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Related Concept Videos

Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Developing the green house nursing care team: variations on development and implementation.

Barbara J Bowers1, Kimberly Nolet

  • 1*Address correspondence to Barbara J. Bowers, RN, School of Nursing, University of Wisconsin-Madison, 600 Highland Avenue, Madison, WI 53792-2455.

The Gerontologist
|January 21, 2014
PubMed
Summary
This summary is machine-generated.

The Green House nursing model

Keywords:
Culture changeEmpowermentNursing homesNursing studiesQualitative research methods

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Area of Science:

  • Gerontology
  • Nursing Home Care
  • Healthcare Management

Background:

  • The Green House model represents a significant shift in nursing home care, altering traditional nurse-direct care worker supervisory dynamics.
  • Concerns exist regarding potential impacts on professional nursing oversight and clinical care quality within this model.

Purpose of the Study:

  • To explore the implementation of the nursing role within the Green House model.
  • To investigate how variations in nursing team structures influence clinical care practices.

Main Methods:

  • A qualitative study utilizing dimensional analysis, a second-generation grounded theory methodology.
  • Data collection involved observations and interviews with 37 nurses, 68 certified nursing assistants (CNAs), and 11 Guides across 11 Green House sites.

Main Results:

  • Significant variation in nursing role implementation was observed within and across Green House sites.
  • Four distinct nursing model types were identified: Traditional, Visitor, Parallel, and Integrated.
  • Care processes, CNA/Shahbaz skill development, and worker stress levels differed across these nursing models.

Conclusions:

  • While government policies support culture change in nursing homes, guidance on implementation variability and its consequences is lacking.
  • Understanding the nuances of nursing practice implementation is crucial for identifying and supporting promising culture change initiatives.