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EVOLVING CARE MODELS 1 Evolving Care Models to Improve Patient Outcomes Chamberlain College of Nursing NR 447-14004 October 2017
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EVOLVING CARE MODELS 2 Evolving Care Models to Improve Patient Outcomes Since the time of Florence Nightingale, nurses have used a variety of care delivery to establish quality care models to provide patient care. Healthcare modes have evolved over the years to find new ways to improve the delivery of patient care. Historical there were four traditional care models that controlled the arrangement of impatient care. Functional and Team Nursing are task oriented and employ a combination of nursing personnel. Total patient care and primary nursing are patient –oriented to rely primarily on the care from the registered nurse. Needs of the patients are increasing becoming more demanding and with the increase of nurse: patient ratios has become virtually impossible for the registered nurse to meet all the needs of their patients alone. Nursing has evolved in the way we delivery of patient care. We no longer rely on the primary nurse planning patient care alone, we now rely on all interdisciplinary to collaborate and work together to optimize patient safety and improve patient outcomes. Most facilities have advanced from primary nursing model to interprofessional care model. Primary Nurse Care Model The primary nurse model was developed it the 1970s. In this care model the registered nurse performed direct care to the patient and family. The nurse was responsible for complete care and planning of the patient, He/she assessed patient upon admission, administered medications, scheduled all test ordered and planning discharge and much more. They were the “hub” of patient care. While he/she had only two to three patients her responsibility were abundance and time consuming. Although she was solely responsible for patient care when she
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EVOLVING CARE MODELS 3 was not available there was a group of interventional nurses that worked under her supervision. “Under the Primary nurse model, patient care is the responsibility of the named nurse for the duration of the duration of the patients’ hospital stay. It is grounded in a patient-centered approach and it supports nurses’ professionalism, autonomy, broad job descriptions and independent decision making.”(Mattila, Pitkanen, Aanen, Leino, Luojus, Rantanen, & Aalto).
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