Sample Essay on Nursing Care Delivery Models

The conventional nursing models include Team nursing, Primary nursing, and Progressive Patient (PPC) Care model. Mixed skills are applied towards providing quality health services and meeting the expectations of the patients. The PPC and Team Nursing models provide the intellectual and organizational skills that nurses need while attending the patients. Such models represent structures for thinking coherently and organizing practice consistently and efficiently, hence allowing the required time for direct care of the individuals who need nursing ((Wolper, 2004).  Each nursing model provides a holistic orientation of the metaparadigm of nursing and reinforces the view, that nursing practice ultimately is “for our patients’ sake,” recognizing that the essence of professional nursing is centered within the partnership between the patient and the nurse.

Developing a nursing model that work in complex healthcare organizations is a common challenge attributed to gradual shortages of the nurses. With increased aging in some staff working in the health field, the demand for delivery of health services increases. “The nursing shortage has been shown to have adverse effects on the different models of the Nursing Care Delivery, including decreased access to care, decreased job satisfaction, increased turnover and a major challenge in the workforce management” (Wolper, 2004). For instance, an inadequate number of nurses to staff the operating room results in decreased OR (overall recovery) that in turn increases wait time for surgical procedures.

Other impacts of the nursing shortages include increased overtime usage, higher stress, restricted expansion, changes in recruiting and hiring practices, decreased quality of care, and the increased difficulty in scheduling coordination. Research findings indicate that nurses feel vulnerable and experience a great deal of stress as they attempt to achieve professional aspirations within a constantly changing, medically dominated, bureaucratic health care delivery system, hence a growing concern over the shortages of nurses to the quality of patient care required (Wolper, 2004).


Wolper, L. F. (2004). Health Care Administration: Planning, implementing, and managing

           organized delivery systems. Sudbury, MA: Jones and Bartlett Publishers.