Leadership and management for nurses

Nursing Care Models Paper: Guidelines PURPOSE The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction. DIRECTIONS 1. Read your text, Finkelman (2012), page1 to page 24 2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability. 3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model. 4. Write a 5-7 page paper that includes the following: 5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting. 6. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting. 7. Discuss your observations about how the current nursing care model is being implemented. Be specific. 8. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific. 9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models. 10. Write your paper using APA format. Submit to the Dropbox. GRADING CRITERIA: NURSING CARE MODELS PAPER Category Identify Nursing Care Model in practice including specifics about who, what when, where, etc. Besides Finkelman, locate scholarly resources related to Nursing Care Models Points 60 % 30% Description Identifies Nursing Care Model for delivery of nursing care. Provides specifics. 40 20% In addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper. NR447_ Nursing Care Models_Guidelines.docx 11/2/16 LMD 1 Implementation and Recommendations 60 30% Conclusion/ summary 20 10% Clarity of writing 20 10% 200 points 100% Total Describe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction. Summarize what you learned about this experience including new knowledge about nursing care models. Content is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. A quality paper will meet or exceed all of the above requirements. Leadership and management for nurses

GRADING RUBRIC Assignment Criteria Identify Nursing Care Model in practice including specifics about who, what when, where, etc. 60 points Besides Finkelman, locate scholarly resources related to 40 points A (100%) Exceptional B (88%) Exceeds C (80%) Meets Outstanding or highest level of performance After an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc. 60 points ☐ Thoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the Very good or high level of performance After an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc. 53 points ☐ Generally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the Competent or satisfactory level of performance After an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc. 48 points ☐ NR447_ Nursing Care Models_Guidelines.docx Briefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Leadership and management for nurses

Also, briefly reviews only one 11/2/16 LMD NI (38%) Needs Improvement Poor or failing level of performance After an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics. 23 points ☐ Reviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course F (0%) Developing Unsatisfactory level of performance Does not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics. 0 points ☐ Fails to provide any resources related to the nursing care model that was observed and that was different. 0 points ☐ 2 practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed. 40 points ☐

s Thoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction. 60 points ☐ practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed. 35 points ☐ Generally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction. 53 points ☐ resource (besides text) related to a nursing care model that is different from the one you observed. 32 points ☐ textbook) related to a nursing care model that is different from the one you observed. 15 points ☐ Briefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/st aff satisfaction). 48 points ☐

Does NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction. 0 points ☐ Conclusion and summary 20 points Includes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models. 20 points ☐ Includes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models. 18 points ☐ Clarity of writing 20 points Content is organized, logical, and grammar, punctuation, spelling, and sentence Content is mostly organized, logical, and grammar, punctuation, spelling, and sentence Includes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both. 16 points ☐ Content is somewhat organized, logical and grammar, punctuation, spelling, and sentence Minimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction. 23 points ☐ Conclusion/ summary is present but difficult to find in closing paragraphs of paper. 8 points ☐ Content is somewhat organized, but may lack logic. Several errors occur in grammar, Content is disorganized and writing has numerous grammar, spelling, or syntax errors. Implementati on and Recommenda tions 60 points NR447_ Nursing Care Models_Guidelines.docx 11/2/16 LMD Does not Include a conclusion paragraph 0 points ☐ 3 structure are correct. APA formatting is apparent, utilizing CCN template.

References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted. 20 points ☐ structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted. 18 points ☐ structure are correct. Minor APA formatting errors exist.

References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted. 16 points ☐ punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for intext citations, or references appear with no comparable intext citation.

Eleven to 15 errors are noted. 8 points ☐ APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted. 0 points ☐ Total Points Possible= 200 NR447_ Nursing Care Models_Guidelines.docx 11/2/16 LMD 4 12/30/2016 Bookshelf Online: Leadership and Management for Nurses   PRINTED BY: renae3639@hotmail.com. Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher’s prior permission. Violators will be prosecuted. Applying Evidence­Based Practice Evidence for Effective Leadership and Management Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009).

The design of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1), 79–86. Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical­surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes. Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe.  Leadership and management for nurses

Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff. https://online.vitalsource.com/#/books/9781323001004/cfi/6/32!/4/2/8/4/4/8/2/2/2@0:100 1/26 12/30/2016 Bookshelf Online: Leadership and Management for Nurses Questions

1. Based on your clinical experience, your clinical experience why is unit structure important to the staff and to patient outcomes? Identify three examples to support your opinion. 2. Why do you think it would be important to have standards related to unit structure and environment? 3. If you were a patient, what type of unit would you want to be on? Describe it, and explain why this is the type of unit you would prefer. confronting many critical issues related to access of care and lack of insurance, and much of this has an impact on minority cultures (see Chapter 7 ). Leadership and management for nurses Effective leadership Effective leadership is critical to the success of any organization. As organizations are analyzed, its leaders should be identified and assessed. What is the leadership style? Does the leadership provide what is needed to help the organization succeed (see Chapter 1 )? Assessment of future organizational challenges and opportunities Future needs should be considered in the assessment of an organization. Is the organization preparing for the future? Does it have a strategic plan? What is included in the plan? Is the plan reasonable? What is the process the organization uses to cope with future organization challenges and opportunities? Are the challenges and opportunities identified? https://online.vitalsource.com/#/books/9781323001004/cfi/6/32!/4/2/8/4/4/8/2/2/2@0:100 2/26 12/30/2016 Bookshelf Online: Leadership and Management for Nurses Professional Nursing Practice within Nursing Care Models The American Nurses Association (2004) defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals,   PRINTED BY: renae3639@hotmail.com.

 Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher’s prior permission. Violators will be prosecuted. families, communities, and populations” (p.   7 PRINTED BY: renae3639@hotmail.com. Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher’s prior permission. Violators will be prosecuted. ). The American Organization of Nurse Executives (AONE) emphasizes the following with patient population as the central core (2005).

The core of nursing is knowledge and caring. (evidence­based practice and patient­ centered care) Care is user­based. (patient­centered care) Knowledge is access­based. (evidence­based practice) Knowledge is synthesized. (evidence­based practice; informatics; quality improvement) Relationships of care presence­virtual. (patient­centered care) Managing the journey (interprofessional teams) The items in italic describe how each of the AONE elements relate to the five IOM core competencies. These are all interrelated. Also all of these elements have been discussed in earlier chapters or will be discussed in later chapters as they are critical aspects of https://online.vitalsource.com/#/books/9781323001004/cfi/6/32!/4/2/8/4/4/8/2/2/2@0:100 3/26 12/30/2016 Bookshelf Online: Leadership and Management for Nurses leadership and management. Intertwined within these critical elements is the recognition of the importance of autonomy, responsibility, delegation, and accountability. “Autonomy in clinical decision making occurs whenever a nurse makes an independent judgment about the presence of a clinical issue and then provides the resolution to nursing care” (Ritter­Teitel, 2002, p. 32).  Leadership and management for nurses

Autonomy requires competence and skills that focus on the nurse–patient relationship. It also means that there needs to be an organized assessment method to determine patient care needs and reassigning staff. Nurses also have the right to consult with others as professionals when they provide or manage care. Autonomy, control, and decision making are related. “Professional practice implies control over the terms of the work but also control over its content and regulation of its standards” (Ritter­Teitel, 2002, p. 33). Nurses who feel that they have autonomy know that they have the right to make decisions in their daily practice and also actively participate in developing organizational policy and change. Staff autonomy, however, does not work in organizations in which leaders are authoritarian and when centralized decision making and control are key characteristics of the organization. This situation will quickly lead to conflict. In addition, the work environment must be conducive to collaboration with physicians and all relevant staff, as is discussed in  Chapter 12 . “Responsibility  refers to being entrusted with a particular function” (Ritter­Teitel, 2002, p. 34). A nursing practice model that does not address responsibility will not be effective. Along with this is the need to clearly recognize the importance of delegation. “Delegation  involves transferring responsibility for the performance of the task from one person to another” (Ritter­Teitel, 2002, p. 34).

Delegation is discussed in more detail in  Chapter 14 . Accountability  is a term that is typically found in job descriptions and descriptions of organizational structure. In nursing it is particularly important to recognize that “accountability is the acceptance of responsibility for the outcomes of care” (Ritter­Teitel, 2002, p. 34). Nurses need to know that when they provide patient care their work has relevance—it must reach outcomes. Magnet hospitals are discussed in Chapter 6  as examples of organizations that exemplify these characteristics. The AONE elements and these characteristics, such as accountability, need to be considered when nursing practice models are assessed. Models of care are developed to support or enhance professional practice, and by considering these elements and characteristics the models will be more effective. Within a health care organization, how do nurses provide nursing care?

 What is a model of care? Are these elements found in the model? “A model of care is a configuration of nursing practice or pattern of delivery” (Ritter­ https://online.vitalsource.com/#/books/9781323001004/cfi/6/32!/4/2/8/4/4/8/2/2/2@0:100 4/26 12/30/2016 Bookshelf Online: Leadership and Management for Nurses Teitel, 2002, p. 35). Models might also be called nursing or patient care delivery systems. These models have undergone major changes over the last several decades. Nursing practice models have been used to implement resource­intensive strategies with the goal of decreasing expenses and using staff more effectively. These practice models establish organizational frameworks that provide nursing� …