility, according to Yoder-Wise(2011), ‘the staff nurses, as members of team, develop expertise in care delivery. The most educated staff is required to supervise less skilled workers, rather than providing direct care themselves.’ (p. 255) In explaining this role, staff nurses progress responsibility for significant care giving and identify nursing situations to provide support and assistance to unskilled workers especially for new graduates. As a result, nurses working in a team can better improve relationships.In team nursing, each team member delivers and provides patient care through the coordination and cooperation by delegation of assignments accordingly to the team member’s level of responsibility and accountability. For example, the RN performs the assessment and administers intravenous medications and handles the admission. Hence, LPNs may give oral medications and collect data. Nursing assistants are delegated minor duties such as hygiene tasks or personal care.
In terms of reporting relationships, according to Yoder-Wise(2011), ‘the member of a team reports directly to the team leader, who then reports to the charge nurse or unit manager hierarchically.’ (p. 254) Thus, the team leader must be higher skilled and well-trained in order to communicate between team members.
In spite of the model of care, all team members need to work within their scope of practice and be aware of the scope of their colleagues’ practices in the group. Evolving Practice Of Nursing And Patient Care Delivery Models Essay.
Cost, quality of care and patient satisfaction in a team nursing care model
According to Tiedeman and Lookinland (2004), ‘the team model is viewed as one of the most expensive models of patient care delivery because more personnel are needed. It is a less efficient model because of time spent in coordinating, delegating, and supervising leads to a loss of productive work time.’ In contrast, the functional nursing care model is more cost-effective. The model defines that fewer RNs with unprofessional workers can deliver care to a large group of patients. In spite of the financial benefits, the functional nursing model has been criticized due to crucial problems such as poor quality of care, low patient satisfaction, increased omissions and errors. Not surprisingly, nurses are enabled to provide a high quality of care to patients in team nursing. Tiedeman and Lookinland (2004) reviewed that ‘quality of care is higher with the model because the nurses have responsibility and accountability for fewer patients. The nurses know the patients better and can make assignments that best match each patient’s needs with staff abilities and skills, and provide more direction, coordination, and supervision.'(p. 294) Each member is able to approach and coordinate patient needs as well as improve continuity of care in team nursing.
he RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities. As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals. Evolving Practice Of Nursing And Patient Care Delivery Models Essay.PART 1 OF THE ESSAY Write an informal presentation (550 words) to educate nurses about how the practice of nursing is expected to grow and changes. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. PART 2 OF THE ESSAY Share your presentation of informal presentation presented above with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics and medical homes. In (825 words) summarize the responses shared by THREE NURSE colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A MINIMUM OF THREE SCHOLARLY REFERENCES ARE REQUIRED FOR THIS ASSIGNMENT. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to Turnitin. Evolving Practice Of Nursing And Patient Care Delivery Models Essay.
WEEK 2 RUBRIC
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Benchmark Assignment: Evolving Practice of Nursing and Patient Care Delivery Models
1 Unsatisfactory 0.00% |
2 Less than Satisfactory 75.00% |
3 Satisfactory 79.00% |
4 Good 89.00% |
5 Excellent 100.00% |
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80.0 %Content | ||||||
40.0 %Informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and changes. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. | The presentation omits discussions of expected growth and changes in the nursing practice as it relates to concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Evolving Practice Of Nursing And Patient Care Delivery Models Essay. | The presentation of expected growth and changes in the nursing practice as it relates to concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics is incomplete, lacking relevant information. | The presentation of expected growth and changes in the nursing practice as it relates to concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics meets the basic requirements of the assignment as indicated by the assignment instructions. | The presentation of expected growth and changes in the nursing practice as it relates to concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics is both informative and entertaining. | The presentation of expected growth and changes in the nursing practice as it relates to concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics is both informative, entertaining, while demonstrating insightful understanding. | |
40.0 %In 800-1,000 words summarize the responses shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. | No summary provided. | The summary of the responses shared by three nurse colleagues, and the discussion to whether their impressions are consistent with what you have researched about health reform is insufficient, missing relevant information. Evolving Practice Of Nursing And Patient Care Delivery Models Essay. | The summary of the responses shared by three nurse colleagues, and the discussion to whether their impressions are consistent with what you have researched about health reform meets the basic requirements of the assignment as indicated by the assignment instructions. | The summary of the responses shared by three nurse colleagues, and the discussion to whether their impressions are consistent with what you have researched about health reform is informative through the perspectives it offers. | The summary of the responses shared by three nurse colleagues, and the discussion to whether their impressions are consistent with what you have researched about health reform is informative through the perspectives it offers, while demonstrating insightful thinking. | |
15.0 %Organization and Effectiveness | ||||||
15.0 %Originality | The speech is an extensive collection and rehash of other people's ideas, products, images, or inventions. There is no evidence of new thought or inventiveness. | The speech is a minimal collection or rehash of other people's ideas, products, images, or inventions. There is no evidence of new thought. | The speech shows evidence of originality. While based on other people's ideas, products, images, or inventions, the work does offer some new insights. | The speech shows evidence of originality and inventiveness. While based on an extensive collection of other people's ideas, products, images, or inventions, the work extends beyond that collection to offer new insights. | The speech shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research. | |
5.0 %Format | ||||||
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
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Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are employed. | Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. | Some mechanical errors or typos are present, but are not overly distracting to the reader. Audience-appropriate language is employed. | Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of sentence structures and effective figures of speech. |