5. Nursing organizations
• Developed research-based outcome criteria
• Standard based care plans
• Course curricula
• Guidelines for care and practice
5
6. These groups have established standards
of care to set forth a legitimate:
1. scope of practice
And
2. provide basis for organizing nursing
practice philosophies and nursing
process
6
22. Standards of Practice…
Provide a guide to KSA
needed to practice
safely.
RN is responsible &
accountable for indiv
client for quality nursing
care he receives.
22
27. Standards of Practice…
Standard 1: Assessment
Standard 2: Diagnosis
Standard 3: Outcomes Identification
Standard 4: Planning
Standard 5: Implementation
Standard 6: Evaluation
27
63. Care Delivery Models
1. Case method
2. Total patient care
3. Functional nursing
4. Team nursing
5. Primary nursing
6. Differentiated Practice
63
64. Case Method
1 nurse = 1 client
Total patient care = modern version of
case method
64
65. Total Patient Care
1 nurse = 1 client per shift
Advantage:
Head
1. Consistency of 1 individual caring for an entire shift Nurse
2. Enables trusting relationship
3. More time to observe and monitor the progress of client
Staff Nurse
Patient
65
66. Total Patient Care
Disadvantage:
1. Nurse may not have same client everyday
Head
Nurse
2. Looks at client on shift-by-shift basis
3. Utilize high level of RN nursing hours to deliver care
4. Level of RN intensity is not necessary Staff Nurse
Patient
66
67. Functional Nursing
Can deliver large # of clients
Good when there’s shortage of RN
*to client, the care feel disjointed
*client become the sum of tasks of care than an integrated whole.
67
68. Team Nursing
Modular Nursing
Team led by a RN
Advantage:
RN is able to get work done thru others
Disadvantage:
Fragmented, depersonalized care
Responsibility and accountability are shared
68
70. Primary Nursing
Required care & services are brought to client
All client services are decentralized to client area
(radiology, pharmacy)
Staffing is based on client needs
Care teams are established for a group of client
- respiratoy/PT in 1 place in hospital
Advantage:
Most convenient –direct service
Disadvantage:
costly
70
71. Differentiated Practice
According to identified criteria:
education: BSN, MAN, MN
clinical experience
competence: technical
communication
mgt of care
leadership skills
Advantage:
Allows RN to work in specialized roles for which they were
educated, leading to career satisfaction, appropriate recognition
and rewards
71