Evidence-based practice is a multi-step, dynamic process that incorporates best external data and best clinical judgment that is according to patient response to nursing interventions. Even one individual nurse may complete this process however a multidisciplinary team approach allows for even bigger perspectives on a clinical problem. With the new ways of health care practice brought about by evidenced-based practice nurses are given the chance to provide the best possible nursing care that can provide desirable outcome based on evidence altogether with the way which Nursing Care Delivery Model is suited for the situation. Nursing care delivery models are mechanisms for organizing and delivering patient care. Nursing care delivery models focus on structure, process and/or outcomes. Along the evolution of nursing and the sprout of nurse educators and scholars, many nursing care delivery models have also been developed that eventually evolved to different types and kinds from various developments and modifications of use. Some have been developed using task approaches where patient care tasks are listed and categorized under the level of care required providing the task. More recent models have arisen out of a psychological approach, focusing on patient satisfaction with nursing care and job satisfaction among nurses. Some of the most obvious reasons for such variations are cost of nursing care delivery, availability of personnel, patient care needs and individual preference.and organizational preference. Nevertheless regardless of what nursing care delivery model is utilized by nurses, the purpose of any delivery system is to provide high quality care, efficiently and effectively as possible (Neisner & Raymond, 2002, p. 7).
Nursing Care Models and the development of Evidence-Based Practice
The author of this essay deemed three Nursing Care Delivery Models that would best support evidenced-based practice in oncology nursing-- Patient-Centered Care, Team Nursing and Nursing Case Management. Models of care are important because it is how evidenced-based patient care is delivered to the patient. Evidenced-based practices will be null and void if nursing care delivery is poor in the first place it will not be properly delivered or worst not delivered at all.
Patient-Centered Care (Table 1) is a model first utilized during the hospital reengineering era of the 90’s. This method uses multi-skilled workers and a team approach to nursing. By virtue of this method, patients are being grouped together according to similarity of cases. The four principle of this method are: simplifying outcomes, grouping similar patient population together, bringing services closer to patients