Work Methods for Nursing Care Delivery

Abstract

This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.

A qualitative descriptive study of the COVID-19 pandemic: Impacts on nursing care delivery in the critical care work system

“…American Organization for Nursing Leadership, , de Jong et al, 2020 , Duda, 2020 , Dunton et al, 2007 , Farzi et al, 2017 , Galuska and Bursch, 2020 , Hsieh and Shannon, 2005 , Jones and Gates, 2007 , National Academies of Sciences, Engineering, and Medicine, 2019 , Olsen et al, 2020 , Parreira et al, 2021 , Penn Medicine, , Platt et al, 2019 , Privitera, 2019 , Rimmer, 2020 , Vizient, 2020…”

O Processo De Trabalho Dos Enfermeiros Especialistas Em Enfermagem De Reabilitação Numa Ótica Marxista

“…Efetivamente, o método representa a convergência entre teoria e prática e pretende definir a forma como os EEER organizam o trabalho num ambiente seguro. Não deve ser visto simplesmente como a atribuição de atividades, mas a forma adequada para desenvolver o exercício profissional destes enfermeiros (21) . Importa referir que os EEER poderão recorrer a vários métodos para organizar o trabalho, numa tentativa de dar resposta aos diferentes níveis de complexidade do cuidado nos diversos contextos de trabalho diferenciados (21) .…”

“…Não deve ser visto simplesmente como a atribuição de atividades, mas a forma adequada para desenvolver o exercício profissional destes enfermeiros (21) . Importa referir que os EEER poderão recorrer a vários métodos para organizar o trabalho, numa tentativa de dar resposta aos diferentes níveis de complexidade do cuidado nos diversos contextos de trabalho diferenciados (21) . Contudo face às competências específicas destes profissionais, a escolha pelos métodos de enfermeiro de referência e/ou gestor de caso serão os mais relevantes, no sentido da satisfação das reais necessidades das pessoas.…”

The Relationship Between Nursing Care Delivery Models, Emotional Exhaustion, and Quality of Nursing Care Among Jordanian Registered Nurses

“…A nursing care delivery model is the method for organizing and delivering nursing care to clients that is driven by values and beliefs ( Parreira et al, 2021 ). The nursing care delivery model could be also described as the independent or collaborative approach of nurses to the provision of direct care to a group of patients ( Havaei et al, 2019a ).…”