Delivery Models Flashcards
advantages of this model - pt receives in-fragmented care, nurse has high autonomy, clear lines of responsibility
total pt care
a nurse provides all the care needed during shift to a group of pts; responsible for planning, organizing, & performing all pt care
total pt care
a method of work organization & assignment where tasks are divided among healthcare workers to save time & manpower
functional nursing
RN team leader coordinates a small group of personnel to provide care to a group of pts
team nursing
the pt unit is divided into modules & the same team of caregivers are assigned consistently
modular nursing
RN assumes 24 hour responsibility for planning, directing, & evaluating the pt’s care from admission to dischage
primary nursing
RN is partnered w/ an LPN or CNA
co-primary nursing
a system that supports RNs control over the delivery of nursing care; utilizes the nursing process to achieve pt focused goals
professional practice model
advantages of this model - care provided in an economic & efficient manner, minimal RNs needed, tasks completed quickly, little confusion of responsibility
functional nursing
advantages of this model - holistic approach, involves collaboration, each member participates in decision making & problem solving, each member contributes their expertise
team nursing
advantages of this model - high job satisfaction, allow for high quality care, pt satisfaction high, improved nurse retention
primary nursing
advantages of this model - cost effective, RN can encourage growth/training of their partner, effective delegation
co-primary nursing
disadvantages of this model - costly, RN performs tasks
total pt care
disadvantages of this model - care is fragmented, no one is responsible for the whole pt, nursing care is task oriented, RN unchallenged, pt confused by different personnel
functional nursing
disadvantages of this model - need a skilled team leader, all staff must be involved, fragmented care if team members change
team nursing
disadvantages of this model - difficult implementation, high responsibility, 24 hour responsibility, costly
primary nursing
what are the 6 components of the professional practice model
primary nursing decentralized decision making quality circles peer review self-scheduling salary pay
cross functional teams of professional & assertive personnel from nursing & other departments become partners to provide care to a group of pts
pt focused care
advantages of this model - more time spent w/ pt, consistent pt care, cost effective
pt focused care
disadvantages of this model - major change required, participating department not willing, different issues arise
pt focused care
a dynamic & systematic collaborative approach to providing & coordinating health care services to a defined population
case management
interdisciplinary care plan that can track a pt’s progress toward achieving positive outcomes within a specific time frame (common health problems)
critical pathway
any event that may alter the pt through the clinical pathway
variances
alerts the caregiver that an unexpected event has occurred
trigger
