Employing bedside tools and techniques
Introduction and background
Healthcare centers all over the US have been looking for cost- cutting techniques whilst simultaneously retaining the superior quality of their patient care delivery. Considering the present economic scenario, cost- cutting is vital for healthcare organizationsâ€™ continued functioning. An estimated growth in the number of patients lacking the funds to pay for services and Medicare/ Medicaid reimbursement decline together contribute to a financially trying time for the health sector. Facilitiesâ€™ inability to be proactive in responding to the aforementioned shifting trends may result in dramatic cuts, capable, successively, of greatly limiting small communitiesâ€™ access to health care. Such a scenario compels healthcare organizations to come up with creative solutions to save, financially. Making adjustments to a facilityâ€™s nurse assistant, registered nurse (RN) and licensed nurse practitioner skills mix in a given nursing unit may facilitate the delivery of more effective patient care, thereby enhancing both provider and patient satisfaction (Gier, 2013). Without a sound, competent nursing workforce, healthcare organizationsâ€™ care delivery expenses increase in numerous ways. Increased personnel resignations, for instance, mean greater expenditure in the area of recruiting and training. Further, salary hikes are typically needed to draw in fresh candidates (Berlin & Grote, 2013).
Healthcare facilities need to endeavor towards improving their patient flows, decreasing hospitalization duration of patients, and employing more bedside tools and techniques. Planning and developing evidence- based practices necessitates a critical analysis of proofs from prior studies, followed by integrating those proofs with patient requirements and the clinical expertise of nursing staff. Another important factor is the healthcare facilityâ€™s extant financial standing. Modern- day patients are more knowledgeable on medicines and treatment as compared to their forebears, which naturally means they anticipate efficient, superior- quality care. Nurse care theories offer the basis to plan and deliver patient care. Furthermore, they are a reflection of the current company cultureâ€™s and patient careâ€™s philosophical basis. Nurse care is grounded in every consumerâ€™s unique evolving requirements and condition. Patient care necessitates better planning, interdisciplinary teamwork and coordination. Lastly, the care delivery model adopted impacts human resource numbers, their flexible utilization and, consequently, organizational spending (Mattila et al., 2014).
Traditionally, medical- surgical divisions have depicted high RN percentage in comparison to other direct- care provider skill levels. RNs perform a large number of functions that nurse assistants are generally not assigned. Several such functions actually belong to nurse assistantsâ€™ practice scope and ought to be assigned for the delivery of more effective patient care. The move towards a team care delivery model enables three-member units (which could be 2 RNs and 1 nurse assistant, or 1 nurse assistant, RN and Licensed Practical Nurse (LPN) each) to shoulder the responsibility of caring for a fixed patient cluster. Such a novel model of patient care delivery has the potential to ensure nursing staff deliver improved patient care owing to the fact that nurse assistants can then fulfil their patientsâ€™ fundamental needs in a quicker and more effective manner; further, LPNs and RNs involved would enjoy more time for carrying out the tasks critical for their part. The above skills mix can also enhance patient care quality outcomes. With the adoption of the â€œPurposeful Roundingâ€ practice, nurse assistants can be proactive in their anticipation of patient requirements, fall prevention and reduction in pressure ulcer occurrences. This successively reduces hospitalization duration and overall organizational expenses (Fowler, Hardy & Howarth, 2006). Cost cutting thus enjoyed could be actual cash as well as savings associated with a reduction in healthcare institution- acquired complications.
Akin to other healthcare providers, nursing personnel will typically exhibit dissatisfaction with their jobs in the absence of appropriate involvement with their organization. Collective governance may be counted among the strongest tools which may be employed in increasing nurse engagement, as it accords them increased autonomy, allows them to express their opinions and ideas with regard to workplace conditions, and allows them to team up with other people over an institutional area or unit. Essentially, the concept of collective governance aids nursing personnel in collectively speaking out and contributing to their workplace atmosphere, thus reinforcing their capacity of bringing about patient care improvements (Berlin & Grote, 2013).
Proposed change process to implement delivery model
The changes put forward employ the change theory of Kurt Lewin. The theorist segregated change into the following phases: 1) Unfreezing; 2) Moving; and 3) Refreezing. The first phase entails considerable planning for ensuring acceptance of change and equipping people to adapt to it. Unfreezing necessitates involvement of front- line personnel and assisting them in realizing the need for change. Moving, which is the next phase, entails the implementation of planned change. This stage involves the crucial activities of conversing with the workforce and educating and training them to guarantee project success. The process will incorporate workforce support via group training and delegation, in addition to reinforcement of primary customer (i.e., patient) service skills. Nursing staff must be cognizant of techniques for efficient, proper delegation and its associated answerability (Potter, DeShields, & Kuhrik, 2010). Change implementers need to meet with all nurse assistants for making sure they clearly understand their duties and their accountability as regards their individual performance. Conveying the fluidity of the change process to the workforce is imperative. They need to know that their feedback has weight in this respect. Admitting to the workforce that a first attempt might be ineffective lets personnel realize the import of their feedback and individual contribution. Refreezing or the final stage entails acceptance of change and its establishment as the novel standard in the team. This certainly is a process that cannot occur instantaneously. Further, one must expect several revisions before the final adoption. This necessitates due attentiveness by every worker, particularly departmental leaders, to remain up-to-date on the process, ensuring individual accountability for their participation (Gier, 2013).
Taking into account the advantages linked to change is pivotal. The aforementioned care delivery related change has numerous potential advantages with respect to transforming the model of patient care delivery to a team- based model from the prior primary care model, in a medical- surgical acute care department. Through adjustments to caregiversâ€™ skills mix, a healthcare facility may be able to achieve potential savings in the form of actual cash, hospitalization duration, patient result quality, and institution- acquired complications. Moreover, model reform can prove beneficial to the workforce through the provision of extra resources for better facilitating patient care delivery. Such change major open avenues for collaborative efforts on the part of the workforce and a sharing of patient care responsibility by unit staff (Cioffi & Ferguson, 2009). However, most importantly, such change can prove advantageous to patients as more personnel will be at hand for fulfilling primary patient needs in a quicker, more effective manner. Patients do not remain mere care recipients any longer. Rather, they may be regarded as healthcare service consumers who take decisions depending on how satisfied they are with the care received (Wagner & Bear, 2008). â€˜Proactivenessâ€™ and timely anticipation of patient needs can eventually increase patient satisfaction, resulting in an overall improved care experience.
By employing a mix comprising of nurse assistants and LPNs or RNs within the field of medical-surgical acute care, improved patient safety and satisfaction outcomes may be achieved. This is because extra attention on the nurse assistantâ€™s part may reduce institution-acquired cases of pressure ulcers, avert falls, and enhance overall patient experience. Additionally, the model enables LPNs or RNs to devote more time to educating the patient and effectively managing their medication and treatment. Patient satisfaction increases in significance when considering the long run, where Medicare/ Medicaid services reimbursement will partially be grounded in the element of patient satisfaction. Already, patient results are associated closely with reimbursement; in the near future, patient opinions regarding their overall care experience may also play a part. This shift may be cost-effective without foregoing quality, and may simultaneously improve patientsâ€™ care experience.
Considering the existing economic issues a large number of healthcare organizations all over America currently encounter, creatively examining alternatives capable of producing superior quality patient results at minimum institutional expense is vital. Medicare/ Medicaid reimbursement has been continually decreasing for several healthcare facilities, causing difficulties when it comes to meeting institutional operating margins. Organizational capability of enduring when faced with such rigid reimbursement conditions is crucial. Healthcare organizations must examine cost from multiple angles, which includes their approach to care delivery. Nurse units possess scant scope for cutbacks in their budgets as salary dollars make up the major part of these budgets. Thus, seeking innovative cost-cutting techniques is imperative. Care delivery reform concentrates on examining the skills mix and model reformation process within a chosen medical-surgical division; a team approach will be adopted that combines nurse assistants with LPNs or RN. Adopting a team-based patient care delivery strategy for managing acute care patients can greatly influence patient as well as workforce satisfaction. Improvements in workforce satisfaction will be able to aid in reducing workforce turnover rates, besides improving retention and recruitment (Gier, 2013).
Berlin, G., & Grote, K. (2013). Creating and sustaining change in nursing care delivery.
Cioffi, J., & Ferguson, L. (2009). Team Nursing in Acute Care Settings: Nurses’ Experiences. Contemporary Nurse, 33(1), 2-12.
Fowler, J., Hardy, J., & Howarth, T. (2006). Trialing Collaborative Nursing Models of Care: the Impact of Change. Australian Journal of Advanced Nursing, 23(4), 40- 46.
Gier, K. (2013). The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction. Gardner-Webb University.
Mattila, E., PitkÃ¤nen, A., Alanen, S., Leino, K., Luojus, K., Rantanen, A., & Aalto, P. (2014). The effects of the primary nursing care model: a systematic review.
Potter, P., DeShields, T., & Kuhrik, M. (2010). Delegation Practices between Registered Nurses and Nursing Assistive Personnel. Journal of Nursing Management, 18, 157-165.
Wagner, D., & Bear, M. (2008). Patient Satisfaction with Nursing Care: A Concept Analysis within a Nursing Framework. Journal of Advanced Nursing, 65(3), 692- 701.
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!