Developing the Green House Nursing Care Team: Variations on Development and Implementation

Research Purpose: The central element of the greenhouse nursing home model is the change in supervisory relationship between nurses and direct care workers. Some people are worried that greenhouse models may weaken the medical supervision by experts and threaten the quality of clinical medicine. In this qualitative study, we investigate the role of nurses in greenhouse models and focus on how changes in care teams affect clinical care practice. Design and methodology: Dimensional analysis is the "second generation" grounded theory method used to conduct this research. Data was collected through observations and interviews with 37 nurses working in 11 greenhouses, 68 CNAs and 11 guides. As a result, the implementation of the nursing role in the Green House model differs between sites and sites. Four types of care models have been identified: traditional, visitor, parallel and integrated. Care process, skill development of CNA / Shahbaz and workers' stress depends on each care model. Importance: Government policies were formulated to support cultural change. However, there is currently little guidance on how regulators, providers or consumers can change the consequences of cultural change practices and their changes. This article outlines the importance of understanding these practices in detail. These practices distinguish and support the most promising practices.

As a result of the development of health care systems, care practices developed and care processes became a major framework for providing care. "The care model tells us what kind of care is needed and the care process describes how it should be organized" (Heath, 1995). Roper, Logan, Tierney models are the most widely used models in the UK and are based on 12 life activities (Aggleton and Chalmers, 2000). All obese patients should be well evaluated at the beginning of their treatment plan and should be agreed on goals and results (Cook, 2009). Evaluation is the first step in the care process. During evaluation, nurses need to gather information on patients, such as gathering information from various sources that need organizing, verifying, and documenting (Kozier et al., 2008).

In this model, care is described as assessing the patient's comfort needs, creating and running an appropriate care plan, and assessing patient comfort after care planning is performed . Care involves consciously evaluating the necessity of comfort, designing standards of comfort to meet these needs, and reevaluating the comfort after enforcement. Evaluation may be objective such as observation of wound healing or subjective such as asking whether the patient is comfortable.

Nursing practice is actual care provided. In order to achieve this goal, the nurse will use the nursing procedure to carry out the care plan. It is based on a specific nursing theory that is chosen based on care environment and population supply. According to the American College of Nurses, the nursing program determines how nurses approach each patient and includes five steps: assessment, diagnosis, planning, implementation and evaluation. The nursing process is a common thread for various kinds of nurses working in various fields and is the core of the basic practice of registered nurses who provide comprehensive patient-centered care.