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    Care Delivery Model

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    The document compares and contrasts two care delivery models - the functional nursing model and the primary nursing model. The functional model divides nursing tasks among staff for efficiency, but can limit holistic care. The primary model assigns one nurse total responsibility for a patient's care for 24 hours, allowing for relationship building but requiring more nurses. The author chooses to implement the primary model on a medical/surgical unit to improve patient-centered care and satisfaction, though it would increase staffing costs.

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    Care Delivery Model

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    792 views5 pages
    The document compares and contrasts two care delivery models - the functional nursing model and the primary nursing model. The functional model divides nursing tasks among staff for efficiency, but can limit holistic care. The primary model assigns one nurse total responsibility for a patient's care for 24 hours, allowing for relationship building but requiring more nurses. The author chooses to implement the primary model on a medical/surgical unit to improve patient-centered care and satisfaction, though it would increase staffing costs.

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    The document compares and contrasts two care delivery models - the functional nursing model and the primary nursing model. The functional model divides nursing tasks among staff for efficiency, but can limit holistic care. The primary model assigns one nurse total responsibility for a patient's care for 24 hours, allowing for relationship building but requiring more nurses. The author chooses to implement the primary model on a medical/surgical unit to improve patient-centered care and satisfaction, though it would increase staffing costs.

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    Download as docx, pdf, or txt
    792 views5 pages

    Care Delivery Model

    Uploaded by

    api-520985654
    The document compares and contrasts two care delivery models - the functional nursing model and the primary nursing model. The functional model divides nursing tasks among staff for efficiency, but can limit holistic care. The primary model assigns one nurse total responsibility for a patient's care for 24 hours, allowing for relationship building but requiring more nurses. The author chooses to implement the primary model on a medical/surgical unit to improve patient-centered care and satisfaction, though it would increase staffing costs.

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    You are on page 1of 5

    Running head: CARE DELIVERY MODEL PAPER 1

    Care Delivery Model Paper

    Grand Canyon University: NSG-436

    Maya Mendez

    14 June 2020
    CARE DELIVERY MODEL PAPER 2

    As the healthcare system has evolved many organizations have developed different

    models to facilitate in providing safe, quality nursing care. Typically, these models will align

    with the facilities nurse to patient ratio, designate individuals to perform certain tasks, assign

    responsibility and authority, and will recognize who will be making the decisions to accomplish

    patient care. The following paper will compare the strengths and weaknesses of two care

    delivery models as well as discuss which I would choose to implement when in a particular

    situation that is discussed below. In addition, I will discuss how the model of my choice will

    impact the nursing budget for the unit.

    Comparison of two delivery models

    The functional nursing model was designed around an efficacy concept which sought to

    divide labor into specific tasks and technical aspects of a job to be accomplished in a short period

    of time (Huber 2018). Meaning, where usually one nurse is expected to perform multiple task, it

    will now be distributed to different nurses who will each perform one or two tasks. According to

    this model, for efficiency to be obtained the nurse must first identify all the tasks that need to be

    completed by end of shift. Once gaining an overall idea of all the work, it is then broken down

    into simpler tasks. Analyzation of each task, their time duration, and standards are all determined

    to ensure the best task performance. Thus, allowing managers to have control over the plan and

    the ability to evaluate the execution. This model is often favored for its clear division of labor, its

    ability to enable hospitals to improve service efficiency, and control cost by requiring fewer

    nurses as nurse’s aides were often trained to provide a certain level of care. However, a

    disadvantage to this model is that it pulls the focus from the relationship and care aspect of

    nursing as the patients are exposed to many different health care professionals whose mindsets

    are on completing a task.


    CARE DELIVERY MODEL PAPER 3

    The primary nursing model was developed as a result of the nursing staff experiencing

    extreme frustration with their chaotic work environment and disconnect with providing holistic

    care. The primary nursing model is a method of nursing practice that emphasizes comprehensive,

    individualized care provided by the same nurse throughout the period of care. The primary nurse

    accepts total 24-hour responsibility for a patient’s nursing care. This method is favored as it

    helps the nurse establish autonomy, the opportunity to establish relationships with patients and

    their support systems, and the ability to provide high quality, holistic care (Models, n.d.). A few

    disadvantages of this model are; if the patient’s condition changes it can require them to be

    moved to a different unit with a different nurse, but this model says that the one nurse is

    responsible for them for 24 hours thus becoming a problem. Also, this method is more costly as

    more registered nurses are needed.

    The model I will Implement

    After analyzing the functional nursing model and the primary nursing model, I would

    choose to implement the primary nursing model on a 24-bed medical/surgical unit. This model

    allows nurses to give direct patient care and enhance their critical thinking, collaboration,

    teaching, and provide holistic patient-centered care (Huber, 2018). This model aids in building

    better trusting relationships between the patients and their support system as they are the primary

    point of contact. They also serve as the communicator between the patients, their doctors, and

    other health care professionals. It is also said that primary nursing is believed to result in a higher

    quality of nursing care, greater patient satisfaction and improved job satisfaction of nurses, make

    nurses work more meaningful, and is considered to be more cost-effective (Effectiveness, n.d.).

    The main reason why I choose to not implement the functional nursing model is that I believe it
    CARE DELIVERY MODEL PAPER 4

    limits the growth of registered nurses. If a nurse only performs one job duty, it limits the

    application of the education and training that they received.

    Financial Impact

    The primary nursing care if often rejected by many institutions because it is too costly.

    We understand that the health care system is always striving to improve efficiency and care, but

    it does come with a cost. As I do not have a specific budget, I will take into consideration my

    awareness that this model is typically costly and results in the need for more nurses who can

    practice with a high degree of responsibility and autonomy who can accept a patient for 24

    hours. Despite the need for requiring more nurses, which ultimately means that budgeting would

    have to be directed to paychecks, thus possibly pulling funding from supplies and potential

    research I hope that because the nurse’s attention is solely directed on providing care to one

    individual, it will allow for an improvement in patient flow and reduce the amount of time they

    spend in a hospital. For this model or any model to succeed it will require the staff and

    organization to be dedicated in providing safe, high-quality care while also being well-educated,

    competent, and professional.


    CARE DELIVERY MODEL PAPER 5

    References

    Effectiveness of primary nursing in the care and satisfaction of adult inpatients: A systematic

    review protocol. (n.d.). Lippincott NursingCenter | Professional Development for

    Nurses. https://www.nursingcenter.com/journalarticle?

    Article_ID=3598643&Journal_ID=3425880&Issue_ID=3598589

    Huber, D. (2018). Leadership and Nursing Care Management. [Pageburstls]. Retrieved

    from https://pageburstls.elsevier.com/#/books/9780323389662/

    Models -nursing care — American nursing history. (n.d.). American Nursing

    History. https://www.americannursinghistory.org/models-nursing-care

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