Nursing

Inside the Forces: Understand barriers to implementing a care-delivery model

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, July 22, 2008

Under Force of Magnetism 5: Professional models of care, hospitals have to identify unit-based care-delivery models in the written documentation. But nursing units often face barriers when implementing these models.

When choosing a care-delivery model, unit-specific needs must align with the Nurse Practice Act for your state—which clearly defines RN, LPN, and assistant nurse scope of practice—and the State Nursing Law, which defines what can be delegated to nurses.

For example, at the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, IA, its orthopedic and medical-surgical floors care-delivery model is team delivery. The main reason is because “our Iowa State Board of Nursing says RNs can delegate many activities for these low acuity patients, so we have a much higher skill mix of RNs, LPNs, and nursing assistants on these floors,” says Barbara Hannon, MSN, RN, CPHQ, ANCC Magnet Recognition Program® coordinator for UIHC.

Source: HCPro’s audioconference Nursing Models of Care vs. Care-Delivery Models: Selection and implementation techniques to achieve positive patient outcomes.

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