GNUR 383 Exam II Loyola University Chicago (LUC) GNUR 383 Nursing Leadership - John Pucker, Spring 2020/2024

GNUR 383 Exam II Loyola University Chicago (LUC) GNUR 383 Nursing Leadership - John Pucker, Spring 2020/2024 Considerations to be addressed when selecting a care delivery model - ANS-Organizational mission and purpose Unit objective Patient population Staff availability Economic feasibility Care Models: Case Method - ANS-Aka total patient care A nurse working an 8hr shift is responsible for doing everything for the patient (vitals, ADLs, medications, etc.) Care Models: Functional - ANS-Aka task delivery Each nurse is assigned one particular function for the day (e.g. admissions, discharges, ADLs, medications) Mostly used in clinics, outpatient settings, smaller emergency departments Rarely seen in acute care hospitals today Care Models: Functional: Advantages - ANS-Efficient Assistive personnel can be trained to perform specific tasks Cost-effective Care Models: Functional: Disadvantages - ANS-Fragmented care; task oriented Patient and family needs may be overlooked Lapses in communication Quality of care may be compromised Holistic view of patient and family may be lacking (don't know who is the nurse because so many people are in and out of room) Frustrating to professional nurse Care Models: Team Nursing - ANS-Team includes RN, care techs, charge nurse, unit secretary, CNA, team leaders, etc. Care Models: Team Nursing: Advantages - ANS-Cost effective Decisions made at the "grass roots" level, often by staff caring for the patient Improved patient satisfaction if they know who is taking care of them Care Models: Team Nursing: Disadvantages - ANS-Need a skilled, knowledgable team leader Need adequate staff with the right skill mix Potential for fragmentation of care Few work settings implement team nursing as originally designed Care Models: Primary Nursing - ANS-The nurse that is signed up to care for the patient is the primary nurse even while they are not on shift - the other nurses that care fo 4th patient need to follow the care plan set out by the first nurse Primary nurse is responsible for whatever the other nurses do Primary nurse decides who is caring for the patient while the primary nurse is not on shift....