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Nursing Delivery System and Model
Nursing delivery models
According to Sullivan and Garland (2010) nursing care delivery models include the primary nursing, functional nursing, total patient care, and team nursing models. The primary nursing model provides complete health care services for patients in groups in a hospital under the guidance of a licensed practical nurse (LPN), a registered nurse (RN), and and/or nursing assistant (NA). Each model is characterised by different decision making strategies that provide clear outcomes for patient care. A manager or nurse in charge takes charge in each single shift and uses hierarchical communication in decision making in the functional nursing model. On the other hand, nurses apply the total patient care model by use of direct communication and patient based nursing assignments techniques where the role of the managers is to provide the necessary resources for better decision making. On the to the hand, the team nursing model is where a nurse uses hierarchical communication for decision making using hierarchical communication to assign nurses their duties based on leaders expertise in nursing.
A critical review of the primary nursing delivery models show that it is implemented by nursing assistants, licensed practical nurses, or any team of nurses that are present in a health care facility. The model follows the responsibility, teamwork, and accountability, acceptance, and responsibility models in decision making structures to provide day-to-day continuity of patient care services.
Patient centered care leadership style
Marquis and Huston (2009) notes that different leadership styles are used to provide leadership for the patients with the patient centered care leadership style adopted in many health care service delivery institutions. Typically, the concept is based on top leadership commitment and engagement in planning, directing, and controlling nursing activities in the provision of health care services to the patients. The leadership style focuses on the use of shared knowledge and education, collaboration and team management, and free access to information strategies.
Studies by Marquis and Huston (2009) show that the patient centered care leadership style is characterised by systematic measurement of feedback from the patients and caregivers to monitor interventions strategies and change management needs. The patients family gets involved in decision making and constant communication is assured in the process. The leadership provided by the CEO and board of directors is characterised by a strategic vision to all caregivers, use of supportive technology that plays a critical role in supporting service delivery.
Quantum leadership management concept
One of the successful leadership styles in nursing is based on the quantum leadership management concept. The leadership concept is based on the principles of the local provision of health care services, identification of errors that are essential for good leadership using the simple system approach that consists of a complex system of caregivers, and value addition that is important for the provision of health care services at each stage of the nursing delivery model. Here, each element in the health care system works by making intersections and interactions with all participants in the health care giving model (Sullivan & Garland, 2010). Studies show that the principles create constant tension between equilibrium and disequilibrium actions when different components of the health care system are made to work together in a leadership model.
In conclusion, different nursing delivery and leadership models enable nurses to offer different leadership and services delivery solutions for effective decision making processes for each nursing model and environment.
References
Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application. London: Lippincott Williams & Wilkins.
Sullivan, E. J., & Garland, G. (2010). Practical leadership and management in nursing. London: Pearson Education.
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