Bill, Ann, and Connie are in different clinical sections at separate facilities. As they discuss their clinical experiences, they note some variances in nursing care delivery. Bill says that at his facility there is one charge nurse who is responsible for the functions of others—medication nurse, treatment nurse, several nursing assistants, and secretaries.
Ann relates that her hospital uses a patient-focused care model, whereby the nurse supervises all those who come into contact with the patient. She explains that the aides are trained in dietary education and that the lab draws are done by the nurse.
Connie describes how she participated in a meeting in which the dietitian, respiratory therapists, nurses, aides, and a physician met to discuss the more complicated patient cases. She explains how the facility uses a care map that shows each day and details outcomes the patient should achieve daily to move forward.
1. What are the three patterns of nursing care delivery described?
2. Which of the patterns described would benefit the intensive care patient?
3. Although each of the various models works toward quality patient care, which pattern of care delivery makes the best use of available resources?
SSC130 Essentials of Psychology Research Paper
Grand Canon University
Over the course of history, there have been a lot of different approaches to providing nursing care. When examining the many patterns of nursing care, a few terms that come to mind include total patient care, functional nursing, team nursing, primary nursing, and patient-focused care. Other names include patient-centered care and patient-centered nursing.
It is possible to have a conversation about each nursing care pattern alone; however, in practice, the patterns merge. It is important for nurses to be flexible and able to work with a variety of care models. The patterns of care shift over time in response to the ever-evolving problems in the healthcare system.
Initial private duty nursing care provided in the patient’s home was the foundation of total patient care. In the 1920s and 1930s, as well as in the 1980s, it was common practice for the nurse to take full responsibility for the treatment of the patient. This enabled the nurse to concentrate her attention and actions on a single patient, which resulted in an improvement in the quality of care provided and an increase in the level of satisfaction experienced by the patient.
When the nurses in the hospitals took over the majority of the work during World War II, this was the beginning of the functional nursing movement. One of the first nursing shortages occurred as a result of a mix of factors, including the war effort and the hospital’s practice of employing nurses in other capacities.
The practice of nursing was able to be segmented into a series of tasks that could be carried out by a large number of individuals when functional nursing was implemented. In this configuration, one nurse would be responsible for the administration of pharmaceuticals to all of the patients on a unit, while another nurse would review and approve patient orders, and a third nurse would manage patient intakes and discharges.
Because of this approach, the service provided was disjointed and impersonal. In addition to this, a number of the patients’ issues, such as their psychological or spiritual requirements, went unaddressed. This approach to nursing resulted in an increase in the number of errors and omissions that occurred, as well as a lack of accountability for the patient as a whole.