week 15 nursing theory

Running Head: QUALITY-CARING MODEL ANALYSIS 1

QUALITY-CARING MODEL ANALYSIS 5

Quality-caring model analysis

Lilisbet Alonso

Florida National University

Prof: Claudia Davis PhD, RN-BC

July 17, 2020

Introduction

Quality-care model was developed by Joanne R. Duffy. She is a Professor of Research AND Evidence-based practiced. She worked with various hospitals and universities including West Virginia University and Hospital, and Indiana University School of Nursing. She teaches nursing theory, research, and leadership programs to PhD students, DNP, and honors programs. Dr. Duffy is also an instructor in nursing projects (O’Nan et al, 2014).

Throughout her career she has been in various administrative positions that involved medical rehabilitation, emergency management, critical care and transportation of healthcare to the community as well as to academic research centers. She directed Center for Outcome analysis that is led by nurses to improve cardiovascular services to the patients. She is well known for her dedication on maximizing patient outcome, which she did by designing, and testing multiple tools and later publishing her book on Quality Caring in Nursing (Duffy & Hoskins, 2003).

Theory analysis

Quality-caring model’s main purpose is to promote a good relationship with the patient. It exposes the value of care, provide guidelines to nurses, and provides a firm foundation for outcomes evaluation as well as research in nursing. Dr. Duffy states that health entails integration of physical, emotional, and spiritual being; with either of these states affected, the individual is unhealthy (Duffy & Hoskins, 2003). Health status is unique to each and every individual; this is why Quality-caring model advocate close personal relationship with the patients in order to understand the root cause of the illness hence make effective conclusions.

This model incorporates evidence-based practice with caring processes to ensure quality health of patients. Evidence-based practices involve integration of research evidence carried out on similar cases, nurses’ expertise, and patients’ preferences in diagnosis (Stevens, 2013). Through good relationship with the patient, nurses are able to approach their patients easily; explain to them the possible treatment methods, and any limitations involved in the procedure: decision-making becomes easy for the patients.

Quality-Caring model is based on values, attitudes, and behaviors that promote two key relationships; the independent patient-nurse relationship which entails all interactions where the nurse is held accountable, and the collaborative relationships where team members operate together to ensure good health of the patient. Caring relationships help the nurse to understand the patient’ unique nature, their families, understand the context of their illnesses, beliefs, and preferences. Patients feel cared for; they freely share and change their patterns of living to healthier routine. Patient-nurse relationship is a therapeutic process (Duffy & Hoskins, 2003). It is an evolving process that aims at developing a clear understanding of the patient’s unique preference on various matters. Nurses connect with their patients to identify the root cause of their illness.

Personal relevance of the theory

Quality-caring model is a crucial treatment strategy for patients. Good relationships open up a wide range of information only known by the patient. In my view, trust is an important value when healthcare is concerned. When a patient goes to the hospital, he or she needs to trust the clinician attending him. Without trust, the patient finds it difficult to share all his feelings and may end up not hindering to the instructions given. When the patient trusts the nursing personnel, developing a patient-nurse relationship will be easy thus effective strategies will be formulated (Edmundson, 2012).

As a nurse, I would like my patients to open up and give me all the information regarding their families, health history, beliefs, and preferences. There is a case of a patient who came to the hospital suffering from excessive bleeding which was from an abortion. The lady was a young lady, 20 years old. She was hesitant to talk much about her condition and seemed frightened. She was accompanied by a middle-aged man who claimed to be her husband. The clinical staff tried to involve her for personal conversations but it was in vain. After a series of attempts, the lady started opening up but only when the husband was away. The leading nurse was curious to know more about the lady.

Later on, it was realized that the lady was kidnapped from her home when she was still a young girl and the man, who claimed to be her husband, had been sexually abused her; when the man realized she was pregnant she forced her to abort the baby. The man was arrested and the lady rescued. It was a very painful story that helped me appreciate the need for patient-nurse relationship. The nurse gets to understand the patient better thus providing long-lasting treatment.

Application to research

Various researches have been carried out in healthcare to investigate on different models of treatment. Recent evidence has proved a connection between nurse caring, and patient outcomes. When the nurses show concern to the patients’ welfare, the patient is more responsive to the instructions given thus quick, and faster recovery. Patient satisfaction is also boosted when Quality-care model is incorporated; the patient feels cared for (Edmundson, 2012). This also boosts the functional status scores of the nurses from the reports given by the patients thus high financial intake to the hospital.

Today, Quality-caring model can be used as a method of acquiring information from patients on various researches. Nurses are able to acquire a wide range of information from the patients as well as develop a close relationship which makes it easy to engage them in a research. For example, patient-nurse relationship can be used as a channel to research on domestic violence, sexual abuse among other topics. However, research ethics need to maintained to ensure that patients’ privacy and consent are observed.

Strengths of Quality-caring model

Quality-caring model incorporates current knowledge, nursing expertise and the unique human characteristics to develop effective healthcare to the patients. Patients act as knowledgeable partners who have the responsibility of sharing information while nurses facilitate healthcare through developing a relationship. It is an incorporated process of healing. It is an effective treatment method which works better compared to other methods since the nurses are able to address the root cause of the problem. Nurses’ knowledge is enhanced from evidence based practices hence, they understand the uniqueness of patient. The model ensures that treatment is patient-based, no generalization. The patient’s condition is addressed individually since every patient is unique (Stevens, 2013).

Limitations of Quality-caring model

Quality-caring model has been faced with some challenges. One of the challenge is time. Nurses have multiple tasks that include, and not limited to supervision, coordinating teams, attending to clients among others (Duffy, 2005). Sometimes it becomes difficult for the nurses to spend so much time with their patients due to tight schedules. This has been a challenge since, in order to effectively incorporate Quality-caring model, adequate time is required. However, the challenge can be solved by ensuring good number of nurses in the hospital as well as having many hospitals to ensure that proper healthcare is provided in all hospitals.

The other limitation occurs when the patients are unresponsive. This occurs when some patients do not freely open up their problems to the nurses. This occurs due to past occurrences of mistrust or disappointments which hinders them from developing any close of relationship. In such cases developing Quality-caring model to patients is difficult (Duffy & Hoskins, 2003).

Developing Quality-caring model calls for investment on time, resources, and total involvement of all care givers. It calls for personal sacrifice to emotionally, physically, and spiritually getting involved with patients’ lives. This means that nurses will end up spending more time in hospitals, and give so much more than just the normal treatment. Hospitals spend on overtime allowances, and other required services to boost the patients’ lives. In some cases, the hospital is forced to go an extra mile in conducting patients’ home-visits.

Conclusion

Joanne R. Duffy’s Quality-caring model is an important strategy that can be incorporated in all healthcare centers today. The model is an incorporated model where the patient is the source of information while the nurse is a channel to healthcare realization (Stevens, 2013). Patients’’ illnesses are addressed from the root causes which can be mental, spiritual or physical. It is from this information that the nurses address patients’ illness, and drive effective treatment to the patient.

References

Duffy, J. R., & Hoskins, L. M. (2003). The quality-caring model: Blending dual paradigms. Advances in nursing science, 26(1), 77-88.

Duffy, J. R. (2005). Implementing the quality-caring model© in acute care. JONA: The Journal of Nursing Administration, 35(1), 4-6.

Duffy, J. R. (2008). Quality caring in nursing: Applying theory to clinical practice, education, and leadership. Springer Publishing Company.

Edmundson, E. (2012). The quality caring nursing model: A journey to selection and implementation. Journal of pediatric nursing, 27(4), 411-415.

O’Nan, C. L., Jenkins, K., Morgan, L. A., Adams, T., & Davis, B. A. (2014). Evaluation of Duffy’s Quality Caring Model© on patients’ perceptions of nurse caring in a community hospital. International Journal of Human Caring, 18(1), 27-34.

Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing, 18(2).