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Care delivery models: Challenge to change
Author(s) -
Winslow Susan,
Cook Cassey,
Eisner Wendy,
Hahn Donna,
Maduro Ralitsa,
Morgan Kristi
Publication year - 2019
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12827
Subject(s) - staffing , general partnership , nursing , delegation , workflow , nursing management , patient satisfaction , quality (philosophy) , multidisciplinary approach , medicine , psychology , business , computer science , social science , philosophy , finance , epistemology , database , sociology , political science , law
Aim The purpose of this project was to evaluate a partnership model of care delivery on nurse and patient satisfaction and clinical outcomes. Background Care delivery models result in practical staff assignment decisions based on perceived fairness. The division of labour lies in social interaction of participants. Research notes that partnership team models require effective communication skills and delegation abilities to sustain. Method This project used multiple methods in two study sites. A convenience sample was used to assess measures. Institutional Review Board approval obtained. Results Nurse satisfaction statistically increased in one setting and statistically decreased in the other setting. One statistically significant difference in a clinical outcome was noted. Patient satisfaction, nurse turnover and vacancy rates failed to reveal anything of statistical significance. Observed operational care components improved in both settings. Conclusions Care delivery models are determined by a variety of factors of resource availability, unit culture, and quality and patient safety priorities. Identification of preferential structural approaches to guide nursing workflow is needed. Implications for Nursing Management Innovative models of care delivery must be predicated on new role skills of delegation and negotiation for nurses, purposeful oversight and mentoring for sustainable success. Staffing can influence the integrity of care delivery models.