The purpose of this assignment is to identify nursing care models utilized in today s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality safety and staff satisfaction.
Completion of this assignment enables the student to meet the following course outcomes.
CO#1: Apply leadership concepts skills and decision making in the provision of high quality nursing care healthcare team management and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)
CO#3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO #7)
CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7)
CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2 and #3)
CO#8: Apply concepts of quality and safety using structure process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8)
This assignment is worth 200 points.
1. Read your text Finkelman (2012) pp- 118- 127.
2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
3. Identify the model of nursing care that you observed. Be specific about what you observed who was doing what when how and what led you to identify the particular model.
4. Write a 5-7 page paper that includes the following:
5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
6. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
7. Discuss your observations about how the current nursing care model is being implemented. Be specific.
8. Recommend a different nursing care model that could be implemented to improve quality of nursing care safety and staff satisfaction. Be specific.
9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
10. Write your paper using APA format.
GRADING CRITERIA: NURSING CARE MODELS PAPER
Category Points % Description
Identify Nursing Care Model in practice including specifics about who what when where etc. 60 30% Identifies Nursing Care Model for delivery of nursing care. Provides specifics.
Besides Finkelman locate scholarly resources related to Nursing Care Models 40 20% In addition to Finkelman locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.
Implementation and Recommendations 60 30% Describe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care safety and staff satisfaction.
Conclusion/ summary 20 10% Summarize what you learned about this experience including new knowledge about nursing care models.
Clarity of writing 20 10% Content is organized logical and with correct grammar punctuation spelling and sentence structure are correct. APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.
Finkelman text reading Pages 118-127
PROFESSIONAL NURSING PRACTICE WITHIN NURSING CARE MODELS
The American Nurses Association (2004) defines nursing as the protection promotion and optimization of health and abilities prevention of illness and injury alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals families communities and populations (p. 7). The American Organization of Nurse Executives (AONE) emphasizes the following with patient population as the central core (2005).
The core of nursing is knowledge and caring. (evidence-based practice and patient-centered care)
Care is user-based. (patient-centered care)
Knowledge is access-based. (evidence-based practice)
Knowledge is synthesized. (evidence-based practice; informatics; quality improvement)
Relationships of care presence-virtual. (patient-centered care)
Managing the journey (interprofessional teams)
The items in italic describe how each of the AONE elements relate to the five IOM core competencies. These are all interrelated. Also all of these elements have been discussed in earlier chapters or will be discussed in later chapters as they are critical aspects of leadership and management. Intertwined within these critical elements is the recognition of the importance of autonomy responsibility delegation and accountability.
Autonomy in clinical decision making occurs whenever a nurse makes an independent judgment about the presence of a clinical issue and then provides the resolution to nursing care (Ritter-Teitel 2002 p. 32). Autonomy requires competence and skills that focus on the nurse patient relationship. It also means that there needs to be an organized assessment method to determine patient care needs and reassigning staff. Nurses also have the right to consult with others as professionals when they provide or manage care. Autonomy control and decision making are related. Professional practice implies control over the terms of the work but also control over its content and regulation of its standards (Ritter-Teitel 2002 p. 33). Nurses who feel that they have autonomy know that they have the right to make decisions in their daily practice and also actively participate in developing organizational policy and change. Staff autonomy however does not work in organizations in which leaders are authoritarian and when centralized decision making and control are key characteristics of the organization. This situation will quickly lead to conflict. In addition the work environment must be conducive to collaboration with physicians and all relevant staff as is discussed in Chapter 12. Responsibility refers to being entrusted with a particular function (Ritter-Teitel 2002 p. 34). A nursing practice model that does not address responsibility will not be effective. Along with this is the need to clearly recognize the importance of delegation. Delegation involves transferring responsibility for the performance of the task from one person to another (Ritter-Teitel 2002 p. 34). Delegation is discussed in more detail in Chapter 14. Accountability is a term that is typically found in job descriptions and descriptions of organizational structure. In nursing it is particularly important to recognize that accountability is the acceptance of responsibility for the outcomes of care (Ritter-Teitel 2002 p. 34). Nurses need to know that when they provide patient care their work has relevance it must reach outcomes. Magnet hospitals are discussed in Chapter 6 as examples of organizations that exemplify these characteristics.
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