objective 8.3-8.5 Flashcards
The method used to provide care to patients, that
is, the way in which health care services are
delivered.
Total patient care
Functional nursing
Team nursing
Primary nursing
nursing care delivery model
The oldest model of providing care to patients.
Used in critical care settings or acute medical settings
where one nurse provides total care to one or two
critically ill patients, or to a group of patients,
depending on the clinical setting, over the course of a
shift.
The nurse, patient, and family trust one another and
work together toward specific goals.
total pt care (pt allocation)
is a model for providing patient care in which
each regulated and unregulated member of the care team
performs specific tasks for a large group of patients.
In this model, the division of nursing work is similar to the
division of work used in assembly-line systems in manufacturing.
A charge nurse is an RN responsible for delegating and
coordinating patient care and staff on a specific unit.
functional nursing
A nurse team leader is typically responsible for coordinating
a group of regulated and unregulated personnel to provide
patient care to a group of patients.
The members of the team report directly to the team leader,
who then reports to the charge nurse or unit manager.
team nursing
Organizing patient-care delivery that optimizes
relationship-based care, in which one nurse functions
autonomously as the patient’s primary nurse
throughout the hospital stay
primary nursing
involves planning for recruitment, hiring,
deploying, and retaining personnel to meet the needs
of patients
staffing
is the implementation of the staffing plan.
scheduling
Nursing-sensitive indicators
Quality of work life
Quality of patient care
Relations with management
Cumulative effect of work conditions
Mandated nurse–patient ratios
Staffing plan to project nursing needs on a unit over a specific
period of time
nurse staffing
Conceptual approach of accomplishing
the work to be done on a unit
staffing plan
what are hospital factors affecting staffing?
Size of the hospital
Type of hospital
Urban or rural location
Volume of patients and
acuteness of illness
Extent of use of technology
Determine correct number of full-time and
part-time positions that will be needed.
Calculate productive hours:
Direct care hours
Indirect care hours
Calculate nonproductive hours.
calculation of FTEs
The acquisition of a role requires an individual to assume the
personal as well as the formal expectations of that specified role or
position.
Many individuals function with multiple roles.
role theory
Creates an environment for misunderstanding and
hinders effective communication
role ambiguity
Employees know what is expected of them but are either
unable or unwilling to meet those expectations because of differences in
personal values and/or behaviour fit
role conflict
Time-dependent; that is, the more complex the role,
the longer it may take to assimilate into that role
role acquisition