Nursing Care

Abstract

The paper describes about the cultural change models for long-term care settings. It analyses the role of implementation of these models in improving nursing home care. It analysis the mental health service roles in improving mental illnesses of the community. It explains the issuer related to ED and their solutions, it describes barriers to quality care in emergency department and the factors that facilitate the delivery of care in emergency department. In the end, it explains the annotated bibliography of references used in the paper.

Nursing Care

Introduction

The nurses play an important role in providing quality care to long form care residents, in mental health settings and in emergency department. Each department demands different type of care. The care can be modified by modification of health care system. The following studies shows how the implementation of different models can be help in providing quality care.

Discussion

Nurses who are practicing in long-term care play an important role in maintaining the health of community members. However, residents of nursing homes experience many difficulties, such as they have lower quality of life, they develop depressive symptoms, and they have decreased comfort and poor physical and psychological health. The modification of nursing home culture is a necessary component of quality improvement. Cultural change is a method by which nursing homes changes their medical model of care to provide better care, dignity and respect to residents. Culture Change Models aim to modify the entire nursing home organization. It describes approach, which are resident-centered care and person-centered , these approaches are associated with improved health and improved mobility.

Culture change models require resources and proper planning is necessary to get benefits from this change. Hill, Kolanowski, Milone-Nuzzo & Yevchak examined the research on resident health outcomes in LTC or long-term care, where a culture change model is implemented (2010). They examined four culture change models, the Green House Project, the Eden Alternative Wellspring Innovative Culture Change Models, and Resident Outcomes. The Eden model describes that the nursing home environment should include plants, children and animals. The residents and caregivers should be allowed to make decisions. Green Houses are also associated with Eden model. Wellspring describes LTC facilities, that is associated with resources and staff empowerment to get better resident outcomes. Resident and Culture Change Models are associated with resident autonomy and privacy. All models describe the modification of nursing home institutions into communities (Hill, et. al., 2010).

The psychosocial health outcomes of implementations of these models are improved life satisfaction, care satisfaction, social environment, and improved sense of autonomy, emotional well-being and dignity. Along with these factors loneliness, boredom, and helplessness are the main issues faced by nursing homes residents. The physical health outcomes includes activities of daily living, medication usage, mobility of residents, infection rates, activity, skin health, oral hygiene and health , nutritional status of residents, and mortality rates.

Some studies examined by Hill, et. al., show improvement in daily living, while some show no improvement. In the Eden model, there is decrease in the infection ...