Practice Change

Abstract

The authors describe a participative management approach was used to develop and implement a nursing care delivery model for geriatric rehabilitation. This approach led to a sense of shared decision making and established consensus among the majority of staff. An integrated primary and modular nursing model that incorporated a geriatric resource nurse role was developed to maximize accountability and continuity of care. Ongoing evaluation will further clarify the impact of this model on staff and patient outcomes.

The need for a Rehabilitation Model to address the disparities of public healthcare for people living with HIV in South Africa

“…Such a model should involve communication both formal and informal in repetitive meetings to share information and solicit feedback regarding the sustainability and the running of the model. Furthermore, evaluation is often achieved by involving key stakeholders to give feedback on the progress and impact of the model (Cormack et al 2007). This alludes to the pinnacle of this article, the way forward.…”

Nursing care of older patients in hospital: implications for clinical leadership

“…A 'technical approach' to care includes treatments or tasks which are generally related to the scientific-medical model of curing and are monitored and managed by nurses (Griffiths and Crookes 2006). By comparison, a 'humanistic or holistic approach' to nursing includes care that is related to the affective and functional needs of patients (Cormack et al 2007;Gottlieb and Gottlieb 2007;Taylor and Wros 2007). Nursing care that meets affective and functional needs is mainly initiated and supervised by nurses and is based on the assessment, decisions and implementation of caring actions, which protect helpless and/or immobile patients from complications and harm in hospital.…”