How a national, regional or local health care system is organized, administered, provided, and paid for
Health Care Delivery System
Complex and constantly changing
Broad variety and services available
Access to the services is difficult
Types of Health Care Services
Primary Prevention - Health promotion and illness prevention
Secondary Prevention - Diagnosis and treatment
Tertiary Prevention - Rehabilitation, health restoration, and Palliative Care
Primary Prevention
"True Prevention" Applied to physically and emotionally healthy clients. Aims to promote health for an entire population.
Secondary Prevention
Focuses on clients who are experiencing health problems and illnesses and are at risk for developing complications. Most common services in the HCDS.
Tertiary Prevention
Restorative Care, Rehabilitation, Hospice, and Palliative Care.
Discharge planning begins the moment a patient is admitted to a health care facility
Nursing Care Delivery Models/Frameworks For Care/Modalities
Managed Care
Case Management
Differentiated Practice
Functional Method
Team Nursing
Primary Nursing
Managed Care
A health care system whose goals are to provide cost effective, quality care that focuses on decreased costs and improved outcomes for group of clients
Case Management
Involves multidisciplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing and evaluating care for groups of clients from pre admission to discharge or transfer and recuperation
Differentiated Practice
A system in which the best possible use of nursing personnel is based on their educational preparation and skill sets
Functional Method
Focuses on the jobs to be completed, task oriented approach, personnel with less preparation than the professional nurse perform less complex care requirements
Team Nursing
LPN, AKA, UAP team is responsible for providing coordinated nursing care to a set of clients for a specific period of time, for example, one shift. Delegates appropriate task to team members.
Primary Nursing
A system in which one nurse is responsible for overseeing the total care of a number of hospitalized clients 24 hrs a day, 7 days a week even if he or she does not deliver all of the care personally
Information Technology
Refers to the management and processing of information, generally with the assistance of computers. Medical records shift from paper-based to computer-base
Health care information system
A group of systems used within a health care organization to support and enhance health care, including clinical and administrative information systems
Nursing Informatics
A specialty that integrates nursing science, computer science and information science to manage and communicate data, information and knowledge in nursing practice
Electronic Health Record (EHR)
Electronic record of patient health information generated whenever a patient access medical care in any health care delivery setting. Provides access to patient health record information at the time and place that clinicians need it.
Electronic Medical Record (EMR)
Contains patient data gathered in a health care setting at a specific time and place and is a part of the (EHR)
Health
A multidimensional concept, a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. Each person has a personal concept of health, personality, and lifestyle.
Health belief
Personal belief about levels of wellness that can motivate or impede participation in changing risk factors
Wellness
A dynamic state of health in which an individual progresses towards higher level of functioning, achieving an optimum balance between internal and external environment
Illness
An abnormal process in which any aspect of a person's functioning is diminished or impaired compared with his/her previous condition
Health Promotion
A process of helping people improve their health to reach optimal state of physical, Mental and social well-being
Clinical Judgement
An essential skill that involves the interpretation of a patient's needs, concerns or health problems. To make decision to take action or not.
Critical Thinking
The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process. Recognizing that an issue exists, analyzing information, evaluating information and drawing conclusions.
Nursing Process System
A systematic, rational method of planning and providing individualized nursing care.
Assessment
Deliberate and systematic collections of information about a patient to determine his/her current and past health and functional status and his/her present and past coping patterns.
Types of Assessment
Patient-centered interview
Physical examination
Periodic assessments
Nursing Diagnosis
A clinical judgement concerning a human response to health condition, life processes, or a vulnerability for that response, by an individual, family, group, or community.
Types of Nursing Diagnosis
Actual Diagnosis
Risk Diagnosis
Health Promotion (wellness diagnosis)
Syndrome Diagnosis
Planning Nursing Care
A dynamic process that changes as the patients need change. Refers to the assessment data and diagnostic statements for direction in formulating client's goal and designing the nursing interventions.
Types of Planning
Initial Planning
Ongoing plan
Discharge Plan
Goal Setting and Prioritization
The goals and outcomes need to meet established intellectual standards by being S.M.A.R.T
Nursing Care Plan
Includes nursing diagnosis, goals, and expected outcomes, and nursing interventions and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation.
Nursing interventions are treatments or actions based on clinical judgement and knowledge that nurses perform to enhance patient outcomes