Evaluation Of The Circle Of Caring Model

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As the contemporary society forges ahead amazingly, the public demand has become increasingly diversified. Advanced Practice Nursing (APN) has been particularly prominent in health care discourse since the 20th century (Brown, 1998). As many of APN’s job scope are overlapping with the traditional medical role, frequently, they are struggled to articulate what it is as nursing-based care providers that they uniquely bring to their patients (Dunphy & Winland-Brown, 2006).

Caring is a word often associated with nursing, and it is one of the symbolic characters to differentiate APN from medical team. A transformation conceptual model, the Circle of Caring (Figure 1) is developed by Dunphy and Winland-Brown in year 1998 especially for APN in North America (Dunphy & Winland-Brown, 2006). This Model necessarily incorporates elements of medical and interdisciplinary healthcare knowledge while attempting to emphasize at the same time the uniqueness that the nursing discipline brings into healthcare (Cody, 2006). Because it is designed specifically for the APN, it can serve as delineation for APN to differentiate them from medical team and regular registered nurse. I am impressed with the novelty of the model, and intent to explore further if it can be easily applicable in the day-to-day APN clinical practice.

A) Description of the model

Structural Components

Concepts. The concepts of the Circle of Caring Model are based on both traditional medical model concepts (Figure 2) include “a subjective and objective database”, “a labeling of the patient problem/response”, “a therapeutic plan”, and “an evaluation of the outcome”, as well as the traditional nursing model concepts (Figure 3) namely, “assessment”, “planning”, “intervention”, and “evaluation” with a feedback loop (Dunphy & Winland-Brown, 2006).

Because the Circle of Caring Model is a

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