Nursing Models in the Workplace Discussion

Nursing Models in the Workplace Discussion

Nursing Models in the Workplace Discussion

Step 1 Post your response to the discussion board.

Reflect on the nursing care model used in your organization. Post its name and a description of it by answering the following questions:

• What are some advantages and disadvantages of using your specified nursing care model in your organizational structure?
• Are there any exceptions to following the nursing care model? If yes, describe when those occur and how they are managed. Is it effective?
• Do you think that the nursing care model used in your organization is effective in assisting nurses to deliver high quality care? Please explain your answer.
• If it is not effective, please give a suggestion of a nursing care model that would be more beneficial to the organization.

Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm Mountain Time.

Use your personal experience, if it’s relevant, to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

Peer Discussion 1 (Patricia)

The organization I worked for is a not-for-profit teaching hospital in Tallahassee, Florida. There is a Board of Directors under the leadership of the President and Chief Executive Officer. The hospital works on a service-line management model, with my unit, the behavioral health center, being one of the service lines (Finkelman, 2015, p. 98). Each service line has an administrator who is responsible for the running of that unit, a unit manager and assistant nurse managers.

What are some advantages and disadvantages of using your specified nursing care model in your organizational structure?

The advantages of this system are that there are clear lines of authority for staff to follow. There is also collaboration between the different providers, where we have team meetings every morning that include the charge nurse, social workers, psychiatrist, and on occasion, our pharmacist (Finkelman, 2015, p. 98). Patient care plans are revised and updated, and all members of the team work closely together in the interests of the patient. This works very well on the units, but disadvantages are lack of respect from management for the role of the charge nurse, inappropriate patient placements by members of the management team who do not have any medical knowledge or experience, and insufficient staff to patient ratios.

Are there any exceptions to following the nursing care model? If yes, describe when those occur and how they are managed. Is it effective?

The only exception is the cross-over between mental health and medical care. We are sometimes faced with a medical situation and are required to make a decision about a referral to the emergency room (“Organizational,” slide 18). There have been instances where the medical personnel in the emergency room were unhappy about our referrals, just as we have been unhappy about placements from the emergency room that have been medically unstable. When the situation cannot be resolved amicably, the unit manager and/or the service line administrator are called in. This is not always effective.

If it is not effective, please give a suggestion of a nursing care model that would be more beneficial to the organization.

I have suggested placing a medical/psychiatric nurse in the emergency room to assist in evaluating patients before transfer to the behavioral health unit. Another suggestion was to open a small medical/psychiatric unit for those medically unstable psychiatric patients. Once the medical situation is stabilized, the patient can then be transferred. At the time of my resignation, no response was received about the suggestions.

References

Finkelman, A. (2015). Leadership and management for nurses: core competencies for quality care. (3rd ed.). Boston, MA: Pearson. https://online.vitalsource.com/#/books/9781323400449/cfi/6/2[;vnd.vst.idref=cover]!

Organizational healthcare structure (n.d.). Denver College of Nursing.

Peer Discussion 2 (Leslie)

•What are some advantages and disadvantages of using your specified nursing care model in your organizational structure?

At Denver Health Hospital particularly in the Labor and Delivery unit the nursing care model that is utilized in the interdisciplinary or interprofessional practice model. A variety of healthcare providers with different health positions, skill sets and knowledge work as a team to provide the best quality care possible to the patient and unborn child (Organizational Healthcare Structure, n.d.). The team consists of the nurse, charge nurse, medical provider, the certified registered nurse anesthetist, pharmacist, the NICU team and from time to time social work. Nursing Models in the Workplace Discussion

Some advantages of the nursing care model is that as a healthcare professional you are never alone and can always utilize other healthcare professionals as a resource if any questions or concerns arise. As a team there is collaboration and unity to help solve or address any concerns that may be present during the patient’s labor and delivery child (Organizational Healthcare Structure, n.d.). Some disadvantages is that a vast number of individuals are involved in the patient’s care which means that there can be high levels of miscommunication amongst the interprofessional team that can delay patient care if all team members are not on board.

•Are there any exceptions to following the nursing care model? If yes, describe when those occur and how they are managed. Is it effective?

I don’t think that there are any exceptions to following the nursing care model because on the labor and delivery unit not one provider can make all of the decisions for the patient’s care. The medical provider has the biggest impact on the patients care but that is not without informing or consulting the rest of the team. As an interprofessional team we cannot perform to the highest quality care in our position without the rest of the team. The nurse spends a lot of time at the patient’s bedside and knows the patient the best and so the nurse has a great amount of impact in the patient’s plan of care.

•Do you think that the nursing care model used in your organization is effective in assisting nurses to deliver high quality care? Please explain your answer.

Yes, I feel like the interdisciplinary practice model on the labor and delivery unit is effective in assisting nurses deliver the highest quality care because if the nurses have questions or concerns or would like to implement interventions to promote safe quality care, the nurse is able to use the resources around her to make the best decisions regarding the patient’s care. The nurse is supported by a team of healthcare professionals in different fields which aid in making the best decisions possible.

References

Organizational healthcare structure. (n.d.). Denver College of Nursing. Retrieved from