Chapter 14 Flashcards
Exam 3
Characteristics of Effective Health-Care Delivery Systems
What should be facilitated?
Facilitate meeting the goals of the organization
Characteristics of Effective Health-Care Delivery Systems
How is the cost?
Cost-effective
Characteristics of Effective Health-Care Delivery Systems
Who does it satisfy?
Satisfy the patient
Characteristics of Effective Health-Care Delivery Systems
What does it provide for nurses?
Provide role satisfaction to nurses
Characteristics of Effective Health-Care Delivery Systems
What does it allow implementation of?
Allow implementation of the nursing process
Characteristics of Effective Health-Care Delivery Systems
What does it provide?
Provide for adequate communication among health-care providers
Selecting the Optimum Mode of Organizing Patient Care
What should the mode be based on?
The mode should be based on patient acuity and not economics alone.
Selecting the Optimum Mode of Organizing Patient Care
What should be the true driver in determining appropriate care delivery models?
The knowledge and skill required for particular activities with specific populations should always be the true driver in determining appropriate care delivery models.
Selecting the Optimum Mode of Organizing Patient Care
What does every nurse not desire?
Not every nurse desires a challenging job with the autonomy of personal decision making.
Traditional Models of Patient Care Organization
includes?
Total patient care
Functional nursing
Team and modular nursing
Primary nursing
Case management
Traditional Models of Patient Care Organization
Total patient care
having one nurse provide all the patient’s care.
Traditional Models of Patient Care Organization
Functional nursing
is task focused with specific tasks assigned to specific members of the care team (exp. RN is in charge of medication and CNA is in charge of vitals and linen change, bed making)
Traditional Models of Patient Care Organization
Team and modular nursing
pairing of one registered nurse and one LPN for example provide all the care for a certain number of pre assigned patients that are usually centralized geographically.
Traditional Models of Patient Care Organization
Primary nursing
- Pt. centered care -
One nurse has 24-hour responsibility for care planning and coordination for the patient.
Traditional Models of Patient Care Organization
case management
Individualized per client specific needs and circumstances -identifying the most cost-effective providers, treatments, and care settings possible.
Traditional Models of Patient Care Organization
What is the best mode? How are the newer models?
There is no one “best” mode for organizing patient care.
Many of the newer models of patient care delivery systems are merely recycled, modified, or retitled versions of older models.
Changing the Patient Care Delivery Mode—Questions the Change Agent Must Ask:
How will the reorganization alter autonomy and individual and group decision making?
How will social interactions and interpersonal relationships change?
Will employees view their unit of work differently?
Changing the Patient Care Delivery Mode—Questions the Change Agent Must Ask #2
Will the change require a wider or more restricted range of skills and abilities on the part of the caregiver?
Will the redesign change how employees receive feedback on their performance, either for self-evaluation or by others?
Will communication patterns change?
What is the oldest mode of organizing patient care?
Total Patient Care or Case Method Nursing
Total Patient Care or Case Method Nursing
What occurs? What responsibility do nurses have?
Nurses assume total responsibility for meeting the needs of all assigned patients during their time on duty.
Total Patient Care or Case Method Nursing
What is it sometimes referred to as?
It is sometimes referred to as the case method of assignment because patients may be assigned as cases.
Total Patient Care or Case Method Nursing
How often is it used?
It is still widely used in hospitals and home health agencies.
Disadvantage of Total Patient Care
The greatest disadvantage of total patient care delivery occurs when the nurse is inadequately prepared to provide total care to the patient.
Functional Method of Nursing
It evolved as a result of what?
Evolved as a result of World War II
Functional Method of Nursing
What does it use?
Uses relatively unskilled workers who have been trained to complete certain tasks
Functional Method of Nursing
How is care assigned?
Care is assigned by task rather than by patient
Advantages and Disadvantages of Functional Nursing
What is a major advantage of this?
A major advantage of functional nursing is its efficiency;
tasks are completed quickly, with little confusion regarding responsibilities.
Advantages and Disadvantages of Functional Nursing
What is a major disadvantage of this?
However, functional nursing may lead to fragmented care and the possibility of overlooking patient priority needs.
