Nursing Leadership

Systems Theory:

The role of nurses in care coordination and periods of transitions with vulnerable, complex patients is clearly related to the systems theory, with regards to regulating the process of care coordination through systems management.  In addition by adjusting the role of the nurse during discharge to include care coordination, nurses are influencing system structures within a system design.  And finally, by utilizing care coordination which goes beyond discharge, the nurse is integrating care coordination within the community. A systems point of view emphasizes versatility and allows for consideration of relationships between diverse components in healthcare across multiple layers, thus necessitating a need for care coordination 

Nursing Leadership and Voice:

Care coordination gives nurses a chance to develop in leadership roles that include organizational decision making.  By utilizing the rational choice theory nurses can maximize benefits while reducing costs in care coordination Care coordination and organizational decision making in a leadership role can also be strengthened by utilizing Franklins rule by weighing the pros and cons before making a decision 

Professional and inter-professional Practice:

The role of nurses in care coordination will rely heavily in inter-professional communication.  Nurses must be able to effectively convey the correct information to the appropriate professional individual in order to provide higher quality care.  In addition the ANA recommends that the education of registered nurses should be enhanced throughout their didactic and clinical learning experiences by incorporating care coordination, including an emphasis on inter-professional.

Value: The Quality of Nursing Care and Outcomes:

The role of nurses in care coordination will impact the value of nursing care and outcomes.  The ANA is deeply committed to improving the quality of outcomes for patients and providing greater health care efficiencies through care coordination that is centered on the needs and preferences of patients and their families   Care coordination has the potential to reduce cost and improve outcomes for all populations in all health care settings the most impressive outcomes occur in high-risk populations whose complex health issues involve costly treatments

Care coordination has demonstrated value in removing barriers to effective management of mental health conditions. on two separate occasions the Three Component Model for reengineering systems for the treatment of depression has been proposed  The TCM is bound together by a common depression diagnostic and severity measure that facilitates communication and treatment decisions .  A study conducted by Deitrich et al.  tested the effectiveness of this model in a cluster randomized control trial which resulted in patients’ receiving a greater response to treatment of  compared to 47% in usual care