A Comprehensive Comparative Analysis Of Professional Burnout, Accountability Perceptions, Nursing Competency Development, And Quality Of Nursing Service Delivery: An Evaluation Of Functional Nursing Models Versus Team-Based Nursing Approaches In Contempor
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Aminah Mohammed Al Qahtani, Saleha Abdullah Abdo Faqihi, Horeyaha Hassan Alotaibi, Joawher Fahad Alqhtani, Dalia Mahmoud Sami Ali, Rahmah Ibrahim Mshani Alshahri, Hayat Saad Alzahrani, Ameerah Ammash Almutiri
Hessa Mohammad Mosaed Alsubaie, Maryim Ahmab Kleeb, Sheea Huways Saeed, Fatmah Taher Saeed, Mona Dakhel Saad Albalawi, Ammar Faisal Althomali, Abdullah Hassan Alharthi
Abstract
This comprehensive analysis examines the differential impacts of functional nursing models and team-based nursing approaches on professional burnout, accountability perceptions, nursing competency development, and quality of service delivery in contemporary healthcare settings. Through critical examination of empirical research and theoretical frameworks, this article evaluates how nursing care delivery models influence key professional and organizational outcomes. Findings indicate that team-based nursing approaches generally demonstrate advantages over functional nursing models across multiple domains, including reduced burnout rates, enhanced accountability perceptions, accelerated competency development, and improved quality of care. However, contextual factors such as organizational culture, leadership styles, and resource allocation significantly moderate these relationships. The analysis concludes with evidence-based recommendations for healthcare organizations seeking to optimize nursing care delivery systems to enhance both professional fulfillment and patient outcomes.
Keywords :
.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty