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
Staff and managers have equal and significant input in the policies and procedures
Decentralized Management
Nurse/physician collaborative practice
Staff involvment in decentralized management
Creates a supportive and enlightened environment
Decentralized Management
- Right Task
- Right Circumstances
- Right Person
- Right Direction/Communication
- Right Supervision
Five Rights of Delegation
RN assumes all aspects of care for client(s)
Total patient care model
The hospital has clinical promotion systems and research and evidence base practice
Magnet recognition
Interdisciplinary collaboration
Staff involvment in decentralized management
Legitime power to give commands and make final decisions specific to a given position
Authority
Staff communication
Staff education
Staff involvment in decentralized management
Characteristics of a nursing leader
- Effective communicator
- Consistent in managing conflict
- Knowledgeable and competent
- Role model
- Use participatory approach in decisio making
- Delegates appropriately
- Set objectives and guide staff
- Displays caring attitude
- Motivates others
- Proactive and flexible
Accepting the commitment to provide excellent care and the responsability for the outcomes of the actions
Accountability
Feedom of choice and responsability for choices
Autonomy
