P&P Chapter 21 Managing Patient Care Flashcards
Nursing Care Delivery Models
Functional Nursing Team Nursing Total Patient Care Primary Nursing Case Management
Task focus
Functional Nursing Model
Team Leader coordinates care, problem solves, and is a resource for other RNs
Team nursing model
- Limited client care by Team Leader
- Client may receive care more often by tech than RN
- Perhaps lack of continuity of care from day to day
Disadvantage of Team nursing model
Places more RNs in direct care of group of clients over time (caseload)
Primary nursing model
Nurse is assign to 1 task for all the patients. Ex passing meds for every patient in the unit
Functional Nursing Model
Least efficient but hight rate in patient satisfaction
Total Care model
Today’s emerging Trend
Team nursing model
Continuity of care long-term as others follow the primary RNs care plan
Total
No continuity of care; no holistic approach
Fragmented mechanical care
Poor collaborative communication
Disadvantage of Functional nursin model
Coordinates client care by controlling health care costs and maintaining quality
Case managment
- Encourages collaboration
2. Autonomous TL; real-time clinical decision making
Advantage Team nursing model
Collaborative discharge planning
Complicated medical problems
Use critical pathways as guidelines
Case managment
Usually the case of health care organizations
Decentralized Management
Can be cost-effective by improving the effectiveness of care
Primary Care model
