Development and Implementation of a New Model of Care

Running head: DEVELOPMENT AND IMPLEMENTATION OF A NEW MODEL OF CARE
Development and implementation of Primary Healthcare Nursing for Rural and Remote
Aboriginal Communities
Name of the Student
Name of the University
Author note

2DEVELOPMENT AND IMPLEMENTATION OF A NEW MODEL OF CARE
Task 1A
Project topic: Development and implementation of a new model of care (Community
focused care)
Project title: Development and implementation of Primary Healthcare Nursing for Rural and
Remote Aboriginal Communities
Project problem
Australians who live in remote and rural areas tend to have shorter lives because of
higher level of diseases, injuries, neuration issues, poor hygiene and poor access to
healthcare services, especially to primary healthcare. According to government study
published by aihw.gov.au (2016), almost 3 out of 4people lives in rural area do not get
enough primary care treatment. Rate of chronic disorders such as diabetes, asthma and rate of
viral fever are significantly higher in the population of rural and remote area. More
specifically the situation is even worse in the aboriginal population due to various social and
economical determinants. In rural areas, the rate of other food consumption related issues
such as cholera, E.coli, Diarrhoea, are 24% higher than the urban population (McGrail and
Humphreys 2015). These visible differences between the urban population and remote or
rural population also reflects the inaccessibility as well as inequity of healthcare service in
Australia. Hence, to change the situation, the primary healthcare services should overcome
many challenges through which the primary healthcare system could be stronger in remote
and rural area, where majority of aboriginal people live. Lack of development and
implementation of community based care model in primary healthcare nursing services is the
major obstacle to overcome (Song et al. 2018).
Project problem solution:

3DEVELOPMENT AND IMPLEMENTATION OF A NEW MODEL OF CARE
Through community based care model the primary care facilities could become more
accessible to the aboriginal population in rural and remote areas. In incorporate the
community based care model in the primary care nursing services, both educational system
and the professional practices should be changed to make each practice nurse competent
enough to reach the rural communities and to providing primary care (Garbutt et al. 2018).
To develop the community based care model for the aboriginal population who live in remote
and rural areas, the geographical data of population distribution as well as their
demographical will be analysed. According to the result the primary care camps will be
developed facilitated with enough primary healthcare nurses, caregivers and general
practitioners. After graduation, during the internship, the new graduate nurse will go through
a special training and induction session to improve their competence for rural area based
primary care service. During the training the new graduate nurse and the existing practice
nurses will be educated regarding patient centred care approach where, patient value, ethics,
personal values, cultural perspective should be prioritised during the treatment plan (Moullin
et al. 2015). The primary care nurses will be financially supported accordingly, that will
allow them to implement the community based care model practically by developing local
primary care clinics through group based activity plan.
Question to fellow students
From above project concept it is clear that some tertiary stakeholders such as
government and trusty boards must be involved to practically implement the plan
successfully. Hence the first question is how could the tertiary stakeholders help to
implement the community based care model in primary healthcare nursing for the rural and
remote area based healthcare development?

4DEVELOPMENT AND IMPLEMENTATION OF A NEW MODEL OF CARE
Every project planning should consists of risk assessment as well which enables the
project team to minimise the probability of occurrence and to be prepared for certain
situations. Hence, the second question is: What should be the most essential concerns during
the risk assessment for this project of implementing community based care model in primary
healthcare nursing?
Responses to fellow student’s questions
Response to question: In relation to the proposed implementation of an education package of
NGT insertion how you would identify the key project stakeholders and determine their
expected outcomes of the project (Nasogastric Tube (NGT) Education Package)?
Stakeholder identification process is a major part of any project management that
allows the project team develop roles and responsibilities for each stakeholder groups and can
assign the stakeholders to different duties. The stakeholder analysis can be done by using the
power, dependency matrix. Power refers the influence of a stakeholder on a particular project,
where a powerful stakeholder can make decision and can change the project process any time
they want (Macniven et al. 2019). On the other hand, the dependency refers how dependent is
a stakeholder group on a particular project, which also determines that how that particular
stakeholder could be affected by any changes in the project. A stakeholder with higher
dependency has to face higher difficulties for any changes in project.
Hence, for Nasogastric Tube (NGT) Education Package, the stakeholder should be
identified depending on their power and dependency. In accordance with the stakeholder type
the project team has to anticipate the outcomes of key project stakeholders after making any
change or taking any decision. For an example, making change in the training schedule will
affect trainee nurses and the trainers more than the other stakeholders. Therefore, the primary
stakeholders of this project will be the project team. Other internal stakeholders will be the