What is an Appropriate Nursing Care Model in Critical Care Units: Domestic or International Models


1 Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Sina Trauma Research Center, Tehran University of Medical Sciences, Tehran, Iran

3 Nursing Dept. Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran


Critically ill patients are characterized as those who survive the initial episode of critical illness but remain dependent on critical care therapies. Models of care delivery to guide care of critically ill patients are valuable resources to optimize care and promote the well-being of these patients in acute hospital settings. The purposes of this review article were: 1. What are appropriate characteristics of an appropriate model for application in critical care unit (CCU)? 2. What are the effects of application nursing care models (NCMs) on the daily nursing practices? 3. What are the effects of application NCMs on the patients' outcomes? The University of York center for Reviewers and Dissemination Guidance approach was used for searching seven databases (Science direct, Ovid, Cochrane, Ebsco Host, Scopus, Pub med, and SID) with 10 key words from the 1983 to the June 2014. Lastly, 25 full texts analyzed for responding to the research questions. Additional responding to the three research questions, the core concepts of international NCMs were partnerships, evaluation the current models in CCU, better understanding of critically ill patients, and staff satisfaction from caring in CCU, however, domestic NCMs had more focused on the NCMs in CCU and in the majority ones, the staff satisfaction and selecting appropriate steps as a model were not assessed. Considering the appropriate features of domestic NCMs, it is recommended that these models carefully reviewed and adjusted to CCUs' needs