Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
In a meticulous and elaborate case study of a patient of chronic heart failure (CHF), Hardin et al (2003) reveal the critical role that the synergy model of patient care played in the recovery of the patient. The author explains the imperative and urgent nature of the subject matter by introducing the reader to the condition and laying out its implications to both individuals and society. The outpatient setting of most CHF clinics dictates the importance of the synergy model given the importance of the nurse’s competency to match the patient’s condition and need for attention (Hardin et al, 2003). The author emphasizes on the need for synergy between the patient and the nurse by revealing Sophie’s story, an 82 year old African American woman who felt comfortable to admit to her nurse that she could not afford her medication (Hardin et al, 2003). According to the research conducted on the case study, it is essential for nurses to be able to prioritize their competencies to suit a given medical situation.
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Kaplow (2002) recognizes the imperative nature of applying and integrating the synergy model to nursing education. The author cites the fact that it is essential to adopt this approach to care in nursing given the fact that the model provides a multifaceted approach to nursing. The author identifies the role of tutors and educators in impacting the necessary knowledge on characteristics and competencies (Kaplow, 2002). The author resents a case study which offers a deeper perspective to the reader on the importance of integrating the concept of synergy in the education of nurses. Through the case study Kaplow (2002) introduces patient characteristics as identified by theories of synergy in addition to the nurse competencies whose synergy was essential in determining the outcome of the treatment procedure (Kaplow, 2002). Evidently, the synergy model of patient care has revolutionized nursing by putting the welfare of the patient at the center of the activities and professional care services that are offered by nurses.
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.
Matilla et al. (2014) emphasize on the importance for efficiency in the delivery of care in addition to the documentation of the steps and methods that have been used to achieve patient care. The author reveals the steps of provision of primary care which basically encompasses the allocation of a patient to a single nurse who is then in charge of either taking care of the patient together with assistant nurses or to delegate the duties to another in case of absence (Matilla et al., 2014). The researcher conducts a scientific research where the efficiency of the care model is measured by the level of patient satisfaction. Additionally investigating the impact of primary care, the researchers admit that it is an uphill task to recognize the effect that primary care has had on the quality of acre that is provided to patients (Matilla et al., 2014). The research findings point to a scarcity of research that would be critical to building knowledge on phenomena associated with primary care.
Brown et al. (2012) conduct a research on the primary health care models and the effect of these models on the quality of care that is offered to patients by health institutions. Furthermore, the authors of the article investigated whether the models of primary care adopted by institutions would affect the motivation of students and future care professionals to get into the field (Brown et al, 2012). The study adopted a qualitative approach using semi-structured interviews which allowed the researcher to gain better insight about areas that he was concerned about the most (Brown et al, 2012). Result findings of the study point to the need for emphasis on primary care if it is to be widely adopted observing that educators will have to disseminate this knowledge in the most efficient manner.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Using the synergy model of nursing begins with the recognition of the need for institutions to adopt nursing care models that are patient centered. To this extent therefore, the implementation of nursing care models dictates for the consideration of the ability of an institution or facility to facilitate this model of nursing (Kaplow, 2002). The implementation of the current nursing model additionally relies on the framework that is available for nurses to be able to manage complex clients without straining or compromising on the quality of care that is offered to a given patient.
For the synergy model of nursing care to be implemented, it is vital for the facility or individuals in charge to be able to identify patient’s characteristics (Hardin et al, 2003). Upon admission or registration the nursing official has to ensure that consideration is given for a myriad of factors, before a nurse is instructed to care for a given patient (Hardin et al, 2003). These factors, which are also termed as patient characteristics include: the availability of resources, participation of family and friends in care, predictability of the condition, resiliency of the patient among other factors (Hardin et al, 2003). They are vital for establishing the ability of a profession to provide care for a patient.
Similarly, it is vital for the institution to establish whether the nurses possess the competency to administer the required aid to the patient in the most efficient and considerate manner possible (Hardin et al, 2003). The competencies vital for establishing the level of synergy between nurses and patients include: moral agency of the nurse, ability to collaborate, the possession of clinical judgment, reaction to different cultures and beliefs et cetera (Hardin et al, 2003). For the synergy model to be applied to the care of a patient, it is critical for the competency of the nurse to match the patient’s characteristics (Kaplow, 2002). Synergy will ensure that both the patient and the nurse are able to amicably work towards the improved health of the patient by focusing on offering quality and efficient care.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Team nursing model of care is based on the notion that it is vital for effective communication and collaboration both in effort and in thought to ensure that the best level and quality of care provided to patients ( Fairbrother et al, 2010) . The team nursing model is additionally favored for improving the quality of nursing care. The level of quality and safety demanded by industry standards calls for conceited efforts among personnel to ensure that service delivery in the health institution is optimized.
Team nursing model of nursing care offers staff satisfaction by ensuring that the working environment for the workers fosters the administration of quality care ( Fairbrother et al, 2010) . This encompasses the combination of different skills and abilities in addition different qualification levels of the staff ( Fairbrother et al, 2010) . The combination of these factors ensures that the quality of care is not only assured but also that the skill of the nursing staff is improved through observation and collaboration. The modern workplace is a diverse space with the members of staff ranging both in age, competency, skill and effort that can be put into the process of care provision ( Fairbrother et al, 2010) . By adopting team nursing, the hindrances that are brought on by specific characteristics and competencies of nurses are offset by the strength that another member of staff possesses.
In ensuring that the quality of care offered is the best, team nursing recognizes the complex nature of the nursing profession especially given the wide array of factors that have to be considered in the administration of care. These factors include: ethical considerations, legal considerations, professional considerations, patient safety, patient satisfaction among a myriad of other addition factors ( Fairbrother et al, 2010) . All these factors influence the willingness and ability of a nurse to fully commit to a patient and to consider the acceptance of the liability which accompanies this responsibility ( Fairbrother et al, 2010) . Working in teams gives the nurses and members of staff the confidence to offer better quality of health care given that the members of staff are not intimidated or cowered from making decisions that are vital for quality care to be provided.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
The structure and objectives of nursing care models have gradually and consistently changed from an approach that is committed to ensuring service delivery to that which is committed to patient care and safety. As compared to later models of care, earlier models of care were more concerned about the mechanism of provision of care to patients and less concerned about the efficiency with which this care is provided and the quality of the care. For instance, both the primary model of care and the team nursing model are committed to ensuring that professions are able to work in the most supportive and conducive environment ( Fairbrother et al, 2010). These findings are synonymous for earlier models of care provision.
On the other hand, later models have emphasized more and more on patient-centered care. Patient-centered care is concerned about the quality of health care that is offered to patients by health care professionals (Hardin, 2003). In addition to ensuring that medical services are tailored to suit the needs of the patient, the models also recognize the impact that staff morale and suitability has on the quality of care provided (Hardin, 2003). For instance, the synergy model of care works towards ensuring that the patient gets the best quality of care by ensuring that the staff is competent enough to provide the level of care needed.
References
Brown, J. B., French, R., McCulloch, A., & Clendinning, E. (2012). Primary health care models: medical students’ knowledge and perceptions. Canadian family physician Medecin de famille canadien , 58 (3), e166-71.
Fairbrother, G., Jones, A., & Rivas, K. (2010). Changing model of nursing care from individual patient allocation to team nursing in the acute inpatient environment. Contemporary Nurse , 35 (2), 202-220.
Hardin, S., & Hussey, L. (2003). AACN synergy model for patient care case study of a CHF patient. Critical care nurse , 23 (1), 73-76.
Kaplow, R. (2002). Applying the synergy model to nursing education. Critical Care Nurse , 22 (3), 77-81.
Mattila E, Pitkänen A, Alanen S, Leino K, Luojus K et al. (2014) The Effects of the Primary Nursing Care Model: A Systematic Review. J Nurs Care 3: 205. doi:10.4172/2167-1168.1000205
Tran, D. T., Johnson, M., Fernandez, R., & Jones, S. (2010). A shared care model vs. a patient allocation model of nursing care delivery: Comparing nursing staff satisfaction and stress outcomes. International Journal of Nursing Practice , 16 (2), 148-158.
