Leadership and Management Delivery Care Models

Based on my interviews with the different nurses in my organization, I was able to establish that the different models being used in the organization are the following: total patient care. functional nursing. team nursing. and primary nursing. Variations of these models have also been used in the clinical setting and depending on the illness and the patient being cared for. In my interview with Intensive Care Unit (ICU) nurses, as well as Postanesthetic care unit (PACU) nurses, they indicate that they mostly use the total patient care model in the delivery of nursing care.Total patient care is very much like the case method. In the total patient care method, the nurse is responsible for the total care for the nurse’s patient assignment for the shift the nurse is working (Kelly, 2010, p. 226). This means that for the particular shift, the nurse is responsible for all the care requirements which a patient would need. The nurse is responsible for several patients during the shift. She may also be assisted by other nursing care professionals including licensed practical nurses (LPNs), but the main bulk of the work is the responsibility of the registered nurse.The total patient care model offers various advantages for the patient and for the nurse. Nurses enjoy autonomy with this model (Marquis Huston, 2009). They can independently implement nursing care with minimal dictation and control from doctors and other health care professionals. The lines of responsibility and accountability are clear in this model. The nurse and the other health care professionals are aware and well-oriented in this line of responsibility and they also know how the lines of accountability flow. The patients also receive holistic and unfragmented care in this model (Basavanthappa, 2000). Their care is comprehensive and continuous. From the time they are admitted to the unit, patients receive nursing care from the nurse who is in charge of the shift, and when the shift changes, the care is passed on to the next nurse, and so on and so forth.