Nursing and Care Delivery Models Flashcards
Staffing considerations
RNs improve patient outcomes and prevention of premature mortality
of patients, intensity of patients, staff experience and prep, geography of environment, available technology
Total Patient Care
RN responsible for planning, organizing and performing all the patient care
Oldest method of care
i.e. CCU, ICU, PACU
Advantages: RN has high degree of autonomy
Disadvantage: Expensive
Functional Nursing
Task-oriented, lines of responsibility are clear
i.e. in storms and in operating rooms
Advantages: Economic and efficient, minimum number of RN needed, tasks done quickly, little confusion about tasks
Disadvantages: Fragmented care, Pt may be confused with number of caregivers, Workers can feel unchallenged
Team Nursing
RNs work as the team leader & coordinates care for a small group of patients; RN encourages team cooperation and keeps communication clear
i.e. Med-Surg floors, inpatient and outpatient settings
Advantages: High-quality care, RNs feel valued, other team members feel valued
Disadvantages: Team leader may not have effective leadership skills, continuity of care suffers with team assignment changes daily, possible fragmented care
Primary Nursing
Primary RN has 24-hour responsibility for planning, directing and evaluating patient’s care from admission through discharge
i.e. home health, hospice, long term care
Advantages: Direct patient care that can establish a rapport, high job satisfaction
Disadvantages: Lots of burden, may not want 24 hour responsibility
Modular Nursing
Like Team nursing but the same team of caregivers are always at the same geographic location
Partnership Model
Like Primary Nursing, but the responsibility is shared.
Patient Centered Care
Patient autonomy, philosophy not a model!
Telehealth Nursing
i.e. telephone triage, telephone nursing, telehealth
Advantages: cost effective, patient’s are not running to the ED, convient to patient, good for rural health and underserved populations, empowers patients to initiate their own health
Case Management
Introduced in the 70s by insurance companies to go along with DRGs
Goal: Quality outcomes and lower cost of care, assist patients through a continuum of care
Clinical Pathways (critical paths, practice protocols, care maps)
Written plan of care for specific health problems… think DRGs. HF should take 3 days in a hospital. Along with medical diagnoses, nursing care, and complications
