scholarly journals Work Methods for Nursing Care Delivery

2021 ◽  
Vol 18 (4) ◽  
pp. 2088
Author(s):  
Pedro Parreira ◽  
Paulo Santos-Costa ◽  
Manoel Neri ◽  
António Marques ◽  
Paulo Queirós ◽  
...  
Keyword(s):  
Goal Setting ◽  
Nursing Care ◽  
Care Delivery ◽  
Target Population ◽  
Outcome Evaluation ◽  
Care Organization ◽  
Strategy Selection ◽  
Patient Centered ◽  
Advantages And Disadvantages ◽  
Primary Nursing

This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.

scholarly journals Cultivating Connection: The Magic of Attuning, Wondering, Following & Holding

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ann Flanagan Petry
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Nursing Care ◽  
Interpersonal Relations ◽  
Care Delivery ◽  
Employee Attitudes ◽  
Patient Centered ◽  
Caring Relationships ◽  
Award Winning ◽  
And Performance

Remember what drew you to health care? And what makes your work meaningful now? Chances are caring for people is the answer to both questions. In fact, healthcare is provided through relationships. Over a decade ago we developed a care delivery framework described in the award-winning book Relationship-Based Care: A Model for Transforming Practice. We were on the vanguard of a revolution toward more patient-centered caring. Indeed, we have always known the importance of connection to patient experience, employee attitudes, interpersonal relations, teams and performance. For nurses, caring relationships are so essential at work that it is inseparable from the work itself. We believe the best nursing care requires understanding of three key relationships: A. Relationship to one’s self, B. Relationship to co-workers and C. Relationship to patients and families. And, the hallmark of meaningful connection is attunement or tuning-in to others with genuine interest and care.

scholarly journals Pengembangan Model Praktek Keperawatan Profesional (PKP) di RSUP – Cipto Mangunkusumo dan Hasil Yang Dicapai

2014 ◽  
Vol 2 (5) ◽  
pp. 157-165
Author(s):  
Ratna S Sudarsono
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Qualitative Evaluation ◽  
System Structure ◽  
Practice Model ◽  
Primary Nursing ◽  
Primary Nurse ◽  
Professional Pride ◽  
Main Components

Model Praktek Keperawatan Profesional (PKP) diartikan sebagai suatu system (struktur, proses dan nilai-nilai professional) yang memungkinkan perawat professional mengatur pemberian asuhan keperawatan termasuk lingkungan yang diperlukan. Melalui pengembangan model ini terdapat otonomi dan akontabilitas perawat, pengembangan professional dan penekanan pada mutu asuhan keperawatan. Berdasarkan hal tersebut pada model PKP yang dikembangkan di RSCM diperlukan penataan 3 (tiga) komponen utama dalam pemberian asuhan keperawatan yaitu ketenagaan; metoda pemberian asuhan dan dokumentasi keperawatan. Pada model ini metoda pemberian asuhan keperawatan yang digunakan adalah tim primer (kombinasi metoda keperawatan primer dan metoda tim). Model ini dikembangkan di ruang rawat penyakit dalam dengan kapasitas 30 tempat tidur. Setelah model dimplementasikan +/- 8 bulan, hasil yang dicapai menunjukkan, secara kualitatif perawat primer merasakan kebanggaan professional, perawat asosiet mengatakan pekerjaan lebih terencana dan dokter menilai, bahwa mereka merasakan kerjasama dengan perawat lebih baik dibandingkan dengan ruang rawat lainnya. AbstractProfessional nursing practice model (PNPM) is a system (structure, process and values) that supports nurse control over the delivery of nursing care and the environment in which care is delivered. This model ensure nurse autonomy, nurse accountability, and professional development. It also emphasizes on high quality of care. In order to develop the model at Cipto mangunkusumo hospital, it is needed to focus on three main components. The components are nursing manpower, method of nursing care delivery and nursing documentation. The method of nursing care delivery used in this model is a primary team which is the combination of primary nursing and team method. The model was developed at medical word with 30 beds. After eight month implementation, a qualitative evaluation showed that primary nurses felt a professional pride, associate nurses stated that tasks are more organized and doctors assured that collaboration with nurses in the model unit is better than in order places.Keywords: Professional nursing practice model, primary team, primary nurse.

scholarly journals Artificial Brain for the Humanoid-Nurse Robots of the Future: Integrating PsyNACS© and Artificial Intelligence

2021 ◽  
Author(s):  
Hirokazu Ito ◽  
Tetsuya Tanioka ◽  
Michael Joseph S. Diño ◽  
Irvin L. Ong ◽  
Rozzano C. Locsin
Keyword(s):  
Artificial Intelligence ◽  
Language Processing ◽  
Nursing Care ◽  
Care Delivery ◽  
Psychiatric Hospitals ◽  
Patient Centered ◽  
Nursing Assessment ◽  
Care Delivery Model ◽  
Artificial Brain ◽  
The Future

Robots in healthcare are being developed rapidly, as they offer wide-ranging medical applications and care solutions. However, it is quite challenging to develop high-quality, patient-centered, communication-efficient robots. This can be attributed to a multitude of barriers such as technology maturity, diverse healthcare practices, and humanizing innovations. In order to engineer an ideal Humanoid-Nurse Robots (HNRs), a profound integration of artificial intelligence (AI) and information system like nursing assessment databases for a better nursing care delivery model is required. As a specialized nursing database in psychiatric hospitals, the Psychiatric Nursing Assessment Classification System and Care Planning System (PsyNACS©) has been developed by Ito et al., to augment quality and safe nursing care delivery of psychiatric health services. This chapter describes the nursing landscape in Japan, PsyNACS© as a specialized nursing database, the HNRs of the future, and the future artificial brain for HNRs linking PsyNACS© with AI through deep learning and Natural Language Processing (NLP).

scholarly journals Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Antonello Cocchieri ◽  
Giorgio Magon ◽  
Manuela Cavalletti ◽  
Elena Cristofori ◽  
Maurizio Zega
Keyword(s):  
Nursing Care ◽  
Delphi Method ◽  
Care Delivery ◽  
Kappa Statistic ◽  
Future Research ◽  
Delphi Panel ◽  
Care Model ◽  
Primary Nursing ◽  
Nursing Outcomes ◽  
Preliminary Version

Abstract Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to develop, implement, and evaluate primary nursing. The aim of this study was to create a structured checklist to explore hospital compliance in primary nursing. Methods The Delphi method was used to develop and validate a checklist. The preliminary version was created and sent to three experts for their opinions. Their comments were ultimately used in the first version, which included four components with 19 items regarding primary nursing characteristics. A two-round Delphi process was used to generate consensus items. The Delphi panel consisted of six experts working in primary nursing contexts and/or teaching or studying primary nursing. Data were collected using a structured questionnaire from July 2020 to January 2021. These experts were asked to rate each element for relevance using a 4-point Likert-type scale. Furthermore, the consensus among the panel of experts was set at ≥78%, with selected items being voted “quite relevant” and “highly relevant”. Content validity index (I-CVI) and modified kappa statistic were also calculated. Following expert evaluation, the first version of the checklist was modified, and the new version, constituting 17 items, was sent to the same experts. Results The first version of the checklist demonstrated a main relevance score of 3.34 (SD = 0.83; range = 1.3–4; mean I-CVI = 0.84; range: 0.83–1), but three items did not receive an adequate I-CVI score, that is, lower than 0.78. After the second round, the I-CVIs improved. The main score of relevance was 3.61 (SD: 0.35; range = 2.83–4; mean = I-CVI: 0.93). The S-CVI/UA was 0.58, and the S-CVI/Ave was 0.93. Conclusion Measuring primary nursing compliance should be implemented to provide continuous feedback to nurses. Moreover, utilizing valid checklists could permit comparing different results from others’ research. Future research should be conducted to compare the results from the checklist with nursing outcomes.

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.

Giving Care, Delivering Value

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Value Chain ◽  
Barriers To Care ◽  
Care Delivery ◽  
Care Quality ◽  
Patient Knowledge ◽  
Geographical Distance ◽  
Patient Centered ◽  
Utilization Of Services ◽  
The Continuum

People value health. Yet impoverished patients face many barriers in seeking and receiving care. This chapter challenges the hypothesis that low service utilization of services is due to lack of patient knowledge. Rather, the chapter posits that low utilization is due to barriers to care (Quality of care, another factor in low utilization, will be addressed in Chapter 10). The chapter highlights offers the approaches caregiving and accompaniment to help providers and managers understand the geographical distance, harrowing transportation, and financial challenges that patients face. This understanding should support the design of more empathic and patient-centered programs that reduce barriers to care. To that end, this chapter introduces a tool called the care delivery value chain which is a helpful framework to design a system that optimizes access and services across the continuum of care.

scholarly journals Veterans Health Administration’s Whole Health System of Care: Supporting the Health, Well-Being, and Resiliency of Employees

2021 ◽  
Vol 10 ◽  
pp. 216495612110226
Author(s):  
Kavitha P Reddy ◽  
Tamara M Schult ◽  
Alison M Whitehead ◽  
Barbara G Bokhour
Keyword(s):  
Health System ◽  
Care Delivery ◽  
Health Planning ◽  
Well Being ◽  
Employee Health ◽  
Veterans Health ◽  
Health Administration ◽  
Patient Centered ◽  
Foundational Work ◽  
Health And Well Being

The Veterans Health Administration (VHA) is implementing a Whole Health System (WHS) of care that empowers and equips Veterans to take charge of their health and well-being and live their lives to the fullest, and increasingly leaders recognize the need and value in implementing a similar approach to support the health and well-being of employees. The purpose of this paper is to do the following: 1) provide an overview of the WHS of care in VHA and applicability in addressing employee resiliency; 2) provide a brief history of employee well-being efforts in VHA to date; 3) share new priorities from VHA leadership as they relate to Employee Whole Health strategy and implementation; and 4) provide a summary of the impacts of WHS of care delivery on employees. The WHS of care utilizes all therapeutic, evidence-based approaches to support self-care goals and personal health planning. Extending these approaches to employees builds upon 10 years of foundational work supporting employee health and well-being in VHA. In 2017, one facility in each of the 18 Veterans Integrated Service Networks (VISNs) in VHA was selected to participate in piloting the WHS of care with subsequent evaluation by VA’s Center for Evaluating Patient-Centered Care (EPCC). Early outcomes, from an employee perspective, suggest involvement in the delivery of the WHS of care and personal use of the whole health approach have a meaningful impact on the well-being of employees and how they experience the workplace. During the COVID-19 pandemic, VHA has continued to support employees through virtual resources to support well-being and resiliency. VHA's shift to this patient-centered model is supporting not only Veteran care but also employee health and well-being at a time when increased support is needed.

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

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