Care Delivery Model Assignment Paper
General Requirements:
This assignment will give you practice with presentation software along with preparing you to provide specific information for your proposed changes. This is a two-part assignment that will also give you practice in presenting to administrators.There will be times when the doctor ally prepared advance practice nurse will need to suggest a nursing model change or a change in care delivery. It will be important for the doctor ally prepared advanced practice nurse to have an understanding of how to deliver information and what information should be shared with an audience.Care Delivery Model Assignment Paper
Use the following information to ensure successful completion of the assignment:
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Lopes Write.
Directions:
Part One:
Create a 12-15 slide presentation (PowerPoint, include slide notes or voice over; Prezi, include voice over) that presents a proposed care delivery or nursing model change for a department that aligns costs, quality, and health that supports the care of patients across the continuum. Include the following:Care Delivery Model Assignment Paper
Background of issue
The proposed solution
How solution meets need of population (stakeholders, cost, and payer to proposed change)
Proposed change process to implement delivery model
Expected outcomes
Implications that are realistic and aligned with current and future health care financing
Part Two:
Present your presentation to at least one administrator.
Write a brief summary, 100-250 words, of the feedback given to you by the administrator(s).
Portfolio Practice Hours:
Practice immersion assignments are based on your current course objectives and is application based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the syllabus by a Portfolio Practice Hours statement, which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.
You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.Care Delivery Model Assignment Paper
To earn portfolio practice hours, enter the following after the references section of your paper:
Practice Hours Completion Statement DNP-840
I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Care Delivery Model Assignment Paper
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
The history of health care delivery differs from region to region, and today there is a wide range of different types of health delivery systems. They differ from nation to nation affected by different cultures, histories and other specifications. In some countries health care delivery is controlled by government or other public organizations that represent a special unified system that covers the needs of society. There are states where health care delivery is allotted to different participants of the health care market. Therefore, the health care delivery systems can be private or public. They also differ in their origins, payment models and state income level. To see the differences and similarities of different types of health care delivery systems, it is needed to study the examples of implemented systems in different countries.Care Delivery Model Assignment Paper
The Australian health care delivery system, Medicare, is a public one. The system is funded through the Medicare ley, the taxation type that is not paid by the poor and is enlarged for the rich. The system covers the needs in medical treatment of the entire Australian population (Yadav, Cheng, Odigwe, Shibata, Ham, 2009). The system covers the fees, but the real coverage depends on the place where the medical treatment is received and who treats the patient. All the fees are covered if the patient is a public one. In such case, the public hospital provides a patient with all medical care from the specialists designated by the hospital. The private patient receives medical care from the chosen doctor and receives only seventy five percent cover. However, the rest may be covered by the private insurance if the patient has one. Australian system supports the combination of public and private health care insurances. The doctors are self-employed.
The United Kingdom public health delivery system is also public and it is called National Health Service (NHS). Such a system is really unique as it was the first one to provide the health care delivery service for the entire population. The medical treatment is provided because of the need and is not based on the financial means. The material support comes from central funds, and the system functions to provide the good quality medical treatment that meets the needs of the whole population. The system depends on the medical practitioners that represent the first step in the medical treatment sector. Another important role is given to the hospitals. The doctors are employed by NHS. The general practitioners’ contracts are regarded by NHS (Gillies, 2003).
The Untied States health care delivery system combines public and private types as it also has both types of health insurance. The private insurance covers more than a half of the population, because a lot of people get insurance on their working place. The public sector has different programs that specify on the particular group of people. There exists Medicare for the old people and people with disabilities, a Medicaid program for the poor adults and the State Children Health Insurance Plan for poor children. Unfortunately, the system is not effective, because a huge number of people still lack the health insurance and medical care (Chase, 2013). American health care delivery system is the most expensive in the world, although it does not satisfy the population.Care Delivery Model Assignment Paper
Absolutely different missions and philosophies are being represented in the above examples. From my point of view, the health care delivery system aims to support people with the proper medical treatment as the medical care is the most important service for the healthy and wealthy society. That is why I support the United Kingdom health care delivery system as I think that this sphere needs to base on people’s needs, not on their financial abilities. The human life and life in general cannot be measured in money, so I think that health care delivery needs to be free from it. In addition, the doctors have to be employed and supported to feel that they also receive the needed help and support as they really deserve it.
This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. This episode of care will be analyzed using up to date references, health care policies and relevant models. Issues and theories relating to leadership qualities and management styles will also be explored, taking into consideration any legal, ethical and political factors that may have impacted on patient care. Care delivery, delegation and prioritization will be examined along with team working, risk assessment and patient safety. I will also take into consideration my role as a supervised student nurse and analyze the roles and responsibilities of those supervising me and what influence this has on my practice. These issues will be debated and questioned within the framework of leadership and management theory
In order that I could use this situation for my reflection the patient will be referred to as “Mrs A”. In this assignment confidentiality will be maintained by the use of pseudonyms, this is to maintain privacy and confidentiality in line with the NMC Code of Professional Conduct (NMC, 2008), “as a registered nurse, midwife or health visitor, you must protect confidential information”, and to “Treat information about patients and clients as confidential and use it only for the purpose for which it was given.”
Starting an extended practice placement as a third year nursing student enables the student to develop their knowledge and skills in management and leadership ready for their role as a qualified adult nurse. During my extended practice placement there were many opportunities to develop these skills and manage my own caseload of patients and arrange many complex aspects of their care.
During this placement an 88 year old patient, to be known as Mrs A, was due to be discharged from a rehab centre following recurrent falls, issues with safety at home, and self neglect, the referral had been made by a concerned General Practitioner. Mrs A had spent the last 6 weeks receiving holistic multidisciplinary care, including; intensive physiotherapy, occupational therapy and nursing care. Mrs A had made much improvement and was able to safely administer her own medication.Care Delivery Model Assignment Paper
One of the Physiotherapists called Ken, had commented during handover, that Mrs A had seemed confused during their session together, and asked if the nurses would go in and review her. Upon visiting Mrs A it was clearly evident that she was not herself, and seemed confused. Following discussion with my mentor I felt that Mrs A was not safe to administer her own medication. I recommended to the patient to let the rehabilitation staff administer her medication. Mrs A consented to this, thus reducing a great risk of Mrs A causing her-self harm. I delegated to the support workers to obtain a urine sample which was tested and confirmed that Mrs A had a urinary tract infection, antibiotics were prescribed by her GP. The team leader at the rehabilitation center was informed of Mrs A’s infection and plan to handover the administration of her medication to them, she was happy with this decision and pleased that I had informed her.
This episode of care was managed effectively as the underlying cause of the patients confusion was discovered and treated, a risk assessment was completed and a referral was promptly made to medicine management and a dos sett box was supplied to Mrs A, to help her manage her own medications safely. All members of the multi-disciplinary team were fully committed to the team approach to care delivery and this facilitated efficient and organized care delivery. The care delivered was patient-centered and teamwork was integral to providing this care.
First will be a discussion on the importance of self awareness and how this awareness enabled a more assertive and confidant approach to be made to managing patient care.
Self awareness must be considered as the foundation for management and is a vital skill and quality needed in leadership. If you wish to provide care that is of a high standard and improve your own performance as a skilled health care professional you need to manage the cognitive, effective and behavioral self in order to engage effectively in therapeutic relationships. Self awareness is the process of understanding one’s own beliefs, thoughts, motivations, biases and limitations and recognizing how they affect the care and services provided (Whetten and Cameron, 2010).Care Delivery Model Assignment Paper
Without being self aware, recognizing personal and cultural beliefs, and understanding interpersonal strengths and limitations, it is impossible to establish and maintain good relationship with co-workers and patients. Maslow’s Hierarchy of Needs Theory (1954) depicts self-actualization at the highest level of the hierarchy of needs. This relates to the need to maximize potential and achieve a sense of personal fulfillment, competence, and accomplishment (Maslow, 1954). It is important as a student nurse to be completely aware of strengths and weaknesses, and to be conscious of any limitations, self-awareness helps to exploit strengths and cope with weaknesses (Walshe and Smith, 2006).
When organizing and planning patient care it is vital to have effective management and leadership skills, this is part of every nurse’s role, and involves planning, delivering and evaluating patient care. These management responsibilities are part of every nurse’s role (Sullivan and Garland, 2010) and to exhibit these professional behaviors demonstrates their value to the organization (Huber, 1996). To understand nursing management it is crucial to understand what nursing management is and the theory behind it.
Managers are defined as “a member of a specific professional group who manages resources and activities and usually has clearly defined subordinates” (Gopee & Galloway, 2009). Another definition of management is a process by which organizational goals are met through the application of skills and the use of resources (Huber, 1996).Care Delivery Model Assignment Paper
Borkowski (2010) argues that Douglas McGregor made a significant impact on organizational behavior and was an American social psychologist that proposed the ‘X-Y’ theory of management and motivation. McGregor (1966) describes the ‘X-Y’ concept as the theory that underpins the practices and attitudes of managers with regard to their employees. Huber (2006) states that theory ‘X’ managers assume that employees are lazy, that they dislike responsibility, would rather be directed, oppose change and desire safety. Theory ‘X’ implies that employees are rational and easily motivated (either by money or threat of punishment); therefore managers need to impose structure and control and be active managers (Huber, 2000).
Huber (2000) asserts that the opposing theory, (‘Y’) assumes that people are not lazy and unreliable by nature rather that they are self-directed and creative if well motivated in order to release their true potential. Businesslike.com (2002) asserts that most managers are inclined towards the ‘X’ theory and usually obtain poor results whereas managers who implement the ‘Y’ theory produce better performance and results thus allowing people to grow and develop (Business balls.com, 2002). Care Delivery Model Assignment Paper