ch 12 care delivery strategies Flashcards
method: premise is that one nurse provides total care for one patient during the entire work period
case method
method of providing patient care by which each licensed and unlicensed staff member performs specific tasks for a large group of patients
functional method of nursing
advantages of functional nursing method (3)
-large number of tasks in short period
-unskilled person can be trained to several specific tasks
-cost effective to mix staff
disadvantages of functional nursing method (4)
-fragmented nursing care
-poor communication among staff members
-professional nursing dissatisfaction
-less control of quality
method developed by Marie Manthey as a method for organizing patient care delivery in which one RN functions autonomously as the patient’s primary nurse throughout the whole hospital stay
primary nursing
advantages of primary nursing method (6)
-increased communication with physicians and other hcps
-increased patient rapport
-works with professional staff
-autonomy
-motivation
-holistic care
disadvantages of primary nursing method (3)
-costly for the agency
-RN may not want 24 hr responsibility
-RN may be inexperienced and lack autonomy
process of coordinating health care by planning, facilitating, and evaluating interventions across levels of care to achieve measurable cost and quality outcomes
nursing case management
anything that occurs to alter the patient’s progress through the normal critical path
variance
models of clinical nursing practice that are defined or differentiated by level of education, expected clinical skills or competencies, job descriptions, pay scales, and participation in decision making
differentiated nursing practice
framework for nursing practice and to guide the certification examination for critical care nurses and clinical nurse specialists
-rationale guiding this model is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses
synergy model
designed for hospitals to achieve recognition of excellent nursing care through a self-nominating, self-appraisal process
magnet recognition program
process that encourages testing creative change on a small scale while determining potential impact
rapid cycle change
4 stages of rapid cycle change
plan
do
study
act
