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A patient-centered framework for restructuring care.

N C Robinson1

  • 1District of Columbia General Hospital, Washington, DC.

The Journal of Nursing Administration
|September 1, 1991
PubMed
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Nurse executives are redesigning healthcare delivery systems to meet patient needs. This involves creating a patient-centered care model to ensure quality care and financial stability for hospitals.

Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Patient Care Delivery Systems

Background:

  • Hospitals face significant challenges in restructuring care to meet evolving patient needs.
  • Nurse executives, as leaders of the largest clinical discipline, play a crucial role in this transformation.
  • Ensuring both high-quality patient care and financial viability is paramount for healthcare organizations.

Purpose of the Study:

  • To describe the process of developing a patient-centered care delivery system.
  • To illustrate how a nursing division operationalized its values and beliefs into a practical framework.
  • To provide a model for nurse executives addressing healthcare restructuring challenges.

Main Methods:

  • Formulation of core nursing values and beliefs.

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  • Development of a practice framework based on these values.
  • Operationalization of the framework into a patient-centered care delivery system.

    • Main Results:

    • A structured framework for nursing practice was established.
    • The framework was successfully translated into an operational patient-centered care model.
    • This approach addressed the challenge of restructuring for improved patient care.

    Conclusions:

    • Nurse executives can lead successful restructuring initiatives by developing and implementing value-based care models.
    • A patient-centered care delivery system is achievable through strategic framework development.
    • This model supports both clinical quality and organizational financial health.