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Nursing Care Models

NursingCare Models

NursingCare Models

Afterobtaining permission from the clinic’s nursing directors, I had afirsthand encounter with the practitioners who presented an actualcase of the care management model. The whole process began byexecutives allocating specific roles to the team members. Thereafter,he nurses designed care plans for a group of patients who had beenadmitted on suspicion of esophageal hypomotility. In line with theguidelines of care management model, there were preliminary patientassessments, followed by the documentation of results (Finkelman,2012). The nurses were also assigned to analyze all the significantsigns, feed patients who could not help themselves, and provide themwith clean water. The team ensured that they had particulars ofprevious cases of esophageal hypomotility that they used tobenchmarks the current instance. The referencing was importantbecause it helped in reducing chances of errors and omissions. I wasable to point out that this was a case of care management modelbecause the nurses tended to center their practice on an integrateddelivery system. For instance, they incorporated planning,assessments, as well as harmonization of health services. Moreimportantly, the patient focus was population-based (Finkelman,2012). The paper explores the care management model presented in thiscase, and further discuses other models as well.

and Review of Articles on Care Management Model

First,Quill and Abernethy (2013) examine the challenges that patientsencounter in hospitals when there is no proper focus on caremanagement. They consider diversity, lack of professionalism, andtime issue as factors that influence the success of implanting caremanagement model. Efficiency and appropriate administration worktogether when there is the need for positive outcomes when handlingpatient populations with specific problems. The article demonstratesthat caregivers and general physicians are accountable for themanagement of a wide-ranging continuum of patient conditions (Quilland Abernethy, 2013). In other words, care should not only be limitedto specific diseases or symptom, but needs to include factors thatcan lead to the general health improvement of the population.

Caremanagement is important in safeguarding patient values. It causesease in handling varied patients and their conditions. Because of itspatient-centered nature, care management allows clinicians andpatients to have a good relationship. The two parties can share ideasand attain medical decisions as a unit (Quill and Abernethy, 2013).Patient-centered care remains essential in today’s medicine sinceapart from improving individual’s experiences, it also betterstheir adherence to treatment and reduces chances of extra costs.

Secondly,Lemmens etal.(2013) present the three aims of health care management. The authorsstate that care focuses on healing, cost reduction, and improvementof general population health. To achieve all the three goals, theremust be a properly laid down concept of decent management. Theycriticize the idea that individual providers tend to focus on how tosucceed in one of the three objectives. The authors maintain that forhealth care to become bearable for a population or a group ofpatients, all the three aims must need to be met (Lemmens etal.,2013). They advise that the best way to this is through theemployment of qualified staff who can merge all the three objectivesconcurrently in practice.

Byacting as chief operators, the staff can better administration amongpractitioners and make the economic system more tolerable, henceenhancing care quality and improving population health. Moreover,there is the need to build care setup that facilitates smoothinteraction among nurses and ease to adjust to new circumstances. Inthe fragmented America’s health care system, it is important forpolicymakers to emphasize on the kind of care that the people desirewhich is based on taking note of and reacting to patients’ needs(Lemmens etal.,2013).

and Review of Articles on Primary Nursing Model

First,Starfield and Macinko (2015) have done their best in explaining thesignificance of primary care. They use a broad literature review todemonstrate the significant roles of primary care procedurally andwhy it needs to be the basis of nursing. The authors strongly back upeach argument with numerous studies from all over the United States.Through this, they reveal how an increase in the population ofprimary care givers can result in better population health, and howthis can help in reducing socioeconomic disparity that prevails inthe system (Starfield and Macinko, 2015).

Starfieldand Macinko prove that primary care influences prevention and leadsto decreased necessity of extreme specialty. The team reminds healthrepresentatives that primary care can be the only answer to a bettersystem due to its ability to achieve apparently impossible outcomesbetter care quality and affordable population heath. Any populationthat has primary care as the main basis of treatment tends to have aconsiderably lower rate of mortality (Starfield and Macinko, 2015).Moreover, primary care is again related to reduced health costs.

Secondly,Schwartz (2012) provides a background study of the current primarycare. The article comprises several key and interrelated sections.There is an examination of the chronological progression of primarycare followed by an outline of its basic universal value. Lastly, theauthor discusses issues surrounding funding and staff inadequacies,as well as an introduction to the ongoing care delivery models(Schwartz, 2012).

Inthis article, Schwartz identifies obstacles to primary care as thediffering professional viewpoints and uneven administrativestructures. He notes that working environment demands consistentcollaboration as a way to institute professionalism among primarycare staff (Schwartz, 2012). In this view, there is the need forstrategies for increasing interprofessional partnership, such aseducation through simulation, reforming information-sharingprocedures, and focusing on communication skills.

Howthe Care Management Model is Being Implemented

Healthcare systems all over the U.S. are making attempts to use the threeaim strategy which includes ways to bettering care experience,improving population health, and lowering per capita costs(Finkelman, 2012). However, they have not been successful inattaining all the three as a whole because of the unimprovedstructure. The system has not changed enough to facilitate easydelivery of health care. Nonetheless, care management has turned outto be the prominent practice-based model for handling populationhealth. The current system focuses on various approaches to improvingcare management programs (Finkelman, 2012). First, it identifiespopulations with manageable risks. Secondly, it aligns caremanagement aspects to the desires of the identified populations.Thirdly, it integrates and prepares appropriate people to help in thedelivery of the required services.


Itis recommended that hospitals adopt the team nursing model forimproved quality of care, safety, and workforce satisfaction(Finkelman, 2012). While doing so, the team leaders need to be theheads every chore that the staff undertakes. They should make it easyfor every employee to assess patients and solve their issues throughteam work. The main advantage of team nursing model is that itenables the provision of high quality and inclusive care because ofthe relatively large number of personnel. Additionally, every groupmember can take part in problem solving and decision making becauseeveryone is given the opportunity to input individual skills. Withteam work, there are high chances of enhanced patient satisfaction(Finkelman, 2012). Due to the fact that it works with a standardratio of licensed to unlicensed personnel, it tends to be the mosteconomical system.

Moreover,team nursing remains one of the most effective methods of deliveringcare to patients since it can be applied for both outpatient andinpatient cases. The model also inspires a sense of belonging andinvolvement among the team members. In most cases, work load iswell-adjusted and shared as it allows for the division of labor.Every team member gets a chance to teach and learn from colleagues,and this allows everyone the opportunity to attain leadership skills(Finkelman, 2012). More importantly, with this strategy, there isconstancy of care since everyone contributes to the care process.

Conclusively,the facets of this assignment have been important in understandinghow nurses can have a personal relation with patients. Similarly, theexperience has helped me realize the importance of having atheoretical framework for practice. Because nursing models focus onpractitioners’ personal lives, they can have moral impacts in theirability to work safely and more efficiently. Moreover, if implementedaccurately, nursing models have the potential to cause improvementsto general service. Valuable practice demands the existence oforganizational support and contributions from managers. It can bestbe realized through organizing consistent team work.


Finkelman,A. W. (2012). Leadership and management for nurses: Core competenciesfor quality care. Upper Sadler River.

Lemmens,K. M.,et al., (2013). Chronic Care Management for Patients with COPD:a Critical Review of Available evidence. Journal of Evaluation inClinical Practice, 19(5), 734-752.

Quill,T. E., &amp Abernethy, A. P. (2013). Generalist plus SpecialistPalliative Care—Creating a more Sustainable Model. New EnglandJournal of Medicine, 368(13), 1173-1175.

StarfieldB, Shi L, Macinko J. Contribution of Primary Care to Health Systemsand Health.

MilbankQ. 201583(3):457-502.

Schwartz,M. D. (2012). Health Care Reform and the Primary Care WorkforceBottleneck. Journal of General Internal Medicine, 27(4), 469-472.