Sample Nursing Essays on Care Delivery Strategies

According to Bascetta (2011), care delivery strategies are as important as the roles taken by every nurse in any healthcare unit. Indeed, each care delivery strategy has distinct functions for care providers. For instance, in a 10-patient sub-acute care unit with two RNs, one LPN/LVN, and one nursing assistant working on a single day, each of them has his/her role to play during the day in a bid to provide quality care services to the patients. These roles may vary depending on the care delivery strategy. For example, in a functional method, the role of RN # 1 is to authorize and make important decisions. RN # 2 assigns tasks among the nurses and oversees the progress of the assigned tasks to ensure that they are completed within the time allocated. On the other hand, the role of the LPN/LVN and the assistant nurse is to obey and execute the various tasks assigned to them.

Bascetta (2011) explains that team nursing will also divide roles among the caregivers in that, RN # 1 will assume the role of decision-making and overseeing tasks and communication among the caregivers. RN # 2 will on the other hand assume the role of a team leader while the LPN/LVN and the assistant nurse assume the role of performing assigned tasks according to their level of expertise and skills, such as report writing and nurse care plan.

The primary nurse will demand RN # 1 to assess the conditions of each patient and make decisions based on their therapeutic affiliation prolonged for the period of stay of the patient. RN # 2 integrates information and coordinates care. The LPN assembles and triages patients while the assistant nurse takes part in sutures, injecting, and dressing of patients as well as checking electronic health records under the supervision of RN # 2 (Bascetta, 2011).

Nurse case management will require RN # 1 to engage inpatient and family education in a bid to prepare them psychologically through the healing process of the patient. RN # 2 participates in helping the patient and the family to resolve financial issues (Bascetta, 2011). On the other hand, the LPN underpins information availed to clients concerning disease processes while the assistant nurse teaches nursing techniques to help patients and their relatives to extend self-care skills necessary for recuperation.

Activity 13.2

Advantages functional method to the;

Nurse Manager

  • Makes decisions on his own without wasting time consulting others
  • High performance achieved due to quick decisions

Staff nurse

  • Tasks are assigned according to specialty and skills
  • The personal relationship with the nurse manager as well as benefit from a delegation of tasks by the manager (Bascetta, 2011)

Patient and family

  • Assured that care will be taken to help in recovery
  • No significant charges are incurred

Disadvantages of functional method to the;

Nurse Manager

  • May be overwhelmed by too much work
  • Overdependence from the juniors

Staff nurse

  • Huge work due to few colleagues
  • Lack of support from the senior manager

Patient and family

  • May take long before being attended to
  • Does not prioritize their needs and demands

Advantages of team nursing to the;

Nurse Manager

  • Staff retention (Bascetta, 2011)
  • Improved patient care

Staff nurse

  • Sharing of tasks that are patient-oriented
  • Boosts satisfaction of their nursing practice

Patients and family

  • Improved patient care
  • Saves time and hence saves money

Disadvantages of team nursing to the;

Nurse Manager

  • Poor service delivery due to competition (Bascetta, 2011)
  • Conflicts may emerge

Staff nurse

  • Work overlap
  • Encourages redundancy amongst themselves
  • Long working hours

Patient and family

  • Poor services may be expensive in the long run due to long stay in the care unit
  • Substandard services may lead to long stay and long period of recuperation

Advantages of primary nursing to the;

Nurse Manager

  • Assigning of tasks is easy
  • Every nurse takes responsibility of the assigned task hence quality care services

Staff nurse

  • Nurse-patient relationship (Bascetta, 2011)
  • No task overlap

Patient and family

  • Patient-nurse relationship
  • Assures quick recovery due to commitment of the nurse

Disadvantages of primary nursing to the;

Nurse Manager

  • May be hard to assign each nurse to a single patient where nurses are few
  • May be an expensive exercise

Staff nurse

  • May be overwhelmed by too much work where a nurse is assigned two or more patients
  • Long working hours

Patient and family

  • A patient may be assigned an inexperienced nurse
  • Lack of understanding between them hence poor service

Advantages of nurse case management to the;

Nurse Manager

  • Develops a good rapport with the patient and family
  • Earns the trust of the patient and family that his team will do their best for the patient

Staff nurse

  • Motivation among the nurses
  • Creates good relationship with the patient

Patient and family

  • Increased confidence that they will be served (Bascetta, 2011)
  • Helps to reach an agreement on the amount of cost they will incur

Disadvantages of nurse care management to the;

Nurse Manager

  • Failure to reach an agreement
  • Time wastage in making negotiation

Staff nurse

  • Long negotiations may delay their care services
  • Some may be demotivated in their services due to lack of agreement among the patient and family

Patient and family

  • Failure of agreement
  • Poor services due to lack of agreement

 

 

Activity 13.3

As a baccalaureate-prepared nurse, I would be satisfied to work under team nursing because it enhances sharing of skills and helping each other in order to gain experience. Besides, as a baccalaureate, I would be able to learn from experienced nurses. If I were an associate-degree nurse, I would choose the model of primary nursing because it encourages accountability. On the other hand, my chief financial officer would favor team nursing in a bid to reduce the costs incurred in the compensation of nurses.

 

References

Bascetta, C. A. (2011). Health Care Delivery: Features of Integrated Systems Support Patient            Care Strategies and Access to Care, But Systems Face Challenges. New York: DIANE Publishing.