Care Delivery Models and Staffing (Exam 2) Flashcards
Staffing systems must?
Meet people and aggregated care needs
Incorporate clinical competencies, expertise of nurses and collab with other team members
Reflect the value of RNs while balancing quality, safety, and overall costs of nursing resources
Provide access to timely, accurate and relevant info for pt care
Allow nurses time to exercise professional judgement
Have a system in place to evaluate staff plans
what are primary considerations for staffing a nursing unit?
of pts
Intensity off care required (pt classification system)
Contextual issues (architecture of the environment; available technology)
Staff experience and prep
Quality of the nurses work life
what are staffing and nursing characteristics?
nurses must have the edu prep, skill, clinical judgement, and experience necessary to meet pt care needs. Nurses must have the competencies required to care for the population being served. American association of critical care nurses recommences the synergy model for pt care (staffing systems match pt needs and nurse characteristics to achieve ideal pt outcomes).
what are staffing and staff satisfaction?
satisfied nurses generally provide higher quality, more cost-effective care. 24 H/day, 365 days/year staff needs make meeting the nurses personal needs difficult. Creative staffing options are available to meet varied needs of staff members. Methods to gain staff input about staffing and to enhance autonomy are the key to staff satisfaction.
what are organizational needs affected by staffing?
financial resources, licensing regulations and accreditation standards, and customer/pt satisfaction.
Efficient staff management ensures the organizations financial solvency
nurse manager accountable for budgetary guidelines for?
of staff working at any given time, staff mix, and RNs are the most experienced staff; thus ratios for RNs to other types of care providers may be established.
what is important to know about care delivery models?
Detail how task assignments, responsibility, and authority are structured to accomplish pt care.
Describe which HC worker is going to perform the tasks, who is responsible, and who has the authority to make decisions
Basic premise is that the # and type of caregivers are closely matched to pt care needs in a cost effective manner.
what are care delivery models?
Total pt care
Functional nursing
Team nursing
Primary nursing
Variations of these classics have been adopted to improve quality and cost-effectiveness of pt care
what is total pt care?
nurse is responsible for planning, organizing, and performing all pt care during the assigned shift.
Background: oldest model of organizing pt care, sometimes referred to as case nursing. Nursing student typically perfumes total pt care for assigned pts.
what is functional nursing?
staff members are assigned to complete certain tasks for a group of pts rather than care for specific pts.
Lines of responsibility and accountability:
RN nurse manager assigns responsibility for completion of tasks to a group of HC workers.
RN is responsible for planning care and supervising workers
RN retains accountability for the pt care provided
what is team nursing?
RN functions as a team leader and coordinates care for a small group of pts.
Lines of responsibility and accountability — RN team leader is responsible for:
Planning care
Assigning duties
Directing, supervising, and assisting team members
Giving direct care
RN retains accountability for all pt care
RN team leader is responsible for encouraging a cooperative environment and maintaining clear communication
what is modular nursing?
modification of team nursing
Pt unit divided into modules; same team of caregivers assigned consistently to same geographic location.
Each location or module has RN as team leader
Goal is to increase the involvement of the RN in planning and coordinating care
Designated modules should contain all the supplies needed by the staff to maximize efficiency
what is primary nursing?
RN “primary” nurse assumes 24 H responsibility for planning, directing, and evaluating the pt care from admission through DX
Provides total pt care while on duty
While off duty, care is provided by an associate nurse, who follows the care plan EST. by the primary nurse.
what is partnership model (or Co-primary nursing)?
RN is partnered with an LPN/LVN or a nursing assistant; pair work together consistently
Modification of primary nursing designed to ensure more efficient use of RN
Lines of responsibility and accountability: RN responsible for planning care, assigning duties, coordinating care, and supervising the parent. RN is accountable for pt care for all assigned pts
what is pt centered care?
providing care that is respectful of and responsive to pt preferences, needs, and values and ensuring that pt values guide all clinical decisions.
Nurses, HCP, and other HC professionals partner with pts and families to ensure that HC decisions respect the pts wants, needs, and preferences.
Not a nursing care delivery model but a philosophy of care that is an essential component of any nursing care delivery model.
