Organizing Patient Care and Staffing for Patient Safety Flashcards
What is the goal of organizing care?
Regardless of where the care is being delivered, is safe, effective, and quality care.
What is a care delivery model?
A way to organize and deliver patient care.
What is the purpose of a care delivery model?
Should address the needs of the patients and an individual unit.
- Staffing
- Acuity
- Staff/skill mix
What are the characteristics of a care delivery model?
- Well balanced with staff and patient needs.
- Competent care.
- Focus on safety and communication.
What is the role of the nurse leader?
To design or redesign the care delivery with a focus on patient and family centered care. Ensure that front-line nurses are participants in the decision making process. Maintain knowledge of new and emerging care delivery systems.
Traditional Models
- Total patient care: Oldest model, one on one care, hospice or critical care.
- Functional nursing: Certain staff assigned to certain tasks, care is provided by minimal RN staff, very fragmented.
- Team nursing: team leader, strong communication skills, care for a patient as a group. RN assigns duties.
- Primary nursing: decision making at bedside, primary nurse responsible for direct care.
- Case Management: Nurse functions as a manager of the case, decreased costs, less fragmented.
Nontraditional models of care delivery
- Patient-focused care: RN is case manager, services BROUGHT to patient.
- Partnership model: Partners work together.
- Nonclinical model: RN coordinates care, UAP do not provide direct patient care.
- Integrated model: RN works with LPN.
Contemporary Models of care delivery
Professional nursing practice model, differentiated nursing practice model, clinical nurse leader model, synergy model for patient care, transforming care at the bedside, patient and family-centered care model.
Which nursing care model is the best?
ALL OF THEM! One size does not fit all.
What are the potential causes of nursing shortages?
Decreased enrollment in nursing school, shortage of nursing faculty, insufficient staff because of burnout, high turnover rate.
What are the three staffing approaches?
- Patient classification systems.
- ANA’s principles of safe staffing.
- National database of nursing quality indicators.
Patient classification systems
Daily acuity data is collected, very objective.
ANA’s principles of safe staffing
Addresses complexity of decisions, helpful in developing staffing plans.
National database of nursing quality indicators
Focus on quality improvement and establishes link between nursing care and patient outcomes.
Staffing plans aid in what?
Safe, effective, and quality care.
