| Critical Question Set 3 Valentine Nwafor Valdosta State University School of Nursing Nursing 4203 September 15th, 2014 Ms. Youmans 1. Case Method or total patient care is the primeval technique of delivering care to a patient. The principle of the case method is that one nurse is accountable for the complete care for one patient throughout work time. And it is usually to execute by nursing students and classically used in the intensive care unit. Some advantages are autonomy, obvious liability and accountability, holistic and continuous care. Some disadvantages are diverse methods of care, lack of nurse accessibility, and unprofitable (Yoder-Wise). Functional Nursing is a scheme of delivering patient care by collaborating licensed and unlicensed staff member executes precise duties for a huge crowd of patients. This method was popular during World War II as a result of shortage of nurses, and usually used in the operating room. Some advantages are cost-effective and competent, errands are accomplished promptly, inexperienced personnel can be educated to execute one or two explicit responsibilities marvelously, and smallest amount of nurses is needed. Some disadvantages are fragmentation of care, care providers sense uncontested, and This refers to the manner in which nursing care is organized and provided. It depends on the philosophy of the organization, nurse staffing and client population. Show  Case Method/Total Patient Care In case method, the nurse cares for one patient whom the nurse cares for exclusively. The Case Method evolved into what we now call private duty nursing. It was the first type of nursing care delivery system. In Total Patient Care, the nurse is responsible for the total care of the patient during the nurse’s working shift. The RN is responsible for several patients. Advantages:
Disadvantage:
Functional Nursing It is a task-oriented method wherein a particular nursing function is assigned to each staff member. The medication nurse, treatment nurse and bedside nurse are all products of this system. For efficiency, nursing was essentially divided into tasks, a model that proved very beneficial when staffing was poor. The key idea was for nurses to be assigned to tasks, not to patients. Advantages:
Disadvantages:
Team Nursing This is the most commonly used model and is still in use today. It was developed in the 1950’s in order to somewhat ameliorate the fragmentation that was inherent in the functional model. The goal of team nursing is for a team to work democratically. In the ideal team, an RN is assigned as a Team Leader for a group of patients. The Team Leader has a core of staff reporting to her, and together they work to disseminate the care activities. The team member possessing the skill needed by the individual patient is assigned to that patient, but the Team Leader still has accountability for all of the care. Team conferences occur in which the expertise of every staff member is used to plan the care. Advantages:
Disadvantages:
Primary Nursing The hallmark of this modality is that one nurse cares for one group of patients with a 24-hour accountability for planning their care. In other words, a Primary Nurse (PN) cares for her primary patients every time she works and for as long as the patient remains on her unit. An Associate Nurse cares for the patient in the PN’s absence and follows the PN’s individualized plan of care. This is a decentralized delivery model: more responsibility and authority is placed with each staff nurse. Advantages:
Disadvantage:
Modular Nursing (District Nursing) This is a modification of team and primary nursing. It is a geographical assignment of patient that encourages continuity of care by organizing a group of staff to work with a group of patients in the same locale. Advantages:
Disadvantage:
Photo Credits: www.nursesolutions.com Modalities of Nursing Care This refers to the manner in which nursing care is organized and provided. It depends on the philosophy of the organization, nurse staffing and client population.
? In case method, the nurse cares for one patient whom the nurse cares for exclusively. The Case Method evolved into what we now call private duty nursing. It was the first type of nursing care delivery system. ? In Total Patient Care, the nurse is responsible for the total care of the patient during the nurse’s working shift. The RN is responsible for several patients. ? Advantages: · Consistency in carrying out the nursing care plan · Patient needs are quickly met as high number of RN hours are spent on the patient · Relationship based on trust is developed between the RN and the patient’s family ? Disadvantage: · It can be very costly
? It is a task-oriented method wherein a particular nursing function is assigned to each staff member. The medication nurse, treatment nurse and bedside nurse are all products of this system. For efficiency, nursing was essentially divided into tasks, a model that proved very beneficial when staffing was poor. The key idea was for nurses to be assigned to tasks, not to patients. ? Advantages: · A very efficient way to delivery care. · Could accomplish a lot of tasks in a small amount of time · Staff members do only what they are capable of doing · Least costly as fewer RNs are required ? Disadvantages: · Care of patients become fragmented and depersonalized · Patients do not have one identifiable nurse · Very narrow scope of practice for RNs · Leads to patient and nurse dissatisfaction
? This is the most commonly used model and is still in use today. It was developed in the 1950’s in order to somewhat ameliorate the fragmentation that was inherent in the functional model. The goal of team nursing is for a team to work democratically. In the ideal team, an RN is assigned as a Team Leader for a group of patients. The Team Leader has a core of staff reporting to her, and together they work to disseminate the care activities. The team member possessing the skill needed by the individual patient is assigned to that patient, but the Team Leader still has accountability for all of the care. Team conferences occur in which the expertise of every staff member is used to plan the care. ? Advantages: · Each member’s capabilities are maximized so job satisfaction should be high · Patients have one nurse (the Team Leader) with immediate access to other health providers ? Disadvantages: · Requires a team spirit and commitment to succeed · RN may be the Team Leader one day and a team member the next, thus continuity of patient care may suffer · Care is still fragmented with only 8 or 12 hour accountability
? The hallmark of this modality is that one nurse cares for one group of patients with a 24-hour accountability for planning their care. In other words, a Primary Nurse (PN) cares for her primary patients every time she works and for as long as the patient remains on her unit. An Associate Nurse cares for the patient in the PN’s absence and follows the PN’s individualized plan of care. This is a decentralized delivery model: more responsibility and authority is placed with each staff nurse. ? Advantages: · Increased satisfaction for patients and nurses · More professional system: RN plans and communicates with all healthcare members. RNs are seen as more knowledgeable and responsible. · RNs more satisfied because they continue to learn as as part of the in-depth care they are required to deliver to their patient ? Disadvantage: · Only confines a nurse’s talents to a limited number of patients, so other patients cannot benefit if the RN is competitive · Can be intimidating for RNs who are less skilled and knowledgeable
? This is a modification of team and primary nursing. It is a geographical assignment of patient that encourages continuity of care by organizing a group of staff to work with a group of patients in the same locale. ? Advantages: · Useful when there are a few Rns · RNs plan their care ? Disadvantage: · Paraprofessionals do technical aspects of nursing care Daisy Jane Antipuesto RN MN Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer. What is the primary advantage of the case method of care delivery?21. What is the primary advantage of the case method of care delivery? It is inexpensive and cost effective. It allows several health-care providers trained at different levels to provide care at the same time.
What are the advantages of total patient care?In general, the greatest benefit of total patient care is the one-on-one attention and monitoring a skilled nursing professional provides. The drawback to total patient care is the price.
What are disadvantages of the functional task oriented model of nursing care delivery?Disadvantages of the model include difficulty in being able to assess the patient's nonphysical needs effectively and the potential for ineffective communication because of the focus on specific tasks.
Which are the advantages of primary nursing care delivery quizlet?One RN functions autonomously as the patient's primary nurse throughout the hospital stay. The primary nurse is accountable for the patients' care 24 hours a day from admission through discharge.. Improve patient satisfaction & patient outcomes.. Improve worker job satisfaction.. Increase efficiency and decrease costs.. |
