Test 3 Flashcards
These are the operational mechanisms by which care is actually provided to the client.
models of care delivery
These models have a conceptual framework and philosophy under which the method of delivery of nursing care is a component.
professional practice models
Whose model?
A transpersonal caring relationship corresponds to protecting, enhancing, and protecting, enhancing, and preserving the person’s dignity, humanity, wholeness, and inner harmony.
watson’s caring model
Whose model?
The core concept of the model is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. Synergy results when the needs and characteristics of a patient, clinical unit, or system are matched with a nurse’s competencies.
hardin & kaplow’s synergy model
this is a method of organizing and delivering care to patients and families to achieve desired outcomes
care delivery model
name the 5 nursing models of care
private duty functional team primary case management
- oldest care model
- one nurse caring for one patient
- Great Depression ended most of these jobs
private duty
___ nursing focused on task accomplishment rather than individualized and holistic care. nurses came to work and provided a task such as a “medication nurse” or a “temperature nurse”.
functional
- 1914
- time and motion studies
- economic incentives to get the highest grade of work from the worker.
scientific management theory
this is a delivery of care approach that provides care to a group of clients by coordinating a team of RNs, LPNs, nurses’ aides under the supervision of one nurse called a ___ leader.
team
- developed in 1950’s
- under the supervision of one nurse
- advantage: each member’s capabilities can be used to the maximum.
- oversight of novice nurses & temporary personnel can be facilitated.
- provides care delivery with a limited # of RN’s.
team nursing
this is another type of team nursing based on the physical environmental change of hospitals to module configurations.
modular nursing
___ nursing is an approach in which a nurse has responsibility and accountability for continuous guidance through planning, delivering, and monitoring care of specific clients from admission to discharge.
primary nursing
- 1970’s
- studies found a higher quality of nursing care, higher levels of nurse satisfaction, increased continuity of care, improved nurse retention, and positive client outcomes with ___ nursing. levels of client satisfaction were equal and cost comparisons were inconclusive between the team and this type of nursing.
primary nursing
- pressures for cost containment in the 1990’s lead to the demise of this type of nursing care models.
- shortened lengths of stay
- increased client severity
primary nursing
this is the care coordination to achieve specific client outcomes
case management
- a system of client care delivery that focuses on the achievement of client outcomes within effective and appropriate time frames and resources.
- 1895 Lillian Wald and Mary Brewster
- George Welch of CIGNA-1966
case management
______ care refers to a system-a reimbursement strategy.
managed care
- a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location.
- focus on reducing re-hospitalization rates and enhancing post-discharge care.
transition of care
a ___ is an outline or diagram that documents the process of diagnoses or treatment deemed appropriate for a condition based on practice guidelines.
critical pathway
what’s the 4 steps in case management process?
assessment
planning
facilitation
advocacy
Case Management Process:
____ needs to cover health behaviors, cultural influences, and belief and values systems, negotiating realistic goals.
assessment
Case Management Process:
___ - do this with client, family, health care providers, payers, community. Reevaluation on going. Contingency plans.
planning
Case Management Process:
___-communication, coordination, education
facilitation
