What question does nursing care delivery address? - correct answersthe method used to provide patient
care
What must management consider when setting up a nursing care delivery model? - correct answers-
Patient population
- Staff
- Unit objectives
- Organizational objectives
- Budget
case method - correct answers- One nurse provides total care for one patient during the entire shift.
- Often used in critical care
- May be referred to as total patient care
- Leads to improved continuity of care
- Increases nursing satisfaction because in control of patient care
role of nurse manager in the case method model - correct answers- RN care
- RN-supervised care
- Hiring and management of appropriate staff to provide total care in a cost-effective manner
+ More nurses and less assistive personnel can be costly
functional nursing - correct answers- method of care assigning specific tasks to each team member
- each licensed and unlicensed staff member performs a specific task for a large group of patients
+ consider scope of practice
+ a charge nurse usually coordinates care assignments.
example of functional nursing - correct answersoften practiced at long-term care facilities
+ 1 RN: all assessments
+ 2 LPNs:
, - one does all treatments
- one does all medications
+ 2 CNAs
- one does all baths
- one does all vitals
advantages of functional nursing - correct answers- Efficient
- Assistive personnel can be trained to perform specific tasks.
- Cost-effective
disadvantages of functional nursing - correct answers- Fragmented care; task oriented
- Patient and family needs may be overlooked.
- Lapses in communication
- Quality of care may be compromised; holistic view of patient and family may be lacking.
- Frustrating to professional nurse (giving up much control over patient care)
team nursing - correct answersmethod of care in which a nurse acts as a leader of a group of people
giving care
characteristics of team nursing - correct answers- At minimum a BSN or RN is defined as the Team Leader
+ Responsible for coordinating a group of licensed and unlicensed staff to provide care for a small group
of patients.
+ Team leader reports to the charge RN or Manager.
+ seen in the in-patient setting
advantages of team nursing - correct answers- Cost effective
- Decisions made at the "grass roots" level, often by staff caring for the patient
- Improved patient satisfaction