Care Delivery Model

Running head: CARE DELIVERY MODEL 1
Care Delivery Model
Selina Dykes
Grand Canyon University: NSG 436
June 8, 2020
CARE DELIVERY MODEL 2
Care Delivery Model
Care delivery models guide nurses and health care providers into deciding what route to
treat patients. This method analyzes each patients’ needs, the patient’s past medical history and
medical necessities in order to determine certain interventions that will provide the utmost level
of care. This paper will analyze various care delivery models, rationales for a chosen model and
the financial impact these models can carry within hospitals.
Delivery Models
Within the health care field, there are various methods and routes to determine which is
best for each patient. Care delivery models provide a step by step process that allows the most
efficient and safest plan. Of the many types of models, private duty nursing and team nursing
stood out. Private duty nursing focuses on care for the patient as a whole in the comfort of their
homes or can be carried throughout their hospital stay. This is known as holistic care, where the
mind, body and soul are cared for equally. This model style additionally is composed of two
models that were evolved further into the advancement of care. This consisted of group nursing
where nurses were allotted a certain number of patients who paid for their services and total
patient care where nurses planned and delivered care during their shift (Huber, 2018).
Advantages to this care model is nurses were able to have one on one relationships with their
clients and granted nurses a lot of autonomy when it came to decision making. Disadvantages
include the high cost because patients had to specifically pay these nurses rather than the
hospital. A second care delivery model, team nursing, incorporates a group of professionals such
as registered nurses, certified nursing assistants and charge nurses in order to deliver proper care.
This form of care acknowledges each position on the “team” and divides the work up based on
skills and scope of practice. There is a leader in charge to determine a plan of care and to oversee
all members of the team. Advantages of this delivery model include having multiple providers
overseeing the care of patients which decreases the chances for errors and increases patient
satisfaction as well as having more positive outcomes. Furthermore, tasks would get concluded
earlier because there would be a team that works together to efficiently complete these.
Disadvantages include only having one leader which could lead to burnout. Additionally, if there
are opposing views on certain scenarios, it could become detrimental to the patient’s health
because there could be arguments and disagreements on routes of care. With conflict, this model
could have a contradictory effect.
Care Model Rationale
Of the two care models discussed above, a team nursing care delivery would be best
implemented on a 24-bed medical/surgical unit. With this model, the leader is able to delegate
tasks and patients to each registered nurse as well as giving them multiple resources such as
certified nursing assistants. “Team nursing gains with its emphasis on teamwork and structure
and allows for the supported articulation of multiple skill and experience levels” (Fairbrother,
Chiarella & Braithwaite, 2015). By using a collaborative team, the leader is able to extract
certain skills from each member and apply it towards the care of each patient. Patient care is of
the utmost importance in this scenario which is why having a team divide the work among 24
beds can be a difficult task. With nurse manager in charge there is someone who can direct each
member which makes this person the point of contact to switch assignments, become available
for questions and clarifications as well as decide on routes of care. Furthermore, on a busy floor
such as this one, it can be easy to become stressed especially if there is a lack of staff, so having
a leader can diffuse any arguments and disagreements that arise in a time efficient manner.
Financial Impact
The cost to implement new interventions can carry a large burden to an organization.
Having a strict budget can directly impact the wellness of the patients as well as nurses. “Nurse
leaders face uncomfortable situations when deciding between labor budget pressures and staffing
for client care needs” (Huber, 2018, p. 147). The decision to be made here is increasing the
budget to further patient care or put nurses at risk for burnout while taking on a larger load of
patients. The downfall of having the team nursing model would include the hiring of more aids
and techs to support the registered nurse in providing care for patients. Furthermore, it could
save money by using the team model since these additional members are not paid as much as
registered nurses. Additionally, by spending money on positions that are not paid as much, it
could lead to the necessary monetary needs for more nurses. With a bigger gap to hire additional
nurses, it could help the approach in the 24-bed medical surgical unit.
References
Fairbrother, G., Chiarella, M., & Braithwaite, J. (2015). Models of care choices in today’s
nursing workplace: where does team nursing sit? Australian Health Review, 39(5), 489–
493. https://doi-org.lopes.idm.oclc.org/10.1071/AH14091
Huber, D. L. (2018). Leadership and nursing care management (6th ed.). St. Louis, MO:
Elsevier-Saunders. ISBN-13: 9780323389662

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Running head: CARE DELIVERY MODEL 1

Grand Canyon University: NSG 436

Care Delivery Model

the financial impact these models can carry within hospitals.

could have a contradictory effect.

Care Model Rationale

leaders face uncomfortable situations when deciding between labor budget pressures and staffing

Elsevier-Saunders. ISBN-13: 9780323389662

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