Structural Framework Analysis NSg 511 Paper

Structural Framework Analysis NSg 511 Paper

The nursing profession is a discipline that provides nursing care to any person seeking medical attention for injuries, pain relief, disease process management, and promoting health and wellness. The nursing professional serves as a patient advocate and helps individuals and their families in all communities. Nursing is a science; therefore, it requires knowledge based on nursing care to build framework and models to guide our nursing care practice. According to Chamberlain, Bersick, Cole, Craig, Cummins, Duffy, Hascup, & et al. (2013), “Practice models, [are] a blend of professional behaviors and clinical leadership, [which is] a foundation that allows for mutual goal setting and facilitates the prioritization of patient care by the entire healthcare team” (p. 16). It is imperative for nursing care to be guided by clear and concise delivery care model. A clear and concise nursing structure will “help foster autonomous decision making, professional identity, job satisfaction, high quality, consistent nursing care, improved patient and family outcome, and interdisciplinary communication (Chamberlain et al., 2013, p. 16). In this paper, we will analyze Arizona Oncology’s structural framework. Arizona’s Oncology Care Model can be accessed at https://arizonaoncology.com/about/oncology-care-model/. Structural Framework Analysis NSg 511 Paper

Arizona Oncology

Arizona Oncology is one of the primary cancer center in Arizona working alongside the US Oncology Network, providing care in twenty-eight different locations throughout the state. The cancer center has more than seventy oncologists that provide comprehensive; high-quality cancer care. Arizona Oncology is a participant of the US Oncology Research study that emerges in clinical trials; which have paved the way for sixty-six Federal Drug Administration (FDA) approved cancer treatments and modalities.

Arizona Oncology Care Model

Care models are used in all healthcare setting to guide practice providing a framework within which the healthcare team practices. Care models in many health care institutions are constructed based on theories, and the theories proposed concepts. “[The] Arizona Oncology Care Model, [frames a] model that supports and encourages higher quality, more coordinated cancer care [for all oncology patients] while lowering treatment cost” (Arizona Oncology, 2019, para. 1). The Oncology Care Model used by Arizona Oncology encourages on-going practice and evidence-based modalities that improve care and lower cost based on performance; rewarding high-quality patient care. According to Arizona Oncology (2019), the framework that encompasses the Oncology Care Model focuses on:

1. Oncology appointment coordination with oncologist that work privately or inside the practice for time delivery of treatment and diagnostic testing;

2. Anytime 24/7 treatment access;

3. Interdisciplinary oncology team support to include diagnostic testing, radiation/chemotherapy oncology, and specialist support with cancer disease process.

4. Critical advanced care planning for patient and survivorship; and

5. Patient resources availability to include emotional support; pain management, and research trail(para. 2).

Analysis

The Oncology Care Model is a model that theoretically ties to nursing theorist Jean Watson and her human caring theory; Caritas Processes. The underpinning of the model is derived from integrative oncology with nursing contributions. According to Grossman, Agulnick, and Batist (2012), “The conceptual model [as the Arizona’s Oncology Care Model] integrative practice proposes that relevant multimodal, multi-targeted, evidenced-based complementary and conventional practices interact synergistically to enhance efficacy of treatment, quality of life, health, and innate healing capabilities of the whole patient with cancer. Jean Watson acknowledges the need of a trusting nurse explicitly to patient relationship to promote healing which in a sense serves as an empirical indicator because it tells the nursing discipline that the nurse to patient relationship is needed. The nurse plays a vital role in carrying out the framework of the oncology care model such as helping and informing the patient and their family in decision-making. Empirical indicators called data can be gathered from the patients’ decisions and answers to the choice of oncology treatment selected as well. Also, the nursing discipline contributes to providing the patient resources, providing presence and touch for emotional support, and medication administration if needed.

Arizona Oncology philosophy is derived from its mission and vision statements. The mission to their patients is to instill hope, strength, and love to all oncology patients throughout their disease process. Arizona Oncology (2019), states “we believe it is beneficial that these therapies are provided in a community setting, close to a patient’s home and support system” (para. 2). The vision of Arizona Oncology is to provide a comprehensive network that include all inclusive centers that deliver compassionate and personalized patient care in Arizona.

Arizona Oncology concepts of the metaparadigm of nursing identify cancer treatment as a discipline of nursing. Oncology patients (metaparadigms) become the nursing participants requiring nursing care during their treatment management and modalities. It is imperative to understand that nursing will encompass the patient, their family, surrounding environment, health care settings, the health condition of the patient guided through the nursing process. Theoretical underpinning and the use of conceptual models guide nursing discipline to work synergistically with delivery care model to provide high-quality, evidence-based nursing care in all healthcare institutions. Therefore Fawcett & Desanto-Madeya (2013) concluded,  “when nurses practice purposefully [framework guided], and systematically, they are more efficient, have better control over outcomes of their [practice], and are better able to communicate with [all interdisciplinary team]” (p. 27)

References – Structural Framework Analysis NSg 511 Paper

Arizona Oncology. (2019). Oncology Care Model. Retrieved from https://arizonaoncology.com/about/oncology-care-model/ 

Chamberlain, B., Bersick, E., Cole, D., Craig, J., Cummins, K., Duffy, M., … Hascup, V. (2013, October). Practice models: A concept analysis. Nursing Management, 16-18. Retrieved from 

Fawcett, J., & Desanto-Madeya, S. (2013). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (3rd ed.). Philadelphia, PA: F.A. Davis

Grossman, M., Agulnick, J., & Batist, G. (2012). The Peter Brojde Lung Cancer Centre: a model of integrative practice. Current Oncology, 19(3),. Retrieved from http://www.current-oncology.com/index.php/oncology/rt/printerFriendly/929/921