Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Transcript of Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
8/8/2019 Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Nursing Care Assignments/
Modalities of Nursing Care orSystem/Pattern of NursingCare
8/8/2019 Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Primary Extension of principle of decentralization
Nursing process driven
Primary nurses and associate nurses
24-hour coverage
Greater patient and staff satisfaction
8/8/2019 Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Advantages 1) patient & family are able to developtrusting relationship with RN; 2) there is definedaccountability & responsibility; 3) there isholistic/continuity of care.
Disadvantages 1) high cost because there is a higher
RN skill; 2) proximity of patient assignment;3) overlapping of staff functions; 4) nurse patientratio must be realistic.
8/8/2019 Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Case Method
1:1 nurse/patient ration
Examples include private duty, ICU, Community HealthNurse
Similar to Primary, however, no Associate RN
The nurse is responsible for the total care of the patient
for the shift she’s working
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Advantages 1) consistency of one individual caring forthe patient for the whole shift; 2) more opportunity toobserve & monitor the patient.
Disadvantages 1) the nurse may not have the samepatient the next day; 2) it does not serve the purpose of
decentralization.
8/8/2019 Nursing Care Assignments or Mod Ali Ties of Nursing Care or System or Pattern of Nursing Care
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Functional Nursing
divides the work to be done & every member isresponsible for his actions
best system that can be used if there are many patient &professional nurses are few
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Advantages of functional nursing are that 1) work isdone fast; 2) workers learn to work fast; 3) they gainskill faster in that particular task.
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Disadvantages include 1) fragmentation of nursingcare therefore holistic care is not achieved; 2) patientcannot identify who their “real nurse” is; 3) nurse-patient relationship is not fully developed; 4)evaluation of nursing care is poor & outcomes arerarely documented, and 6) it is hard to find a specificperson to answer the relative’s questions.
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Advantage 1) work is shared with others
Disadvantages 1) patient receives fragmented,depersonalized care; 2) communication is complex;3) accountability & responsibility is shared which cancause confusion; 4) these factors affects RN’s
dissatisfaction.
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Case Management Clinical system with accountability for individual or
group through continuum of care
Negotiating Procuring
Coordination of services and resources