Systems Model
Current Care Delivery Model
I am currently employed at a local Healthcare-Center that is certified as a level 3 Trauma Center with twenty-five-beds in the emergency room (ER). The staff in the ER consists of physicians, physician’s assistants, staff nurses, triage nurse, clinical manager (CM), assistant clinical manager (ACM), charge nurse, patient care assistants (PCA), unit secretary and a social worker. Other auxiliary staff from other departments such as laboratory, radiology, ultra sound and respiratory therapy also assist with patient care. There is also a house supervisor in charge of the nursing floors for the entire hospital. The hospital currently utilizes a Patient-Centered Care Model throughout all the nursing floors.
Working in the ER the primary focus for nurses is patient centered, focusing on high quality care with the goal to discharge patients to home, to another facility or to admit the patient to one of the nursing floors. The triage nurse places …show more content…
According, to Senge (1990) systems thinking has a fifth discipline “that integrates others into a coherent body of theory and practice”. When initiating and dealing with change we should focus on the contextual perspective, creativity, intuition, inquisitiveness, reflection and transforming knowledge which are all helpful in the process of change (Rubenfeld, 2010, p.99). Nurses are knowledge seekers which is a search for evidence, facts and/or knowledge by identifying relevant sources and gathering objective, subjective, historical and current data from those sources (Rubenfeld, 2010, p. 67). The Roy Adaptation Model (RAM) theory is adaptation model for nursing. People are viewed as adaptive systems with cognator and regulator coping mechanisms that act to maintain adaptation in four response modes physiological, self-concept, role function and interdependence (Cody, 2013, p.
Current Care Delivery Model
I am currently employed at a local Healthcare-Center that is certified as a level 3 Trauma Center with twenty-five-beds in the emergency room (ER). The staff in the ER consists of physicians, physician’s assistants, staff nurses, triage nurse, clinical manager (CM), assistant clinical manager (ACM), charge nurse, patient care assistants (PCA), unit secretary and a social worker. Other auxiliary staff from other departments such as laboratory, radiology, ultra sound and respiratory therapy also assist with patient care. There is also a house supervisor in charge of the nursing floors for the entire hospital. The hospital currently utilizes a Patient-Centered Care Model throughout all the nursing floors.
Working in the ER the primary focus for nurses is patient centered, focusing on high quality care with the goal to discharge patients to home, to another facility or to admit the patient to one of the nursing floors. The triage nurse places …show more content…
According, to Senge (1990) systems thinking has a fifth discipline “that integrates others into a coherent body of theory and practice”. When initiating and dealing with change we should focus on the contextual perspective, creativity, intuition, inquisitiveness, reflection and transforming knowledge which are all helpful in the process of change (Rubenfeld, 2010, p.99). Nurses are knowledge seekers which is a search for evidence, facts and/or knowledge by identifying relevant sources and gathering objective, subjective, historical and current data from those sources (Rubenfeld, 2010, p. 67). The Roy Adaptation Model (RAM) theory is adaptation model for nursing. People are viewed as adaptive systems with cognator and regulator coping mechanisms that act to maintain adaptation in four response modes physiological, self-concept, role function and interdependence (Cody, 2013, p.