Model of Care to Improve Patient Result and Safety by Performing a Statewide Focus That Mainly Focuses on Essential of Nursing Care - Literature review Example

Professional Evaluation of Model of Care) (Name) (Course) (Lecturer) (Date) Model of Care and it Purpose The chosen model of care is Essential of Care which is primarily a framework that seeks to support the ongoing and development of nursing and patient care. This program is emphasized by the principles of transformational practice development. Of most important to note is that this approach aims at ensuring that all the health stakeholders including carers, patients, families and staffs are included and participate in making decisions concerning the effective care utilizing programs and approaches that esteem collective and individual values. As such, it may be argued that the nurses have been given a chance to refocus on the primary values of caring. The key aim of this program is to improve patient outcome and safety by implementing a state wide focus that mainly focuses on essential of nursing care. In addition, it also aims at enhancing the experiences of carers, patients, staff and families who are involved in the delivery of health care. It is important to note that the above is done recognizing excellence in health practices, establishing a culture of crucial inquiry, localization of developed plans so as to advance practice, engaging health professionals in transformational practice development and assessing essential care delivery quality. The purpose of this approach are based on the fact that essential care is only achieved when the major health stakeholders are included in discussions and decision making in order to ensure that individual and collective values are primarily maintained in a health setting. Implications of the MOC As stated by Davidson & Elliott (2001) nursing is indeed an evolving and dynamic profession that is delivered from various settings and under different regulatory framework. As such, it is important to consider the importance of professional commitment by nurses in developing models of cares which in a way express nursing imminent into effective care on the patients. This is also attributed to the fact models of care are basically developed as a response to an observed deficit that is existing in delivery of services. In relation to the above, it is important to note that while developing the models of care which are appropriate to cultural, demographic, mortality, social and morbidity patterns, there are several factors that are considered including responsive, dynamic, eclectic, interdisciplinary and multidisciplinary of the mode of care. With the above understanding it is therefore, significant that the nurses implement model of care as part of the nursing commitment. Still, their commitment is wanting in the model of care give that they include primary nursing, patient allocation ad team nursing which primarily offer not only a patient centered approach but also a more holistic one. In addition, primary nursing also ensures that nurses are accountable and responsible for their every actions and decisions affecting the wellbeing of an individual. Going with the views of Chiarella & McInnes (2010) that nursing models are majorly contemplation of the processes of making decisions in a clinical setting, care outcomes plan and planning care delivery, one may agree that indeed nurses are expected to implement this model of care. Generally, it is obvious that the model should be implemented as it reflects the economic considerations, management ideology and social values. The last decade has been dominated by different debates concerning the management of acute hospital in relation to nursing practices. Of most important to consider within this debate is whether Models of Care will have any profound effect on management of acute care hospitals and nursing practice. Notably, as expected, this approach will likely to have positive impact on nursing practice given that its aims at promoting patient outcomes and enhancing experiences of health stakeholders in relation to care delivery. This will call for a reconfiguration of health care services in order to address excellent clinical care delivery services. This will result to creation of new management arrangement in the hospitals which will be accompanied by new roles in the management. In addition to this, it is highly likely that new institution will arise in order to compliment the established work that is primarily tailored to meet health care needs of individuals. As Duffield et al. (2009) assert the reporting structure of the nurses is one of the major structures that have been affected by changes in management and system of administration in the overall health care. Consequently, with the introduction of this approach, it is also expected that structure will change but will tailored in accordance to the needs of the hospital. This will lead to decrease of inconsistency in professional and clinical reporting line ensuring that nurses have opportunities to deliver quality care to the patients; resulting to excellent nursing practices. It is quite hard for the model of cares to work with short of supply given that they require some resources in order to be implemented and run well. Resources required to run and plan this approach include a skilled workforce and well managed financial support. Without the above, one would argue that this approach is no longer relevant. As such one would readily agree with Duffield et al (2009) who assert that lack or shortage of these resources will indeed result to a different model of care which in a way will alter the definition of model of care as the objectives and outcomes will be different. In regard to the above, it is possible to design models of care that will try to adapt to this situation despite the differences in the outcome. These models will call for new structures and management in nursing practice and arrangement of acute care hospitals (Tiedeman & Lookinland 2004). It is primarily expected that every models of care put into consideration appropriate ethical and legal standards of care in nursing. This is attributed partially to the fact that the relationship between the nurse and patient is complex and therefore, requires some legal and ethical framework from which it may be based on. It is important to note that the complex relationship between the patient and nurse requires some basic features which nurses need to understand. This includes the position of power that the nurses have ‘over ‘the patients. Indeed, it is as a result of such features that the legal and ethical frameworks are needed in nursing practice. In relation to this, this model of care is believed to emphasize on the need of placing these frameworks into action given that they consider participatory, inclusive and collaborative approaches. These approaches ensure that nursing practices embraces respect and value of individual. As such, there is a likelihood that the model of care will allow identification of practices and values that will provide a culture that will enable ethical values that are evidence based. Personal Reflection With resulting managerial changes and resources problems to some extent, the MOC may improve nursing care. This is attributed to the fact that economic circumstances that are surrounding health care still play a major role in shaping nursing practices. However, it is important to note that, this kind of approach will ensure that quality care will be delivered to the patient as the nurses will ensure that all activities are undertaken by nurses who are registered and are therefore, able to carry out their tasks effectively. In addition, it will ensure that the knowledge and the skills are matched with the complexity needs of the patients (Duffield et al 2009). Still, it is also important to note that the quality of care is highly likely to improve while one relate to the fact that the nurses are able to define and resolve problems facing the patients leading to good patients’ outcomes. However, few skilled workforces may limit the impact of the MOC on nursing practice. Indeed, relating this to the cost, it is clear that more trained workforces are required which increases the cost of delivering quality care. One may note that while implementing this approach, time may be spent on delegating, coordinating and supervising resulting to loss of quality time that may be converted to effective and productive working time. Patient satisfaction is likely to be met if the resources are made available. This is attributed to the fact that the nurses will indeed personalize care leading to food patients’ outcomes. Still, the nurses will have personal satisfaction given that they will have performed their work on an autonomous capacity. The critical part lies with the fact that a shortage of supplies will to some extent hinder the prospect of the MOC. As such, it is likely to be comprised by the situation. In regard to maintaining fiduciary relationship while reflecting on the legal and ethical requirements, the managerial changes and resources problems may pose a problem to the model of care. Given that legal responsibilities are regulated by Acts, it is important that the nurses remain confidential, trustworthy and truthful to the patients. This indeed, endows a nurse with duty of care. As such, lack of sufficient resources may affect the MOC; consequently, the provision of professional treatment. References Chiarella, M & McInnes, E 2010, Who turn to? Knowing the ropes’ in an underbounded healthcare system. Contemporary Nurse, 36 (1-2); 10-20 Davidson, P & Elliott, D 2001, Managing approaches to nursing care delivery. Transition in Nursing, 34: 129-145 Duffield, C, Roche, M, Diers, D Blay, N & Catling-Paull, C 2009, Staffing, skill mix and the model of care. Journal of Clinical Nursing 19; 2242-2251 Tiedeman, M & Lookinland, S 2004, Traditional of model care of delivery. 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