“The Quality Caring Model by Joanne Duffy demonstrates and exposes the nursing value within the evidence-based practice milieu of modern health care” (Edmundson 2012, p. 413). I chose the Quality Care Model outlook of nursing as it incorporates relationship-centred nature care and promotes decisive health results to patients, healthcare givers, families, and the health care systems. The model describes the power of relationships and the way of being, which is a challenge to the modern nursing conventions. Additionally, the model translates the concealed nursing work into terms that can be easily tested and applied in the clinical practice. Further research applications are provided in the model to allow for advancement in professional nursing. This theory favors the way or the process of highlights the relationship power and challenges the convections of modernists. “By reaffirming the nature of the work of nursing as relationship-cantered, this model presents dominants relationships that embrace professional encounters,” (Compton, Gildemeyer, Reich, & Mason, 2019, p. 1680). The relationships which are depicted by care are, therefore, theorized to facilitating and influencing positive results for the care systems, health caregivers, and patients.
Described Theorist’s Work and Education/ Includes Socio-Political-Cultural Events of Time Theory Developed
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The theory focuses on the social environment which included different social agents partaking in the implementation of care. The socio-cultural determinants such as race, ethnicity, gender, socio-economic status, family are just but a few factors that help in the conceptualisation of healthcare delivery. The quality care model explicates these influences as contributing factor to quality in healthcare. The monetary issues vary across the social structure in the healthcare setting; thus, if income disparity will be a determinant for quality care, it will create disparity in care delivery. The healthcare administration has to look of way to strike a balance for affordable care of all individuals so that quality is not compromised. With the political event, it involves administration leadership and management of the work environment. At different organizational level, we have leaders who oversee how healthcare practitioner interact with patients and also with stakeholders, and government to ensure care coordination (Compton et al., 2019) . With quality care model, leadership is essential as better patient outcome depends on the strategic approach of care delivery. As the model reinforces the relationship powers, leaders have to ensure positive relations by embracing teamwork in the attainment of optimum care outcome. The leadership also has to consider evidence-based practices which integrate patients/families, healthcare providers and the healthcare system in general.
Purpose of Theory
The theory evaluates the relationship among the health care team, families and patients, the self, and the concerned communities. The room for errors and the demand for patient-centred care increases as the population requiring healthcare gets maximized (Smith & Parker, 2015). The nurses, who are the largest group in the healthcare care professionals who spend much more time with patients and their families, are in an excellent position to improve their modern relationship-centric strategies to the health care system. According to Duffy (2010), “the knowledge of caring relationships is a significant issue for nursing, health, and healthcare” (p. 413). Health is a physical, spiritual, and emotional integration dynamic state and specific and contextual to each patient; thus, this theory explains the importance of working together of the families, patients, nurses, and other health providers. This partnership results in a positive outcome.
According to Joanne Duffy, the nursing model act as the lynchpin to connect with patients, outcomes, and healthcare providers. Few nurses are attending vast numbers of patients, and the acuity of patients has been increasing. Therefore, nursing has taken precedence, as cited in Compton et al. (2019). Consequently, the time for caring has been devalued because there are limited nurses to take care of the increasing number of patients fully. Duffy, (2018) identifies the caring deficits and calls for caring efforts to be adopted, starting from self-care and further imposes layers of questions challenging the students and educators to seek the elements of incorporating caring in nursing development.
Explain how Theorist Defines 4 Metaparadigm Concepts
The four-nursing metaparadigm concept includes patients as an entity, the patient’s environment, which encompasses the healthcare setting, health component as well as the nursing practice which includes the responsibilities ( Duffy, 2018) . In the Quality Care Model, these four fundamental nursing metaparadigms is indicative of a holistic perspective of care where patient’s health and wellness are integrated into the four interactive nursing aspects. The theory considers both the internal and external factors of human surrounding and human component as basic component of care (Compton et al., 2019). The patient physical, emotional and psychological needs are fundamental components of care which encompass the healthcare requirements. This need can be tailored in the healthcare setting to meet the desired health outcome. The external components are the physical settings, social and cultural connections, economic conditions and interaction with family friends and caregivers. The metaparadigm component can be adjusted for optimal quality care. The environment nursing component incorporates the health system focused on the technology, protocols, procedures, affordability and quality. Likewise, the health component characterizes a continuous multifactorial healthcare dimension. With the Quality Care Model in place the state of wellness is attained with ease. Lastly, the nursing practice involves responsibilities of patient care aiming at arriving at optimum health. Nurses are guided by principals and professionalism which confines them to act in expected ways. In line with the quality care model the nursing practitioners are capacitated to influence a positive outcome in their patience when they apply professionalism. Nursing knowledge, skills, technologies and logical assessment help in problem-solving and understanding the patients care to conceptualize it adequately.
In conclusion, the Quality Care Model supports the relationship between quality health outcomes and professional nursing. It identifies health as unique, according to the individual or patients. It identifies persons as “multi-contextual beings” who are linked to the world of pluralistic. This theory has its assumptions that a caring feeling is positive and that it is needed receivers of the healthcare process. QCM strives to maintain care in nursing. In this sector, it involves art and science application through conscious commitments and theoretical concepts to the caring acts as an identity of nursing. This theory is useful and practical to the clinicians and those practising nursing. The QCM illustrates the idea that relationships that are described by caring lead to a decisive system, nurse, and patient outcomes. Generally, the QCM is fundamental in the translation of nursing hidden work into real terms that is tested. The major concepts of this theory are; self-advancing systems, practice improvements, patient care, relational capacity, relationship-centred professional encounters, and humans in relationship.
Importance -how has the theory been used in nursing? Specific citations from the literature – at least two examples
When Joan Duffy created her metaparadigm concepts which helped in the development of the Purpose theory, which helps in the analysis of Care Model challenges. Based on these concepts, a team of health practitioners can use them in developing a good relationship between the family members, the patients and the community these practitioners are serving ( Duffy, 2010 ). The theory majorly focuses on the social aspects of medical field which is crucial especially when conducting research and investigation on new or emerging cases in the community. Similarly, the theory is important as it accommodates various parties in the medical fraternity thus creating its environment which health practitioners can work within them. Secondly, the theory and the concepts helps educates all the medical stakeholders on how all their protocols work and the processes of the hospital ( Duffy, 2010 ) . Also, it addresses the structure of the management and their relationship with the local community.
How this theory could be used in your area of expertise/interest (administration, education, practice)? Provide specific examples.
Analysing the Quality Care Model challenges professionals in the creation of an environment that is caring and a context where the relationships are taken as the priority and not only an essential factor. This model emphasizes the healing environment, which is the structures, stressors, spaces, and surroundings which maintains the control, safety, and the privacy of the patients ( Duffy, 2010 ). Patient care has encountered increased rooms for errors due to the growing numbers of patients demanding healthcare. In the first chapter of the QCM “Quality, Caring, and Health Systems,” Duffy asserts that the health systems still inflicts worthless harm on vulnerable patients through technology, protocols, and unnecessary procedures (Duffy, 2010). In the second chapter, “Professionalism in Health Systems,” nurses are described as the most substantial part of the healthcare system because they spend the longest time with patients, and they are therefore in a more significant position to promote strategic relationship approaches in the healthcare system.
In conclusion, the Quality Care Model supports the relationship between quality health outcomes and professional nursing. It identifies health as unique, according to the individual or patients. It identifies persons as “multi-contextual beings” who are linked to the world of pluralistic. This theory has its assumptions that a caring feeling is positive and that it is needed receivers of the healthcare process. QCM strives to maintain care in nursing. In this sector, it involves art and science application through conscious commitments and theoretical concepts to the caring acts as an identity of nursing. This theory is useful and practical to the clinicians and nursing students. The QCM illustrates the idea that relationships that are described by caring lead to a decisive system, nurse, and patient outcomes (Edmundson, 2012). Generally, the QCM is fundamental in the translation of nursing hidden work into real terms that tested. The major concepts of this theory are; self-advancing systems, practice improvements, feeling cared for, relational capacity, relationship-centred professional encounter, and humans in relationship. Duffy calls for the adoption of caring efforts and further imposes layers of questions challenging the learners and educators to seek the elements of incorporating caring in nursing development.
References
Compton, E. K., Gildemeyer, K., Reich, R. R., & Mason, T. M. (2019). Perceptions of caring behaviours: A Comparison of Surgical Oncology Nurses and Patients. Journal of Clinical Nursing , 28 (9-10), 1680-1684.
Duffy, J. R. (2018). Quality Caring in Nursing and Health Systems: Implications for Clinicians, Educators, and Leaders . Springer Publishing Company.
Duffy, J. R. (2010). Joanne Duffy’s Quality Caring Model. Nursing theories and nursing practice , 3 , 402-416.
Edmundson, E. (2012). The Quality Caring Nursing Model: A Journey to Selection and Implementation. Journal of Paediatric Nursing , 27 (4), 411-415.
Smith, M. C., & Parker, M. E. (2015). Nursing Theories and Nursing Practice . FA Davis.
