Introduction In this paper, the roles of specified nurses in various care delivery models are discussed. The discussion is as outlined by the charge nurse who is on duty that day when an LPN (Licensed practical nurse), two RNs, (Registered nurse) and a nursing assistant (NA) are present. The roles of these nurses tend to vary depending on the model that is being utilized to deliver patient care. Furthermore, the models utilized for delivery of patient care have advantages and disadvantages that are also incorporated here.
Nurses roles in different care delivery strategies The various strategies of nursing care delivery are; functional model, primary nursing, nurse case management and team nursing (Yoder-Wise, 2016). The roles of those
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Therefore,
• RN one roles effectively communicating to enhance the patient care to be effective
• RN two offering care to the patient as specified by the case manager
• The LPN collects data that was utilized in the assessment of the patient
• NA role helping in answering calls
Advantages and disadvantages of the models All the four models of nursing care delivery presented have advantages and disadvantages. Thus, they may vary appropriately in delivering health care to a patient, but at the same time, they are limited in some aspects. Thus, their significances to the patient, nursing staff, family and nurse manager are outlined.
Team nursing
Advantages
The satisfaction of the patient is improved when this model is utilized. Additionally, it becomes possible to make a decision concerning the healthcare at lower levels.
Disadvantages
If the team leader has poor skills of leadership, this model of healthcare delivery is totally affected. Moreover, its efficiency requires more since the leader of the team has to coordinate and supervise all the members of the
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Additionally, it does not facilitate generation of revenue, but it protects the revenue.
Baccalaureate prepared nurse As a baccalaureate prepared nurse, it would be more satisfactory to work with the team nursing model of care delivery. This is because a baccalaureate prepared nurse is provided with a basic education that greatly emphasizes leadership concept, critical thinking as well as clinical reasoning which are very important aspects of this model of care delivery (Marquis et al, 2009). This is due to how it requires effective leadership to facilitate delivery of care. Thus, it would be very easy to take charge in leadership positions.
Associate degree nurse As an associate degree nurse, the primary nursing model is where the finance officer in charge of a health facility would prefer one to work. This is because the primary nurse works closely with the associate nurse (Seago, 2001). In the absence of a primary nurse, the facility heavily depends on the feedback that the associate nurse provides. This makes the associate nurse be very important since she can affect the revenue that a health facility generates, due to the quality of care
Nurses an important part of the health care team. Nurses work with other members of the health care team to provide safe and effective care. Nurses responsibilities include delegating, collaboration and guidance. At WGU I learned three distinct characteristics a nurse should have. These characteristics are: I.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Hi Jacque, I just wanted to respond to your question in regards to the facility that I am currently in. The nurse role is different in this setting because it appears that she has the majority of the responsibility because most of the staff work under her license, she is responsible for all of the education and delegation of tasks to staff such as insulin, medication administration, blood glucose checks, ect.. This is different from the hospital setting because she is responsible for not only the residents nursing care and coordination of care between outside facilities but also education and delegation to staff as well. I found an interesting journal article related to Nurses and assisted living facilities that discusses in depth the nurse
Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care.
The nurse’s role is to independently and collaboratively provides nursing services. This service is part of the total health organization which aims to fulfill the needs of a patient or community. The nature
Some benefits of shared governance include increased team cohesiveness, communication, and decision making. According to Wilson, Speroni, Jones, and Daniel (2014), “Shared governance activities give direct care nurses an opportunity to partner with nursing management to achieve optimal patient outcomes and to increase nurse job satisfaction, nurse productivity, and nurse retention” (p.19). “Challenges of shared governance identified by staff nurse included decrease staffing, budget concerns, lack of knowledge, generational issues and issue with delegation of tasks” (Ott and Ross, 2014 p. 767). These challenges poses a threat to providing quality patient
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree.
According to Wong (2015) the implications of leadership practice are suggestive of patient outcomes and: “ It is pivotal in creating working conditions that optimize nursing practice promoting high-quality patient care. Professional work environments that foster strong nursing practice include collaborative teamwork, autonomous decision making, professional development, adequate staffing and skill mix which are most closely aligned with patient safety outcomes” (p. 277) Both leaders and staff create the environment in which patient’s dwell. However, nursing leaders must have a vision, problems solving capability, and the ability to build relationships to establish a safe patient organization. Transformational leadership can help these leaders foster a high-quality patient-care environment.
Each nurse on this unit is also in charge of admitting their own patients and calling the assigned doctor with report of each patient’s status or
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Increased Work Efficiency / Productivity A team that has good culture of teamwork and mutual motivation will make the members more productive and smarter. Such a team where seamless and effective relationships exist, members are poised to learn from one another, develop skills and leverage on such internally gained skills to expedite work processes thereby increasing overall efficiency, reducing downtimes and knowledge gaps. Collaboration among such team members will make members to perform at their best by working on what they do best.
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
Any given ward or healthcare environment may choose to implement a nursing model to guide its practice and philosophy. The theoretical framework of Orem’s model can aid knowledge based practice (Anonymous, 2010). As the model encompasses all aspects of the nursing process and acknowledges deficits that are not only a problem at ward level , but for the person post discharges , it is helpful in delivery quality, holistic, care from admission to discharge, allowing for discharge planning. Due to this approach we can derive that the model is beneficial to delivering care at all
The concepts of this theory include function of professional nursing, presenting behavior of the patient, immediate reaction, nursing process discipline as well as improvement (Petiprin, 2016). One of the roles of a nurse is to meet the immediate needs of the patient. Patients typically present to a facility with a requirement that should be identified and met by the nurse. The nurse should be able to identify the problematic situation from the patient to be able to address the need for help. The patient develops their perception of events and circumstances based on their automatic feelings and thoughts which causes the patient to have an immediate response.
Healthcare professionals play a role in quality management process by taking accurate patient information using the electronic health record system. Technology with professional knowledge of nursing improves quality of patient care and general quality management process in the healthcare. The baccalaureate nurse involves an integration of nursing knowledge, skills, and attitudes that are fundamental to improving quality and safety of patients in the healthcare