ContractingCatherine 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