Contracting Catherine T. Horat NUR 410 Community Focused Nursing

Contracting  Partnership  Negotiating a working agreement between parties  Mutual understanding  Involves sharing responsibility and control  ANA’s Standards of Community Health Nursing Practice (1986) explicitly states clients right to participate actively in planning own care

Contracting  In partnership with patient/family/caregiver nurse

Phases and Activities of Contracting  Beginning phase Assessment  Mutual data collection and exploration of needs and problems Nursing Diagnosis/Goal Setting  Mutual establishing of goals

Phases and Activities of Contracting  Working phase Plans/Interventions

Phases and Activities of Contracting  Termination phase/Evaluation Evaluation Mutual renegotiation or termination of contract

Value of Contracting  Nursing service more efficient and cost- effective

Potential Problems with Contracting  Client perspective  Nursing perspective