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The innovative nursing care model’s target demographic is HIV/AIDS patients in the United States and developing nations. It is estimated that about 1.1 million persons in the United States are HIV positive, with 20% of the total HIV infected population unaware of their status. Despite the fact that annual new HIV infection rates decreased by 10% between 2000 and 2014, it has been stated that young African American gay and bisexual males remain the most affected (Hughes, 2006). Sex workers, as well as the Lesbian, Gay, Bisexual, and Transgender (LGBT) communities, are the most vulnerable to HIV infection. The implementation of innovative nursing care model will promote educational efforts towards the target population to practice safe sex in order to lessen their chances of contracting the virus. This model will provide innovative approaches for the provision of confidential HIV testing and counselling to encourage the population to know their status and make positive health and lifestyle decisions thereafter to be able to live free of the virus or live positively with the virus.
Innovative nursing care model is a volunteer based model which involves the implementation of better and effective techniques of prevention of a particular illness in a more strategic and objective manner. It also involve the practice of using medical instruments and machineries, medicine, temporary mobile clinics in a manner that promotes employee success in achieving positive health outcomes in patients (Yih, 2016). In the case of patients who require HIV management, innovative nursing model will involve the use of new technologies based on experience, research, efficient technologies, and educational approaches for promoting their safety from infections. For a start the program will run for a one year period during which it will be evaluated on a quarterly basis to see if the programs objectives are being met, to identify and solve any arising issues with the model. This will form a framework of determining whether the program is viable or not and if it can be extended to another period of one year. The registered nurses participating in the program will be able to conduct the test, make diagnosis, counsel the patients where and when necessary, make prescriptions depending on the diagnosis and in situations where the patients need urgent or specialised medical attention which cannot be provided by the mobile clinics, they will refer the patients to the nearest and hospital for further treatment. The innovative nursing model will also involve devising techniques of providing nursing care at least cost while promoting patient recovery.
Nurse led care will be an important requirement in the implementation of innovative nursing care to HIV/AIDS patients or those at risk of infections due to the fact that nurses are ones who must ensure a particular innovative practice is implemented. They will also provide a guide to other team members on how to apply particular techniques of innovative nursing care. During the implementation of innovative nursing model for HIV/AIDS patients or those at risk of infection, there will be increased cooperation with social workers who will promote the awareness of healthy lifestyles that enable prevention and management of the disease (Guasasco, Heuer & Lausch, 2002). This team of professionals will be led by nurses in order to implement innovative nursing care practices in an effective manner. There will also be collaboration with dieticians who will inform the target population about the right diet to address their health needs.
Partnerships and collaboration will be an important requirement in innovative nursing care for HIV/AIDS patients because not all tasks can be performed by nurses. This project will be carried out in collaboration will several key players to make it a success: first and foremost, the model requires the partnership of nurses from different health facilities to make it a success, the more the nurse participants on the project the higher the likelihood of success of the project (Hughes, 2006). Hospitals, clinics and various healthcare facilities need to be lobbied to provide the necessary number required to perform this task. Innovative techniques will be developed which enabled cooperation with hospitals, public health departments, and home care agencies among the target population. This will intensify the effectiveness of nurses in reaching different parts of the population in order to promote their protection from HIV/AIDS. Nurses involved in the implementation of innovative nursing care will need to partner with hospitals, clinics, pharmacies to provide support in the areas of their specialization such ash referral of patients for further treatment and specialized medical treatment, the reason for this is so the patients can get quality treatment which is also subsidized to get affordable care. Collaboration with social workers will be required to help in rehabilitating homeless target groups into secure homes and help them in finding shelters across the city (Yih, 2016). The social workers will also help in tracking down the movement of the target group in case of relocation etc. public health officers can also help lend a hand in some of the activities of the program from creating HIV/AIDS awareness to education the target group on safe sex practices, sanitation and living healthy lifestyles. Shelters agencies like retirement homes for the old age, adoption agencies for the homeless children without any trace of family able to care for them etc.
Continuity of care will be necessary when a patient moves to a different setting such as hospice, emergency department, or home. In the same manner, innovative nursing care practices will need to be implemented to promote their treatment and preventive practices against HIV/AIDS infections. Continuity in communication will be achieved by innovative techniques such as emails and cell phones which will enable the nurses to understand the conditions of the patients in other settings such as their residential areas (Hamson, 2004). In case where the patient moves without notifying the mobile clinics, the social workers and public health officers will assist in tracing the patient to ensure continued care delivery.
Technology will contribute significantly towards the achievement of the objectives of innovative nursing care model because of the fact that nurses need to use them to perform tasks of promoting prevention and management of HIV/AIDS among the target population. Technological devices will be required during diagnosis of patients to determine whether they have HIV/AIDS and during processing medications or distributing them to the target population. Innovative nursing care model will be affective if screening technology is used to establish whether they are affected so that interventions can be applied in order to address their health needs.
Innovative nursing care model will be achievable if the implementation team is composed of people of multiple disciplines so that the target population can be empowered to achieve holistic capabilities in managing HIV/AIDS. The implementation team is likely to be composed of registered nurses, physical therapists, social workers, psychologists, nursing informatics, physicians, and community leaders (Hopper & Rexer, 2002). This team of professionals will contribute towards dissemination of information about techniques of treatment and prevention of HIV/AIDS within their areas of specialization. In case of referral of a patient, communication will be handled by contacting the assistant nurses and physicians in other organizations via mobile phones.
Evaluation of the effectiveness of innovative nursing model will be done by comparing number of people reporting for medical issues related to HIV/AIDS infection after the implementation of the intervention compared with the case where it had not been implemented. Evaluation will also be done by conducting a survey to determine the level of satisfaction of patients with the present intervention techniques for HIV/AIDS. It will be perceived to be effective of patients express satisfaction that their health needs are being addressed in an adequate manner.
Evaluation of the innovative nursing care model will be achieved by examining the outcomes among the populations such as the number of people who are infected with HIV/AIDS compared with the previous number. Evaluation will also be done by establishing the number of hospitalization such as those who revisit hospital after undergoing the intervention using the model compared with the previous number. A qualitative survey will be conducted in healthcare organizations after duration of 6 months after the implementation of the model. The survey will be in the form of personal interview that will be aimed at finding the views and experiences of nurses regarding the frequencies of patients who seek treatment or medical services due to HIV/AIDS compared with the number before the intervention.
Hughes, F. (2006). Nurses at the forefront of innovation. International Nursing Review, 53(2), 94-101.
Yih, Y. (Ed.). (2016). Handbook of healthcare delivery systems. CRC Press.
Guasasco, C., Heuer, L., and Lausch, C. (2002). Providing health care and education to migrant farmworkers: Nurse managed care clinics. Nursing Education Perspectives, 23(4), 166−171.
Hopper, K. & Rexer, K. (2002) Overcoming Innovation Barriers. Available at: http://www.refresher.com/!innovationbarriers.html (accessed in April 2005).
Hamson, N. (2004) Why innovation doesn’t work: and what to do about it. Innovation Journal: the Public Sector Innovation Journal,9 (1), Available at: http://www.innovation.cc/discussion-papers.htm
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