Journal articles: 'Nursing care delivery system'

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Wake, Madeline Musante. "Nursing Care Delivery Systems." JONA: The Journal of Nursing Administration 20, no. 5 (May 1990): 47. http://dx.doi.org/10.1097/00005110-199005000-00011.

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Neidlinger, Susan H., and Marie B. Miller. "Nursing Care Delivery Systems." JONA: The Journal of Nursing Administration 20, no. 10 (October 1990): 43???49. http://dx.doi.org/10.1097/00005110-199010000-00010.

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Matumoto, Silvia, Kátia Cristina dos Santos Vieira, Maria José Bistafa Pereira, Claudia Benedita dos Santos, Cinira Magali Fortuna, and Silvana Martins Mishima. "Production of nursing care in primary health care services." Revista Latino-Americana de Enfermagem 20, no. 4 (August 2012): 710–17. http://dx.doi.org/10.1590/s0104-11692012000400011.

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This descriptive and quantitative study aimed to characterize the production of nursing care in primary health care services in a region of the city of Ribeirão Preto, state of São Paulo, Brazil. The study sample comprised care actions delivered by nurses and registered in the HygiaWeb Information System, from 2006 to 2009. Statistical analysis was performed. Results showed that nursing care delivered by nurses accounted for 9.5 to 14.6% of total professional care provided by professionals. Eventual care actions were the most frequent. The concentration of programmatic care was higher for children, women, pregnant and postpartum women. In conclusion, the predominance of eventual care demonstrated that the health system has been focused on acute conditions. Little of nursing work has been directed at the achievement of comprehensiveness, considering the inexpressive share of longitudinal follow up in total care delivery. The expansion of nursing staff represents potential for care delivery to the population, but further qualification of nursing actions is needed.

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Saputra, C., and Y. Arif. "Nursing Informatics System in Health Care Delivery." KnE Life Sciences 4, no. 10 (March 12, 2019): 38. http://dx.doi.org/10.18502/kls.v4i10.3827.

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Beiranvand, Samira, Maryam Rassouli, Maryam Hazrati, Shahram Molavynejad, Suzanne Hojjat, Hanna Tuvesson, and Kourosh Zarea. "Hospice care delivery system requirements." International Journal of Palliative Nursing 28, no. 12 (December 2, 2022): 562–74. http://dx.doi.org/10.12968/ijpn.2022.28.12.562.

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Background: Hospice care is a perceived need in the Iranian health system. Aim: This qualitative study is explaining the stakeholders’ perception of what is required to develop a hospice care system for patients living with cancer in Iran. Methods: A total of 21 participants (specialists, policymakers, healthcare providers, cancer patients and family caregivers) were selected through purposeful sampling and interviewed in-depth in 2020. Interviews were analysed through directed content analysis. Findings: A total of 1054 codes, 7 categories and 21 subcategories were extracted. The requirements include the need to provide: multiple settings and diverse services; participatory decision making; integration into the health system; specialised human resources; an organised system of accountability; the preparation of the existing health system; and wider capacity-building in existing Iranian society. Conclusion: It is essential that Iranian services create a participatory comprehensive care plan, utilise expert manpower, integrate hospice care into the existing health system and organise a system of accountability. Policymakers should focus on the preparation of the health system and capacity building in society.

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Brennan, Patricia Flatley. "Computer Link-A Computerized Nursing Care Delivery System." Western Journal of Nursing Research 14, no. 2 (April 1992): 239–40. http://dx.doi.org/10.1177/019394599201400211.

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Davis, Anne J. "Nursing and the American health care delivery system." International Journal of Nursing Studies 23, no. 2 (January 1986): 179. http://dx.doi.org/10.1016/0020-7489(86)90008-8.

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Guild, Susan D., Rebecca Wrede Ledwin, Deborah M. Sanford, and Terri Winter. "Development of an Innovative Nursing Care Delivery System." JONA: The Journal of Nursing Administration 24, no. 3 (March 1994): 25???29. http://dx.doi.org/10.1097/00005110-199403000-00008.

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Pascual, Glenn D. "Nursing Communication Bundle: Behavior Standards Review Article Series: 1." International Journal of Nursing Sciences and Clinical Practices 2, no. 1 (November 11, 2021): 1–6. http://dx.doi.org/10.47890/ijnscp/glenndpascual/2021/10042116.

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Changing healthcare delivery systems demand greater accountability from hospital organizations and healthcare providers (Briggs et al., 2018). The radical restructuring of the healthcare system that is required to reduce spiraling healthcare costs and make healthcare accessible to all citizens will necessitate ongoing changes in healthcare organizations. The challenge for hospital organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring of systems and processes, and implementation of aligned service behaviors to increase patient satisfaction and enhance clinical outcomes (Figure 1.0). Patient satisfaction scores serve as system indicators for financial reimbursement from government and private insurance agencies and as impetus for hospital organizations to choose the functional system of delivering care to improve quality, achieve desired outcomes, and enhance the patient care experience. Given the macroeconomic nature of the impact of patient satisfaction scores on hospital reimbursement, the challenge for healthcare organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring systems and processes, and implementation of aligned standardized service behaviors to increase patient satisfaction and enhance clinical outcomes. Hospitals under the current healthcare landscape are rewarded for the quality of care provided; thus, better outcomes indicate hospitals’ financial viability (Centers for Medicare and Medicaid Services, 2018).Managing service delivery across a highly divergent and fast-paced healthcare system requires sharp focus on execution and standardized operational excellence. Continuous quality improvement (CQI) has been shown to be a powerful tool to help make health care organizations more effective. CQI is a structured system for creating organization-wide participation and partnership in planning and implementing continuous improvement methods to understand, meet, or exceed patient needs and expectations. Developing a culture of excellence and quality in care can create an enthusiasm for change, passion for results, and drive for innovation equating to better service to healthcare consumers and better patient satisfaction scores.

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Yu, SoYoung, and IlSun Ko. "Healthcare and Nursing Care Delivery System in South Korea." JONA: The Journal of Nursing Administration 40, no. 11 (November 2010): 460–62. http://dx.doi.org/10.1097/nna.0b013e3181f88a5c.

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Beauséjour, Waldo, and Simon Hagens. "Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses." JMIR Nursing 5, no. 1 (March 31, 2022): e33586. http://dx.doi.org/10.2196/33586.

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Background Canadian nurses are at the forefront of patient care delivery. Although the use of digital health technologies for care delivery is gaining momentum in Canada, nurses are encouraged to integrate virtual care into their practice. In early 2020, more Canadian nurses delivered care virtually compared with 3 years ago. Objective This study seeks to uncover the professional characteristics of Canadian nurses accessing virtual care in 2020, understand how these characteristics differ across types of technologies, investigate whether the nurses accessing virtual care possess the skills and knowledge needed to use these technologies, and determine the important drivers of the uptake of virtual care observed in 2020. Methods We used data from the 2017 and 2020 National Survey of Canadian Nurses. This survey collected data on the use of digital health technologies in nursing practice. It concerned regulated nursing professionals working in different health care settings and from different domains of nursing practice. We combined the chi-square independence test and logistic regression analysis to uncover the most relevant drivers of virtual care uptake by nurses in 2020. Results In early 2020, before the declaration of the COVID-19 pandemic, nurses who delivered care virtually were predominantly nurse practitioners (135/159, 84.9%) and more likely to work in a primary or community care setting (202/367, 55%) and in an urban setting (194/313, 61.9%). Factors such as nursing designation (P<.001), perceived quality of care at the health facility where the nurses practiced (P<.001), and the type of patient record–keeping system they had access to (P=.04) had a statistically significant effect on the probability of nurses to deliver care virtually in early 2020. Furthermore, nurses’ perception of the quality of care they delivered through virtual technologies was statistically associated with their perception of the skills (χ24=308.7; P<.001) and knowledge (χ24=283.4; P<.001) to use these technologies. Conclusions This study emphasizes the critical importance of nursing designation, geographic location, and type of patient record–keeping system in predicting virtual care integration in nursing practice. The findings related to geographic location can be used by decision-makers for better allocation of digital health resources among care settings in rural and urban areas. Similarly, the disparities observed across nursing designations have some implications for the digital training of nurses at all levels of practice. Finally, the association between electronic medical record use and uptake of virtual care could accelerate the implementation of more modernized record-keeping systems in care settings. Hence, this could advance interoperability and improve health care delivery.

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Baldwin, Joan H., Cynthia O'Neill Conger, Chloe Maycock, and JoAnn C. Abegglen. "Health Care Delivery System Influences Changes in Nursing Educational Materials." Public Health Nursing 19, no. 4 (July 2002): 246–54. http://dx.doi.org/10.1046/j.1525-1446.2002.19404.x.

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Cardin, Suzette, Sandra Kane, and Kathleen Koch. "Use of Patient Care Extenders in Critical Care Nursing." AACN Advanced Critical Care 3, no. 4 (November 1, 1992): 789–96. http://dx.doi.org/10.4037/15597768-1992-4007.

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This article explores the implementation and use of patient care extenders in two critical care units. Experimentation and diversity in changing the care-delivery system were the forces motivating the management team to redesign the existing nursing care-delivery system. The impetuses for the change process were the use of the role of the registered nurse and cost containment. Two case studies will illustrate from a practical perspective how the change occurred. Although the same nurse manager was responsible administratively for the two units, the patient care extender models were implemented differently. This was based on the conviction that each unit is unique with regard to patients and staff needs. The first case study occurred in an 18-bed cardiac telemetry unit in which the patient extender care model was integrated with direct patient care activities of the unit. In the second case study, which occurred in a ten-bed cardiac care unit, the patient care extender was integrated with indirect patient care activities. The approach to this article is practical, and it is intended for units that may be dealing with these issues in these changing times in health care

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Barnsteiner, Jane H., Anne Mohan, and Pam Milberger. "Implementing Managed Care in a Pediatric Setting." AACN Advanced Critical Care 3, no. 4 (November 1, 1992): 777–87. http://dx.doi.org/10.4037/15597768-1992-4006.

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A challenge in the current nursing environment is the ability to provide care cost-effectively and yet achieve desired patient outcomes. The managed care delivery system facilitates achievement of these goals. The system incorporates management of time, resources, and personnel so that patient outcomes are achieved within appropriate time frames. This article describes the design and implementation of a managed care delivery system in a children’s hospital

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Nizar, Hina, and Parveen Chagani. "Analysis of Health Care Delivery System in Pakistan and Singapore." International Journal of Nursing Education 8, no. 2 (2016): 21. http://dx.doi.org/10.5958/0974-9357.2016.00041.6.

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Bonuel, Nena, Sandra Cesario, and Alma Degracia Cabading. "The Need for Critical Care Nursing Skills in an Acuity-Adaptable Care Delivery System." Critical Care Nursing Quarterly 33, no. 4 (2010): 356–60. http://dx.doi.org/10.1097/cnq.0b013e3181f649ef.

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Sudarsono, Ratna S. "Pengembangan Model Praktek Keperawatan Profesional (PKP) di RSUP – Cipto Mangunkusumo dan Hasil Yang Dicapai." Jurnal Keperawatan Indonesia 2, no. 5 (April 24, 2014): 157–65. http://dx.doi.org/10.7454/jki.v2i5.304.

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Model Praktek Keperawatan Profesional (PKP) diartikan sebagai suatu system (struktur, proses dan nilai-nilai professional) yang memungkinkan perawat professional mengatur pemberian asuhan keperawatan termasuk lingkungan yang diperlukan. Melalui pengembangan model ini terdapat otonomi dan akontabilitas perawat, pengembangan professional dan penekanan pada mutu asuhan keperawatan. Berdasarkan hal tersebut pada model PKP yang dikembangkan di RSCM diperlukan penataan 3 (tiga) komponen utama dalam pemberian asuhan keperawatan yaitu ketenagaan; metoda pemberian asuhan dan dokumentasi keperawatan. Pada model ini metoda pemberian asuhan keperawatan yang digunakan adalah tim primer (kombinasi metoda keperawatan primer dan metoda tim). Model ini dikembangkan di ruang rawat penyakit dalam dengan kapasitas 30 tempat tidur. Setelah model dimplementasikan +/- 8 bulan, hasil yang dicapai menunjukkan, secara kualitatif perawat primer merasakan kebanggaan professional, perawat asosiet mengatakan pekerjaan lebih terencana dan dokter menilai, bahwa mereka merasakan kerjasama dengan perawat lebih baik dibandingkan dengan ruang rawat lainnya. AbstractProfessional nursing practice model (PNPM) is a system (structure, process and values) that supports nurse control over the delivery of nursing care and the environment in which care is delivered. This model ensure nurse autonomy, nurse accountability, and professional development. It also emphasizes on high quality of care. In order to develop the model at Cipto mangunkusumo hospital, it is needed to focus on three main components. The components are nursing manpower, method of nursing care delivery and nursing documentation. The method of nursing care delivery used in this model is a primary team which is the combination of primary nursing and team method. The model was developed at medical word with 30 beds. After eight month implementation, a qualitative evaluation showed that primary nurses felt a professional pride, associate nurses stated that tasks are more organized and doctors assured that collaboration with nurses in the model unit is better than in order places.Keywords: Professional nursing practice model, primary team, primary nurse.

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Ponchitra, R. "NURSING INFORMATICS." Journal of Health and Allied Sciences NU 03, no. 02 (June 2013): 018–24. http://dx.doi.org/10.1055/s-0040-1703647.

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AbstractComputers have opened for us a world of information. New and emerging technologies will continue to have an effect on the health care delivery system. Nurses as a major player in health care, will be part of this ever growing era technology. A nurse must know generalized applications such as word processing, as well as specialized applications such as clinical information system. Virtual reality (simulation) and ubiquitous(every where) computing are emerging and being used in education and other areas in health care nursing knowledge workers must be able to understand the evolving specialty, nursing informatics, in order to begin to harness and use the tools available for managing the vast amount of health care data and information. This article mentions in detail about Nursing Informatics and therefore highlights that nursing informatics capabilities be appreciated, promoted, expanded and advanced to facilitate the work of the Nurse, improve patient care, and enhance the Nursing profession.

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Mallah, Faheem Ahmed, Shahzad Ali Khan, Nazeer Ali Buriro, Muhammad Baqar Baloch, and Mrs Surriya Parveen. "The DETERMINANTS AND DEVELOPMENTS IN CHOOSING NURSING PROFESSION AS CAREER, A QUALITATIVE ANALYSIS OF NURSING STUDENTS AT DISTRICT KHAIRPUR SINDH, PAKISTAN." Pakistan Journal of Public Health 8, no. 1 (May 16, 2018): 13–17. http://dx.doi.org/10.32413/pjph.v8i1.53.

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Background: Nursing is an important tier for the health care delivery system. Nurses are holding essential and largest part of health delivery system from direct care to management, performing many functions for the smooth operations of the health care delivery system. Nursing education ignored in Pakistan nowadays many nurses are being enrolled in nursing schools every year. Changes people to join nursing profession may vary from one another. Objectives: Our study's objectives were to explore motivating factors for the nursing profession, and to assess the motivational factors among student nurses. Methods: We conducted Focus Group Discussions with nursing students. Thematic content analysis was done after assigning codes, making sub categories and categories and then driving sub themes and themes. Results: Factors such as wish to become nurse, mostly an alternate as failure to get admission in medicine, to fulfill parents wish, financial support job either public or private and get a chance to settle abroad, and seeking stipend during training. Easy public, private or clinic set up and jobs abroad. According to our study findings most students chose nursing profession as alternate but not their first choice, many personal, professional and financial factors attract students to enroll into the nursing. Conclusion: We conclude that most of the nursing student's perceive nursing being more suitable for females supporting their financial health.

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Kuperberg, Karen, Diana Mager, and Susan Dello. "Transformation to Room Service Food Delivery In a Pediatric Health Care Facility." Canadian Journal of Dietetic Practice and Research 70, no. 4 (December 2009): 200–203. http://dx.doi.org/10.3148/70.4.2009.200.

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Patient food service is an important component in the nutritional management of hospitalized children. The previous meal delivery system at The Hospital for Sick Children in Toronto was a cold-plating re-thermalized system. Issues related to this model included order lead time, the reheating process, menu selection, and service style. Research into other systems led us toward room service, an innovative and flexible mode of meal delivery. Transformation to room service occurred over one year, and included implementation of a new computer system, kitchen renovation, redesign of menus and a new meal delivery system called Meal Train, and changes to human resource allocations. Throughout the transformation, consultations were held with key stakeholders, including the children’s council, the family advisory, the nursing council, and a multidisciplinary committee involving nursing staff, dietitians, patient service aides, infection control personnel, occupational health employees, patient representatives, and food services staff. Now, Meal Train is running smoothly, and meal days and food costs have been reduced. Others considering a project like this must know their clients’ needs and be willing to think outside the box. They should familiarize themselves with current information on systems and equipment, consult with key stakeholders within their organization, and then create the system that will work for them.

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Prentice, Dawn, Jane Moore, Bruna Fernandes, and Emma Larabie. "Nursing Care Delivery Models and Intraprofessional Collaborative Care: Canadian Nurse Leaders’ Perspectives." SAGE Open Nursing 8 (January 2022): 237796082211336. http://dx.doi.org/10.1177/23779608221133648.

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Introduction There are many different types of nursing care delivery models used to organize and provide care in hospitals. These models are comprised of different organizational structures and staffing skill mixes. Objective The aim of this study was to explore how nursing care delivery models promote intraprofessional collaborative care in acute care hospitals from the perspectives of nurse leaders. Methods A qualitative descriptive approach was used for this study. Telephone interviews were conducted between January 2021 and August 2021 using an interview guide comprised of semi-structured and structured questions. Using a purposeful sampling technique, ten leaders from nine hospital systems, representing both urban and rural hospitals in the province of Ontario, Canada, participated in the study. Content analysis was conducted resulting in two overarching themes. Results The first theme, Fluidity of the Model addresses the flexibility of the models and the impact of contextual factors such as changes in nurses’ scope of practice, government funding changes, staffing mix, and organizational policies and rules. The second theme, Tools of the Trade describes the resources that hospitals implement to promote intraprofessional collaboration that indirectly impacts on patient safety. Conclusion Nursing care delivery models need to be flexible and adaptable. All nursing care delivery models in this study used various tools to promote intraprofessional collaborative care.

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Adams, Rella, Ernestina H. Briones, and Anne R. Rentfro. "CULTURAL CONSIDERATIONS: DEVELOPING A NURSING CARE DELIVERY SYSTEM FOR A HISPANIC COMMUNITY." Nursing Clinics of North America 27, no. 1 (March 1992): 107–17. http://dx.doi.org/10.1016/s0029-6465(22)02753-0.

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Lindsay, Sadie, and Jenny Clark. "Primary nursing as a system of care delivery within a neonatal unit." British Journal of Midwifery 4, no. 6 (June 1996): 305–9. http://dx.doi.org/10.12968/bjom.1996.4.6.305.

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Monaghan-Geernaert, Pamela. "Cultural Continuity in a Reservation Nursing Home." Innovation in Aging 5, Supplement_1 (December 1, 2021): 232. http://dx.doi.org/10.1093/geroni/igab046.897.

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Abstract Throughout our lifespan we experience the culture of our families and communities. Our cultural selves guide our understanding of health and illness. However the health care system often ignores our culture in the delivery of care. This can have devastating effects on individuals and particularly the elderly. This presentation reviews a case study of a tribally owned and operated nursing home. The emphasis on maintaining cultural activities, feasting on traditional foods, offering sacred practices led to high satisfaction of the health care experience by residents and staff. Creating this environment was difficult and barriers in culturally responsive care delivery will also be discussed.

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NELSON, JOHN W. "The Empirical Relationship of Primary Nursing and Organizational Commitment." Creative Nursing 8, no. 2 (January 2002): 13–16. http://dx.doi.org/10.1891/1078-4535.8.2.13.

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Van Cleave, Janet H., Esther Smith-Howell, and Mary D. Naylor. "Achieving a High-Quality Cancer Care Delivery System for Older Adults: Innovative Models of Care." Seminars in Oncology Nursing 32, no. 2 (May 2016): 122–33. http://dx.doi.org/10.1016/j.soncn.2016.02.006.

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Smith, Thomas. "Leader Interview: A Visible Community of Primary Nurses." Creative Nursing 4, no. 2 (January 1998): 5–14. http://dx.doi.org/10.1891/1078-4535.4.2.5.

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Walsh, Linda V. "Alternative Health Care Delivery Systems???Nursing Opportunity or Threat?" Nurse Practitioner 13, no. 4 (April 1988): 56???65. http://dx.doi.org/10.1097/00006205-198804000-00007.

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Carr, R., and H. F. Marin. "Nursing Care Systems: Enhancing Care Processes in Practice and Management." Yearbook of Medical Informatics 17, no. 01 (August 2008): 25–28. http://dx.doi.org/10.1055/s-0038-1638578.

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Summary ObjectiveTo summarize aspects of nursing informatics application and introduces challenges that are currently being addressed by nurses around the world. MethodsKey contributions in the field are surveyed and put in the perspective of the IMIA Nursing Informatics Strategic Plan. Results As a discipline, nursing informatics offers real and practical instruments and opportunities to delivery nursing care across settings, units of care and specialties. A variety of patient care systems are managed by nurses who are introduced to this link during their training embracing information networks, communication skills together with an ability to work both in practice and administrative positions in a variety of clinical and community settings. Conclusion At a time when the tendency is toward a computer-based patient record, nurses must be able to identify what kind of nursing data and information will construct useable and useful nursing knowledge. There are many options for each area of application and the selection must be done carefully, considering the enhancement for organizational, technological and local requirements.

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Kasimovskaya, N. A., G. S. Lebedev, and I. A. Poleshchuk. "ASSESSMENT OF NURSES ' READINESS TO INTRODUCTION OF DIGITAL TECHNOLOGIES AND VIDEO MONITORING SYSTEMS INTO CARE DELIVERY TO SERIOUSLY ILL (LOW-MOBILITY) PATIENTS." Social Aspects of Population Health 66, no. 5 (2020): 9. http://dx.doi.org/10.21045/2071-5021-2020-66-5-9.

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Significance. The professional activity of nurses in multi-specialty hospitals includes a wide range of responsibilities with a high shift load, which can result in lower quality of care delivery to seriously ill (low-mobility) patients. At the same time, digital technologies are yet to be widely used in the professional activities of inpatient nurses, which serves basis for improving care delivery to seriously ill (low-mobility) patients through digital technologies and video monitoring systems. The purpose of the study: to assess readiness of nurses to the introduction of digital technologies and video monitoring systems in care delivery to seriously ill (low-mobility) patients. Material and methods: a study on readiness of nursing staff to the introduction of digital technologies and video monitoring systems in care delivery to seriously ill (low-mobility) patients was implemented (n=565). The analysis was carried out on the basis of descriptive statistics methods. The significance level is set equal to p<0.05. Results. The study shows that almost every fifth nurse 19.0% ±1.65% (CI 15.7% - 22.30%) is ready to carry out professional activities for seriously ill (low-mobility) patients under the control of a video monitoring system in order to improve quality of care delivery; almost every fifth nurse 19.9%±1.68% (CI 16.54% -23.26%) considers it possible to evaluate quality of care delivery to seriously ill (low-mobility) patients using digital technologies (surveillance systems, video cameras. Conclusions. Nurses of medical organizations (hospitals) are not always ready for the use of digital technologies and introduction of the round-the-clock video monitoring system, however they show readiness if quality of care to patients improves. Keywords: digital technologies; modern methods to monitor work of nurses; nursing; professional activities of nurses.

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Moore, Shirley M., and Constance Visovsky. "Nursing in the New Millenium: Touching Patients' Lives Through Computers." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 44, no. 12 (July 2000): 2–626. http://dx.doi.org/10.1177/154193120004401249.

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Common nursing functions, previously done in face-to-face interactions, are beginning to be done using computer interactions, thus changing the work environment of nurses. This paper reports experiences from a series of projects about the potential impact of electronic care delivery systems on nurses' work systems. Nurses' attitudes towards technology, values central to nursing practice and nursing functional roles are important factors to consider when designing computerized nursing care delivery systems.

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Flynn, MB, and J. Luchsinger. "Trauma care strategies for changing economic forces." Critical Care Nurse 17, no. 6 (December 30, 1997): 81–89. http://dx.doi.org/10.4037/ccn1997.17.6.81.

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Nurses have expertise in wellness, health promotion, delivery of acute care, and rehabilitation. As the venture into healthcare reform deepens, nurses must take a more proactive role in redirecting the delivery of trauma care in such a way that optimal provision of healthcare services is maintained while costs of providing care are reduced across the continuum of care. Efforts must focus on preventing traumatic injuries, restructuring healthcare delivery systems to meet the needs of patients with traumatic injuries, and reducing healthcare expenditures. Table 3 outlines strategies used by our facility to decrease cost without compromising patients' care. The current era is fraught with rapid changes that necessitate a creative, rational, and organized approach to making decisions about the delivery system for patient-focused care. Nurses are in an optimal position to develop and implement interdisciplinary, creative strategies that will maximize the delivery of trauma care services to the community. Each institution must evaluate the processes involved in its delivery of trauma care services. Strategies to contain costs must focus on processes implemented to achieve optimal outcomes of patients' care. The economic marketplace will evaluate care on the basis of outcome statistics and cost analysis. Thus, nurses must continue to be critical evaluators of nursing practice, always striving for the best healthcare delivery system possible during these turbulent economic times.

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Sarita Dubey and Suman Lata. "Extended And Expanded Roles Of Nurse In Promotive, Preventive, Curative And Restorative Health Care Delivery System In Community And Institution." Jai Maa Saraswati Gyandayini An International Multidisciplinary e-Journal 2, no. III (January 30, 2017): 04–06. http://dx.doi.org/10.53724/jmsg/v2n3.03.

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Professional nurses assume a member of roles and sub roles concurrently as they seek to provide comprehensive care to clients with multiple disorders in a variety of health care settings. The role of nurses was to provide care and comfort as they carried out specific nursing requires that the nurse posses knowledge and skills. Changes in nursing have extended the role to include increase emphasis on health promotion and illness prevention. As a protector the nurse helps to maintain in safe environment. Nurse act as manger and co-ordinator by delegating some responsibility to and supervising other health care worker. Specific employment positions with increasing educational opportunity for nurses and the growth of nursing as profession, along with a greater concern for enrichment, nursing offers expanded roles. These include the nurse as Nursing tutor, Clinical nurse specialist, Nurse practitioner, certified nurse midwife, Nurse Anaesthetist, Nurse Administrator, Nurse Researcher.

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Brennan, Patricia Flatley, and Stefan Ripich. "Use of a Home-Care Computer Network by Persons With AIDS." International Journal of Technology Assessment in Health Care 10, no. 2 (1994): 258–72. http://dx.doi.org/10.1017/s0266462300006218.

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AbstractComputer networks serve as convenient, efficient, and enduring vehicles for delivering nursing services to patients at home. The ComputerLink, a specialized computer network, provided nurse-supervised information, decision support, and communication services to home-dwelling persons living with AIDS (PWAs). During a 26-week randomized field experiment, 26 PWAs accessed the ComputerLink on more than 8,664 occasions. The communications area was used most often; the public communication area functioned like a support group. Multiple behavioral measures of use provide a rich picture of how these PWAs, none of whom had had prior computer experience, adopted and adapted to this innovative nursing care delivery system. Meeting the needs of a rapidly growing and diverse population of home-care clients demands that nurses make effective use of existing technologies such as cable television and telephone triage systems. Computer networks combine the best features of cable television and telephone systems—broadcast distribution and interaction; therefore, computer networks represent an ideal technology for the delivery of certain nursing services to the home.

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Klemp, Jennifer R., Heather Vanbebber, Tanya Folker, Lisa Serig, Tim Metcalf, Audrey Roberts, Meredith Cooper, and Debbie Fernandez. "A health system wide approach to the delivery of survivorship care plans." Journal of Clinical Oncology 36, no. 7_suppl (March 1, 2018): 42. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.42.

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42 Background: Survivorship care plans (SCPs) are recognized by organizations including the American Society of Clinical Oncology and the American College of Surgeons Commission on Cancer, as a best practice for improving survivor care. Little evidence supports this and hospitals and cancer centers are scrambling to meet deadlines for SCP development and delivery. The University of Kansas Cancer Center (KUCC) addressed this utilizing electronic health record (EHR) integration, developing a health system wide approach to education and delivery, and building referral workflows to primary care and specialists. We report on this approach to developing and growing a survivorship care program. Methods: KUCC is a NCI designated cancer center within an academic medical center and health system, with 11 outpatient locations across the Kansas City. Under the guidance of a multidisciplinary team: providers, health care informatics, administrators, nursing, tumor registry, quality improvement, and researchers, KUCC developed a step-wise process to deliver comprehensive survivorship care across the health system. This multi-year initiative aligned with institutional accreditation standards and an ongoing focus on expanding evidence based, comprehensive cancer and supportive care. Results: In 2014 a formal survivorship program plan was put into action: Support from leadership, providers, research priority; Staff and patient survivorship education & training; Integrated delivery of survivorship care at all locations with direct interaction and feedback from cancer care teams; Short & long-term programmatic goals; Management and referral of late effects of cancer; EPIC integrated SCP template: auto-populated, customized, personalized; treatment summary uses tools that pull in data stored discreetly in the patient "file"; SCP delivery targeting COC phase-in timeline: 2015: n= 539 (10% projection n= 434); 2016: n= 1,355 (25% projection n=1,253). Conclusions: This step-wise, integrated approach to survivorship care has resulted in a health system wide delivery of SCPs and meeting national accreditation standards. Next steps include the evaluation of cost and clinical/patient reported outcomes.

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Fitzgerald, Les. "Is It Possible For Caring To Be An Expression of Human Agape In The 21 st Century?" International Journal of Human Caring 2, no. 3 (April 1998): 32–39. http://dx.doi.org/10.20467/1091-5710.2.3.32.

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In Australia and in particular the State of Victoria, the health care delivery system is undergoing paradigmatic change. The development of a bureaucratic health care system that incorporates Casemix Funding, Australian National-Diagnostic Related Groupings and Managed Care models has resulted in the quantification of health care, which has undervalued the art of nursing. This article suggests that in human agape, regard for one’s neighbour and also one’s self clarifies the caring relationship and can assist the emancipation of the artisan component of nursing. A vision of nursing in the future shows a profession engaged in discourse and everyday dialogue about the concept of love as it relates to caring in nursing.

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Henry, Elizabeth, Abigail Silva, Elizabeth Tarlov, Cheryl Czerlanis, Margie Bernard, Cynthia Chauhan, Denise Schalk, and Greg Stewart. "Delivering Coordinated Cancer Care by Building Transactive Memory in a Team of Teams." Journal of Oncology Practice 12, no. 11 (November 2016): 992–99. http://dx.doi.org/10.1200/jop.2016.013730.

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Cancer care delivery is highly complex. Treatment involves coordination within oncology health-care teams and across other teams of referring primary and specialty providers (a team of teams). Each team interfaces with patients and caregivers to offer component parts of comprehensive care. Because patients frequently obtain specialty care from divergent health-care systems resulting in cross-system health-care use, oncology teams need mechanisms to coordinate and collaborate within and across health-care systems to optimize clinical outcomes for all cancer patients. Transactive memory is one potential strategy that can help improve comprehensive patient care delivery. Transactive memory is a process by which two or more team professionals develop a shared system for encoding, storing, and retrieving information. Each professional is responsible for retaining only part of the total information. Applying this concept to a team of teams results in system benefits wherein all teams share an understanding of specialized knowledge held by each component team. The patient’s role as the unifying member of the team of teams is central to successful treatment delivery. This clinical case presents a patient who is receiving oral treatment for advanced prostate cancer within two health systems. The case emphasizes the potential for error when multiple teams function without a point team (the team coordinating efforts of all other primary and specialty teams) and when the specialty knowledge of providers and patients is not well integrated into all phases of the care delivery process.

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Inutsuka, Hiroki, and Sayaka Fujimaru. "Analysis of the Fundamental Character of Nursing Care Delivery System Based on Mathematical Models: Character of the Partnership Nursing System." Journal of Japan Academy of Nursing Science 41 (2021): 567–72. http://dx.doi.org/10.5630/jans.41.567.

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Grobe, S. J. "Nursing Informatics: State of the Science." Yearbook of Medical Informatics 03, no. 01 (August 1994): 85–94. http://dx.doi.org/10.1055/s-0038-1637997.

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AbstractNursing informatics is a combination of computer science, information science and nursing science designed to support the practice and delivery of patient care. Using the informatics model of data, information and knowledge, the nature of automated systems to support clinicians in their delivery of high-quality care are described from their inception to their current state, and the importance of research to advance the state of nursing know ledge are emphasized. The evolution of clinical care systems and nursing management systems are viewed, as is the progress of the scientific work relative to nursing informatics. Milestones in the advancing state of the science are identified and the conclusion is drawn that although nursing informatics has evolved, much scientifically based work remains. Key nursing informatics resources identified in the paper support this conclusion about what remains to be accomplished.

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King, Michalene A. "Review of research about parish nursing." Online Brazilian Journal of Nursing 3, no. 1 (March 27, 2004): 12–19. http://dx.doi.org/10.17665/1676-4285.20044896.

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Parish nursing is a unique type of community health nursing. Parish nurses do not perform hands-on nursing. Parish nursing care complements other health care delivery systems in the United States. Empirical literature about parish nursing is categorized into health needs assessment, parish nursing practice, and perceptions of parish nursing. Parish nursing can be seen as a means to reduce health care costs and improve the health of a community

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Holtz, Carol. "Chapter 2: Comparative Systems of Health Care Delivery." Journal of Transcultural Nursing 21, no. 4_suppl (October 2010): 39S—51S. http://dx.doi.org/10.1177/1043659610368977.

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Staveski, Sandra, Kit Leong, Katelyn Graham, Linda Pu, and Stephen Roth. "Nursing Mortality and Morbidity and Journal Club Cycles." AACN Advanced Critical Care 23, no. 2 (April 1, 2012): 133–41. http://dx.doi.org/10.4037/nci.0b013e3182424ce7.

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The ability to perform professional scrutiny is a required component of autonomous practice, and the ability to use science to guide care delivery is a hallmark of professional practice. The cardiovascular intensive care unit staff initiated a forum for peer review to encourage the use of the best available evidence to guide system and practice changes. A focus group was formed, resulting in development and implementation of a specific process for regular cycles of nursing mortality and morbidity (M & M) conferences, a journal club, and interdisciplinary educational sessions in staff meetings. After performing several cycles, the team observed interdisciplinary practice changes that improved patient care delivery. Thus, cycles of nursing M & M conferences, a journal club, and educational sessions can help support patient safety, enhance professional autonomy, and foster evidence-based interdisciplinary practice in the cardiovascular intensive care setting.

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Lee, Chung Yul, Kobkul Phanchareanworakul, Won Jung Cho, Nantawan Suwonnaroop, Margaret J. Storey, Chongjit Sanaeha, Panudda Priyatruk, et al. "A comparative study of the health care delivery system of Korea and Thailand." Nursing Outlook 51, no. 3 (May 2003): 115–19. http://dx.doi.org/10.1016/s0029-6554(03)00081-2.

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GOLDBERG, B., M. BAISCH, and R. FOX. "Teen pregnancy service An interdisciplinary health care delivery system utilizing certified nurse-midwives." Journal of Nurse-Midwifery 31, no. 6 (November 1986): 263–69. http://dx.doi.org/10.1016/0091-2182(86)90035-2.

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Heydari, Abbas, Mohammadhesam Sharifi, and Ahmad Bagheri Moghaddam. "Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research." Open Access Macedonian Journal of Medical Sciences 7, no. 21 (October 13, 2019): 3682–90. http://dx.doi.org/10.3889/oamjms.2019.846.

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BACKGROUND: Enhancing the quality of care for elderly patients needs an understanding of the challenges and obstacles experienced by the intensive care unit (ICU) staff in providing care. AIM: To explore the most challenging issues experienced by ICU staff, in particular, nurses, in the care of elderly patients in the general adult ICU. DESIGN: A qualitative research design was employed. The Standards for Reporting Qualitative Research (SRQR) were followed. METHODS: Based on theoretical sampling, we carried out 34 in-depth semi-structured interviews from two medical adult ICUs. Data analysis was carried out using qualitative conventional content analysis. RESULTS: Data analysis led to the identification of three interrelated categories and 12 subcategories. Three main categories were factors related to nurses’ attitude in elderly care, factors related to the system of care, and factors related to the models of patient care delivery. These categories came under the main theme of "Inappropriate and unfair system for elderly care". CONCLUSION: The findings of this study increase scholarly understanding of challenges and barriers to providing care to elderly patients in the general adult ICU. We found that the provision of care to elderly patients is inappropriate and unfair. Various obstacles must be overcome to improve the care of these patients. For example, negative attitudes toward elder care, inappropriate environments, lack of resources, lack of knowledge and skills, a specialized model of care delivery, respect for humanity, care without considering patient age, and separating professional conflicts from patient care. These findings may be used by ICU’s caregivers and managers to improve the quality of care. IMPLICATIONS FOR PRACTICE: Various obstacles were documented that need to be overcome by hospital administrators, nursing managers, clinical nurses, nursing educators, nursing researchers to improve the care of elderly patients admitted to ICU.

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Shukla, Ramesh K. "Factors and Perspectives Affecting Nursing Resource Consumption in Community Hospitals." Health Services Management Research 5, no. 3 (November 1992): 174–85. http://dx.doi.org/10.1177/095148489200500302.

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The consumption of professional and non-professional nursing resources on medical/surgical nursing units varies sharply among community hospitals. In an effort to explain the variation, this study examines several factors: socio-economic characteristics of the population; supply of registered nurses; hospital characteristics such as size, complexity and diversity of services; patient characteristics such as case mix index and nursing care acuity index; and production system characteristics such as efficiency of technical support systems and the structure of nursing care delivery. Nursing skill mix varies more than the staffing levels among hospitals. The research suggests that factors associated with a clinical-rational model such as nursing acuity index and the efficiency of clinical/support systems explains little, whereas factors associated with economic-rational model of hospital revenues – like case mix, number of hospital services, poverty (through Medicaid program) and age distribution (through Medicare program) – do significantly affect nursing resource consumption. The results point to the presence of resource allocation to nursing based on hospital revenues rather than patient care needs.

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Cowell, Sarah, and Charlotte Botes. "Experience with setting up community intravenous therapy clinics." British Journal of Community Nursing 25, no. 6 (June 2, 2020): 300–302. http://dx.doi.org/10.12968/bjcn.2020.25.6.300.

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The NHS Long Term Plan aims for patients to receive more options, better support and integrated care at the right time and in the optimal care setting. Community nursing teams at the Wirral Community Health and Care NHS Foundation Trust have experienced several challenges in delivering intravenous antibiotics (IV) to patients within their own homes, especially for non-housebound patients, due to the complexity of and demand on the service. Traditionally, intravenous antimicrobials are administered in the acute hospital or in-patient settings. However, there is now a growing trend to deliver intravenous antibiotic therapy within the community. Community nurses have a wealth of knowledge and skills that can support the delivery of the NHS Long Term Plan by developing new models of care in integrated care systems while supporting the implementation and delivery of the governments five-year action plan on antimicrobial resistance. This article describes how the community nursing service at Wirral Community Health and Care NHS Foundation Trust set up community IV clinics.

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Calvin, K. L., Gail R. Casper, Ben-Tzion Karsh, Patricia F. Brennan, Laura J. Burke, Pascale Carayon, Anne-Sophie Grenier, Carolyn Krause, Judy Murphy, and Margaret Sebern. "Work System Analysis of Home Nursing Care and Implications for Medication Errors." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 49, no. 11 (September 2005): 1052–56. http://dx.doi.org/10.1177/154193120504901111.

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The purpose of this study was to examine the context of the provision of home nursing care for patients with congestive heart failure. A modified macroergonomic analysis and design work system analysis was undertaken in two phases with fourteen nurse participants: I) field observations of eight nurses for the collection of data on work elements and II) follow-up telephone interviews with six home care nurses. Open-ended questions were asked after the observations to identify clinical knowledge, policies, and procedures that influenced care decisions and practices. The telephone interviews focused on four different aspects of home health care delivery and were conducted using semi-structured questions. Results of the observations were translated into flowcharts and a summary report. The baseline findings described aspects of home medication management and its relevance to safety, quality of care, communication, and self-management.

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Bent,, Katherine N., Judith A. Burke,, Amanda Eckman,, Tammy Hottmann,, Jane McCabe,, and Rebecca N. Williams,. "Being and Creating Caring Change in a Healthcare System." International Journal of Human Caring 9, no. 3 (April 2005): 20–25. http://dx.doi.org/10.20467/1091-5710.9.3.20.

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Nursing leaders from the VA Eastern Colorado Health Care System (VAECHCS) developed an evolving model of caring theory-guided practice. As leaders and administrators with multiple roles, functions, and perspectives in a large healthcare system, the authors create and hold space for human caring and relationship-centered care within a clinical practice setting. This article contributes an overview of their action research framework and how they use this framework to link practice, theory, and inquiry in the delivery of healthcare services.

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Thurston, Janet. "Health Policy and Nursing: Crisis and Reform in the US Health Care Delivery System." Journal of Human Lactation 11, no. 2 (June 1995): 146–47. http://dx.doi.org/10.1177/089033449501100228.

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Journal articles on the topic 'Nursing care delivery system'

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