Nr 531 Week 2: Care Delivery Models and Effective Nurse Administrators
Nr 531 Week 2: Care Delivery. You are the nurse administrator at SLMC. Your Human Resources Director informed you that SLMC is having difficulty recruiting registered nurses for your facility. It was decided by the Chief Executive Officer (CEO) to hire more nursing assistants to assist during this shortage. Discuss the impact this new strategy/model may have on the organization and how an effective leader can assist with implementing this change.
Nr 531 Week 2: Care Delivery Answer
In addressing the shortage of Registered Nurses (RNs) at SLMC, the consideration of employing assistant nurses as a practical solution has been proposed. This approach aims to increase the number of care providers and enhance the frequency of patient check-up routines.
However, concerns have been raised regarding the adequacy of expertise, knowledge, training, experience, and support among assistant nurses to effectively undertake the tasks traditionally carried out by RNs (Tuckett, Winters‐Chang, Bogossian & Wood, 2015). The potential negative impacts of replacing RNs with assistants at SLMC include compromised patient outcomes, increased risks of complications, and a higher likelihood of patient mortality, as the hours of care delivered by highly skilled RNs decrease.
Instances of poor health outcomes, such as hospital-acquired cardiac arrests, pneumonia, and deaths resulting from surgical complications, may rise due to insufficient monitoring. Replacing RNs with assistant nurses requires a careful evaluation of the potential consequences to ensure the maintenance of high-quality patient care.
[Reference: Tuckett, A. G., Winters‐Chang, P., Bogossian, F., & Wood, M. (2015). I hope I get that: the nature of hope in older palliative patients in residential care. International Journal of Older People Nursing, 10(3), 170-178. doi:10.1111/opn.12057.]
