a. Innovative Nursing Care Model: The Nursing Caring Delivery Model
The clinical nursing standard suggests that the primary role of nurses’ borders on direct patient care and professional performance. In a potential hospital work setting, nurses are face challenges that revolve around patient care outcomes and improving their professional outcomes (Canadian Nurses Association [CAN], 2010). Complex responsibilities include nursing assessment, planning, diagnosis, evaluation, intervention and care coordination for patients and families. In a potential hospital setting, the accountant ability of nurses for educational, clinical and fiscal patient care outcomes can be measured using the nursing caring delivery model. In an ideal hospital setting, challenges such as economic pressures, shortages of health care providers and quality initiatives require urgent attention. In my prospective working place, the nursing caring model is an innovative asset that will address the challenges nurses encounter in order to improve nursing roles beyond care provision. Essentially, the prospective targets of this model borders on transforming care providers to become key coordinators, integrators and efficiency experts that can redesign the patient experience.
The mission statement of Green Oaks hospital in north Texas bears the commitment of the hospital towards emulating and developing the latest clinical practices to enhance the dignity for patients and their families (Green Oaks Hospital [GOH], 2014). Similarly, the vision statement of the hospital presents the desire of the health facility to become the most effective, progressive and innovative psychiatric system whose driving force revolves around patient care. The hospital philosophy entails respect, innovation, investment, safety awareness, adaptability, professionalism and accountability (GOH, 2014). In essence, the nursing caring delivery model will integrate well with the hospitals mission, vision and values because the model details responsibilities, assignments and authority to accomplish improved patient care outcomes. In addition, the nursing caring model is pertinent in Green Oaks hospital because the model will provide a framework to match the type and number of care providers to client/patient care needs. Furthermore, the model integrates well with the philosophical values of accountability in the hospital setting because it outlines tasks and classifies those who are responsible for specific tasks and decision-making.
b. Development Team for Nursing Caring Model
In essence, the nursing care model represents a collaborative approach towards the provision of patient care (Health Workforce Solutions [HWS], 2008). The selected team will comprise of a mix of expertise and experiences among registered nurses and health care assistants. This means that, the right type of care will be provided to patients in a timely manner and by the most appropriate caregiver. The implementation team will be headed by the head of medical operations at the hospital and shall comprise of other members from various departments. Health Care Assistants (HCAs) will help the patients in terms of mobility, self-care, toileting and hydration. As such, the HCAs will receive assignments and instructions from other members of the team. In addition, HCAs will gather information on patients special needs, participate in communication and reporting unusual patient behaviors. The registered nurses (RNs) will be important in the provision of care coordination function within the team. On the other hand, the licensed practical nurses (LPNs) have experience in caring for patients with a written plan of care. At unit level, the LPNs will provide an understanding of guidelines bordering on specific activities that patients may need.
c. Incorporation of Nursing Care Model into Hospital Setting
The nursing care model will focus on patient-centered outcomes. Essentially, the incorporation of this model of care into the hospital setting will be based on the provision of health information, enabling of decision control and affective support. In addition, the nursing caring model comprises of the three aforementioned domains that reflect on the uniqueness of the patient having a health care challenge and the quality of the nurse’s interaction with the client.
In the hospital setting where shortages of staff characterize the daily experiences, the nursing care model will provide a framework covering professional practice, shared governance and care delivery system. Noticing that the central goal of the model is to improve care outcomes, the information delivery systems will vary by unit. Similarly, to enhance accountability and smooth workflow different the RNs, HCAs and the LPNs will perform different roles detailed in the framework. Obviously, because the hospital setting experiences new challenges in an unpredictable manner, it will be prudent for all the collaborative team members to combine efforts in order to accomplish assigned duties.
In the daily nursing roles, nurses will be required to coordinate care provision and close the information gap between the patients’ special needs and the physicians’ attention (MetroWest Medical Center [MMC], 2014). The nursing caring model focuses on team nursing to achieve quality care delivery and better patient care outcomes. In Oaks hospital, the medical operations officer, who is the team leader, will give directions to the team members in various aspects of the group care delivery systems. Of uttermost importance, is the fact that all members of the team will be given an opportunity to participate in decision-making especially during the evaluation of outcomes. The link between the patients, the RNs, LPNs and HCAs, is of uttermost importance to provide information across the board. A well developed and networked IT system will be of special importance to allow for the collection of patient data and sharing of health information.
While the model targets to address the needs of all patients, it is important to note that each patient is a unique individual. As such, a progressive patient care system is of uttermost importance. The health care providers will create patient units based on their degree of illness and dependency on the nurse in order to enhance the collection of special patient needs.
d. Evaluation of the Nursing Care Model
The model will also contain the criteria for evaluation in order to address the challenges that may arise. Evaluation and assessment of the model relies on the reports obtained from various departments and a well-structured system of patient feedback.
According to MMC (2014), initial evaluations of the nursing caring model (NCM) will focus on outcomes that are related to efficacy, safety, acceptance, satisfaction, role transfer and costs. In essence, selecting outcomes sensitive to NCM interventions and failure to do the same may lead to missing improvements characteristic of NCM role.
The NCM is responsible for monitoring the impact and performance of roles. In practice, this should involve prospective collection of data relevant to the goals of each NCM domain. In addition, it is pertinent to analyze. The activities to be documented include types of patients seen, types and number of consultations and the number of referrals. The feedback on performance and process elements such as patient satisfaction provide assessment variables to determine the success of the NCM model.
Undoubtedly, this nursing caring model will help in promoting the quality of care as well as enhancing better patient care outcomes in the Green Oaks hospital.
References
Canadian Nurses Association. (2010). Nursing Care Delivery Models | Canadian Nurses Association. Retrieved from http://cna-aiic.ca/en/on-the-issues/better-care/staffing-patient-outcomes/nursing-care-delivery-models.
Green Oaks Hospital. (2014). Mission, Vision and Values - Green Oaks Hospital | Dallas, TX. Retrieved from http://greenoakspsych.com/about/mission-vision-values.dot
Health Workforce Solutions. (2008). Nursing Care Delivery Model. Robert Wood Johnson Foundation: Princeton, NJ.
MetroWest Medical Center. (2014). Birthing Center OBGYN Specialist Mother Baby Healthcare Services MetroWest Medical Center. Retrieved from http://www.mwmc.com/medical-services/women-children/services/mother-baby.
NICHE. (n.d.). NICHE Program » Nurses Improving Care for Healthsystem Elders. Retrieved from http://www.nicheprogram.org/models_of_care.
