Nursing care delivery models. The perioperative environment

Changes in health care on the national level are affecting perioperative nursing drastically. Perioperative nursing needs innovative approaches to guide the delivery of nursing care for patients whose operative procedures are performed outside traditional institutions. Managed care and case management are gaining in importance as more surgical procedures are performed in the outpatient arena. New minimally invasive techniques call for new models of delivering professional nursing care. Any model that is developed must ensure that professional perioperative nursing is rewarded, quality patient care provided, and surgical procedure expenses reimbursed.