Contemporary Nursing
Here are the following details of requirements for this paper:
(Please ensure to provide contemporary references and a bibliography)
Begin by preparing a brief synopsis of case study from your own clinical practice. This case study is to provide
the basis from which you will then develop your response to the following question.
NB: Do not use the person’s name or refer to the person as ’the patient’ or ‘the client’ – please use a pseudonym.
In Britain, the 2014 Report of the Independent Commission on Whole Person Care “One Person, One Team, One
System” (link in assessment section of BB) proposes a novel model for a radical refocusing of health care delivery and is described as setting ‘out a blueprint for bringing our health care services
into the 21st Century’ (Labour, 2013
http://www.yourbritain.org.uk/ )
Notwithstanding that this report was commissioned by a political party, could you envisage this model working in your
current area of practice?
Using the case study as an exemplar, compare and contrast the current model of practice in the health care setting where you work to the ‘One Person, One Team, One System’ proposal.
Use relevant literature and research to defend your position (you can either agree or disagree with the proposed model).
Your arguments may be further supported by current scope of practice and clinical governance frameworks.
Ensure that you include consideration of issues that would need to be addressed to implement a model such as this.
Independent Commission on Whole Person Care. (2014). One person, one team, one system. United Kingdom: Labour
Party http://www.yourbritain.org.uk/uploads/editor/files/One_Person_One_Team_One_System.pdf
In this essay you have been asked to look at a British proposal to examine if this model of care would apply in your practice context. For example in an ED the question this model would ask is
would that patient once stabilised be better off at home under a coordinated primary health model. Say a person comes in with APO once the fluids status is restored why do they need
admission to hospital could they not be managed in the community? In mental health would it be possible for some patients to be better managed in the environment they must exist in? Our
community treatment orders are a last resort in some cases to keep patients on their meds however could there be a system on consultation and agreement with some MH patients.
This model may not work directly in your workplace but if such a system existed could you envisage a reduction in acute admissions by having this approach on discharge.The reference list in
this document is extensive and recent, use it to find support for your arguments. Remember that at the centre of this model is the patient and the context in the community. For those in aged
care you are the environmental context, is the current system of GPs working, how can you use the system to keep your residents well?
Your tutors know that we are asking you to go outside current thinking in Australia but as nurses who believe that we provide person centred care we need to ask ourselves should we be more
active in coordinating this care. As nurses we say we are patient advocates, do you think within this model the ability to advocate would be stronger.
This is not a ‘them and us’ situation it is a ‘together’ one. With our current government looking to slash costs in all sectors would this model be more cost effective without compromising care?
Look at the diagram on p 13 put your case study patient at the centre and examine each bubble and use this understanding to write your paper.
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