Trialing collaborative nursing models of care: the impact of change

Author： Fowler Joanna Hardy Jennifer Howarth Teresa

Publisher： Australian Nursing Federation

ISSN： 0813-0531

Source： The Australian Journal of Advanced Nursing, Vol.23, Iss.4, 2006-06, pp. : 40-46

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Abstract

Objective:The aim of the project was to develop and trial a nursing Model of Care (MoC) and devise a framework to investigate the impact of nursing staff mix on patient outcomes and job satisfaction (nurses).Setting and Subjects:In 2001-2002 a pilot project was undertaken to explore issues related to the delivery of patient care by nurses on two medical inpatient wards, one acute and one subacute, at a referral teaching hospital in New South Wales (NSW), Australia. The framework employed was an adaptation of, and based on, the Clinical Practice Improvement (CPI) model developed by NSW Health.Primary Argument:Countries across the world are seeking solutions to a shortage of registered nurses and their ability to sustain quality care services. It becomes imperative that organisations develop strategies to attract and retain nurses in the health care system.Conclusions:Results of the project highlighted areas related to the quality of care delivery: clinical supervision; continuity of staffing; trust; employer of choice; more effective nurse to patient ratios; educational preparation; and recognition of prior experience.