Nursing Care Delivery
A system of nursing care delivery entails the manner in which nurses make use of their values in caring for their patients, colleagues, families, and themselves. It is a system that involves responsibilities, assignments, and authority in the provision of care to their patients. The system is about establishing who makes certain decisions, who is responsible, and who will perform certain tasks in the delivery of care. The system of care delivery is a critical aspect of healthcare as organizations have to put in place strategies that ensure the achievement of quality and positive outcomes of care. When patients are satisfied with the care they receive from a healthcare organization, it facilitates their recovery, and the organization is able to acquire a good reputation, which earns the organization more clients. This paper provides a description of models of nursing care delivery, and the strategies for communication for the purpose of creating interprofessional teams that are effective for the efficient provision of care and achievement of the goals set by the organization.
Question 1: Models of nursing care delivery
Total patient care
This model is the oldest and gets used in organizing the provision of care to the patients in a healthcare organization, and in some instances, it gets described as case nursing (Masters, 2018). In total patient care, nurses get given the responsibility of making plans, organization, and performance of care practices including treatments, personal hygiene, medications, emotional support and the education that is necessary for the group of patients that they have been assigned to during the specific shift they are assigned to.
Team nursing
The team nursing model makes use of a group of people with a leader who is a nurse that is knowledgeable, working together collaboratively as a team in ensuring effective delivery of care (Masters, 2018). This approach coordinates a group of Nurses that are registered, practical nurses that are licensed, and aides that are working under a leader who is a nurse in providing care to a group of clients (Dickerson & Latina, 2017). This approach also makes use of the diversity that exists among the team in terms of education, skills, and level of qualification for all the members of the staff.
Case management model
This model integrates the nursing provider and patient satisfaction and the cost considerations and creates a method of effectively managing the concerns of holistic health, raised by individuals in the process of care (Slatyer et al., 2016). This model provides an opportunity for nurses to be able to demonstrate their roles in the teams of healthcare that are multidisciplinary. This model entails a process that is collaborative that plans, assesses, monitors, coordinates, evaluates and implements the services and options that are required in meeting the needs of the client, both health-wise and other needs.
Question 2: communication strategies
In creating interprofessional teams that are effective, there are several strategies for communication that a leader in healthcare can put in place. TeamSTEPPS is a system for teamwork that gets designed for improving the skills for teamwork and communication among professionals in healthcare. The first strategy for communication to enhance the effectiveness of interprofessional teams is the two-challenger rule, whereby when an assertive statement that gets made initially gets ignored. It is the team leader’s responsibility to voice the issue of concern at least two more times to make sure that it has been heard (Stacks & Veal, 2017). The member of the team that is getting challenged or communicated to has to acknowledge that they have heard the concern.
Another strategy for communication in interprofessional teams is the use of CUS (Concerned, Uncomfortable, and Safety), which is a tool for communication that gets used by nurses in conveying changes that are important in the status of health of patients to the physicians (Holtmann, 2018). The nurses observe the progress of patients while they provide care to them and when they notice any unexpected changes or significant improvements, they communicate the data to the physicians’ who then establish the way forward in the treatment of the patients.
Cross monitoring is another strategy for communication that is nonverbal that gets used in interprofessional team communication where one makes an observation of the actions of their fellow members of the team (Johnson et al., 2018). This strategy gets used in the mitigation of errors before they happen so that the team can avoid making mistakes that could cause harm to the patient in their care. Monitoring the activities of the other team members plays a major role in enhancing efficiency in the provision of care, leading to the achievement of positive outcomes of care and patient satisfaction.
References
Dickerson, J., & Latina, A. (2017). Team nursing: A collaborative approach improves patient care. Nursing2020, 47(10), 16-17.
Holtmann, M. (2018). Does the Utilization of Interactive Learning During TeamSTEPPS SBAR, CUS, and Debriefing Tool Sessions Increase the Perceptions of Teamwork and Communication in the Hospital Setting? (Doctoral dissertation, McKendree University).
Johnson, A., Nguyen, H., Groth, M., & White, L. (2018). Reaping the rewards of functional diversity in healthcare teams: Why team processes improve performance. Group & Organization Management, 43(3), 440-474.
Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett Learning.
Slatyer, S., Coventry, L. L., Twigg, D., & Davis, S. (2016). Professional practice models for nursing: a review of the literature and synthesis of key components. Journal of Nursing Management, 24(2), 139-150.
Stacks, H., & Veal, C. (2017). Teaching the Teachers-A Two-Day Simulation Focused TeamSTEPPS Master Training Program for an Interprofessional Team of Hospital Leaders.