Patient safety competency and the new nursing care delivery model

2019 ◽  
Vol 27 (6) ◽  
pp. 1167-1175 ◽  
Author(s):  
Jaeok Jin ◽  
Yeo Jin Yi
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Care Delivery Model

Acuity-Adaptable Nursing Care: Exploring Its Place in Designing the Future Patient Room

2011 ◽  
Vol 5 (1) ◽  
pp. 77-93 ◽  
Author(s):  
Melissa A. Kwan
Keyword(s):  
Patient Safety ◽  
Care Delivery ◽  
Outcome Data ◽  
Patient Room ◽  
Patient Transfers ◽  
Delivery Model ◽  
Care Delivery Model ◽  
Original Definition ◽  
The Future ◽  
Original Concept

Aim: To substantiate the anticipated benefits of the original acuity-adaptable care delivery model as defined by innovator Ann Hendrich. Background: In today's conveyor belt approach to healthcare, upon admission and through discharge, patients are commonly transferred based on changing acuity needs. Wasted time and money and inefficiencies in hospital operations often result—in addition to jeopardizing patient safety. In the last decade, a handful of hospitals pioneered the implementation of the acuity-adaptable care delivery model. Built on the concept of eliminating patient transfers, the projected outcomes of acuity-adaptable units—decreased average lengths of stay, increased patient safety and satisfaction, and increased nurses' satisfaction from reduced walking distances—make a good case for a model patient room. Conclusion: Although some hospitals experienced the projected benefits of the acuity-adaptable care delivery model, sustaining the outcomes proved to be difficult; hence, the original definition of acuity-adaptable units has not fared well. Variations on the original concept demonstrate that eliminating patient transfers has not been completely abandoned in healthcare redesign and construction initiatives. Terms such as flex-up, flex-down, universal room, and single-stay unit have since emerged. These variations convolute the search for empirical evidence to support the anticipated benefits of the original concept. To determine the future of this concept and its variants, a significant amount of outcome data must be generated by piloting the concept in different hospital settings. As further refinements and adjustments to the concept emerge, the acuity-adaptable room may find a place in future hospitals.

The changing boundaries of nursing: a qualitative study of the transition to a new nursing care delivery model

2015 ◽  
Vol 24 (17-18) ◽  
pp. 2529-2537 ◽  
Author(s):  
Ann Rhéaume ◽  
Sophie Dionne ◽  
Denise Gaudet ◽  
Monique Allain ◽  
Estelle Belliveau ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Care Delivery Model

Professional Nursing Care Delivery Model

AORN Journal ◽  
1993 ◽  
Vol 57 (6) ◽  
pp. 1416-1424 ◽  
Author(s):  
Linda K. Groah ◽  
Nancy Girard
Keyword(s):  
Nursing Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Professional Nursing ◽  
Care Delivery Model

scholarly journals Working to Full Scope: The Reorganization of Nursing Work in Two Canadian Community Hospitals

2018 ◽  
Vol 5 ◽  
pp. 233339361775390 ◽  
Author(s):  
Karen MacKinnon ◽  
Diane L. Butcher ◽  
Anne Bruce
Keyword(s):  
Nursing Care ◽  
Care Delivery ◽  
Work Relationships ◽  
Delivery Model ◽  
Institutional Goals ◽  
Hospital Nursing ◽  
Care Delivery Model ◽  
Social Settings ◽  
Practical Nurses ◽  
Task Oriented

Work relationships between registered nurses (RNs) and practical nurses (LPNs) are changing as new models of nursing care delivery are introduced to create more flexibility for employers. In Canada, a team-based, hospital nursing care delivery model, known as Care Delivery Model Redesign (CDMR), redesigned a predominantly RN-based staffing model to a functional team consisting of fewer RNs and more LPNs. The scope of practice for LPNs was expanded, and unregulated health care assistants introduced. This study began from the standpoint of RNs and LPNs to understand their experiences working on redesigned teams by focusing on discourses activated in social settings. Guided by institutional ethnography, the conceptual and textual resources nurses are drawing on to understand these changing work relationships are explicated. We show how the institutional goals embedded in CDMR not only mediate how nurses work together, but how they subordinate holistic standards of nursing toward fragmented, task-oriented, divisions of care.

Evaluating a nursing care delivery model using a quality improvement design

1995 ◽  
Vol 10 (1) ◽  
pp. 70-84 ◽  
Author(s):  
Patricia L. Nardone ◽  
Jill Walker Markie ◽  
Sonda Tolle
Keyword(s):  
Quality Improvement ◽  
Nursing Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Care Delivery Model

Primary Nursing: A Call for Clarity, Empowerment, and Accountability

2012 ◽  
Vol 18 (4) ◽  
pp. 175-176 ◽  
Author(s):  
Shirley Ruch
Keyword(s):  
Registered Nurses ◽  
Nursing Care ◽  
Care Delivery ◽  
Scope Of Practice ◽  
Educational Preparation ◽  
Delivery Model ◽  
Primary Nursing ◽  
Care Delivery Model ◽  
Relationship Of ◽  
The Relationship

Registered nurses’ (RNs’) unique educational preparation, skills, scope of practice, and relationship with those we serve must be articulated and honored. The Primary Nursing care delivery model gives practical, functional life to the relationship of professional trust between RNs and their patients.

Effectiveness of a Care Delivery Model for High-Need Older Adults in Communities

2020 ◽  
pp. 104973152098235
Author(s):  
Kuei-Min Chen ◽  
Hui-Fen Hsu ◽  
Li-Yen Yang ◽  
Chiang-Ching Chang ◽  
Yu-Ming Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Repeated Measures ◽  
Comparison Group ◽  
Care Delivery ◽  
Intervention Group ◽  
Community Dwelling ◽  
Delivery Model ◽  
Positive Effects ◽  
Repeated Measures Design ◽  
Care Delivery Model

Purpose: This study aimed to test the effectiveness of High-Need Community-Dwelling Older Adults Care Delivery Model (HCOACDM) in Taiwan. Methods: A cluster randomized controlled trial with repeated measures design was conducted in eight community care centers, involving 145 high-need older adults who were assigned to the intervention group or comparison group. The HCOACDM was provided over 6 months. Functional ability, quality of life, depressive symptoms, and health care and social service utilizations were measured at baseline, at 3 months, and 6 months into the intervention. The participants’ satisfaction was measured at the end of 6-month intervention. Results: Positive effects were shown on all variables in the intervention group at both the 3-month and 6-month intervals (all p < .05). The intervention group had a higher satisfaction with care delivery than the comparison group ( p < .05). Discussion: The promising findings supported a long-term implementation of the HCOACDM as applicable and beneficial.

scholarly journals Effectiveness of a Care Delivery Model for High-Need Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 279-279
Author(s):  
Kuei-Min Chen ◽  
Hui-Fen Hsu
Keyword(s):  
Older Adults ◽  
Comparison Group ◽  
Care Delivery ◽  
Care Service ◽  
Intervention Group ◽  
Community Dwelling ◽  
Delivery Model ◽  
Care Services ◽  
Care Delivery Model ◽  
Community Dwelling Older Adults

Abstract The effectiveness of sufficient care coordination for high-need community-dwelling older adults has not been discussed. This study aimed to examine the effectiveness of a newly-developed care delivery model for high-need community-dwelling older adults. A cluster randomized controlled trial with repeated measures design was employed. A total of 145 high-need older adults participated in the study and were randomly assigned to either the intervention group or comparison group. A categorized list of care services based on the types of high-need older adults as the intervention allowed care coordinators to make adequate care service linkages. The intervention period ranged over 6 months with regulated home visits and assesssments. Functional ability, quality of life, depressive symptoms, and healthcare and social service utilizations were measured at baseline, and at 3 and 6 months into the intervention. The participants’ satisfaction with care delivery was measured at the end of 6-month intervention. Results showed that the intervention group had a better functional ability, a higher quality of life, reduced depressive symptoms, and more efficient healthcare and social service utilizations than the comparison group at both the 3-month and 6-month intervals (all p &lt; .05). By the end of the 6-month study, the intervention group were more satisfied with the care service linkages than the comparison group (p &lt; .05). The positive effects of providing a categorized list of care services for care coordinators to make service linkages have been evidenced by the outcomes. The promising findings supported a further longer-term implementation of the care delivery model.

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