Author Question: The local hospital has just changed its patient care delivery model from Team Nursing to Total ... (Read 109 times)

Starlight · **on:** Jul 8, 2018

The local hospital has just changed its patient care delivery model from Team Nursing to Total Patient Care. Some of the advantages for this change include which of the following with Total Patient Care? Select all that apply.

a. Consistency of one individual caring for patients for an entire shift
b. Less costly than other models of delivery
c. Works well in a specialized unit such as hospice
d. Requires fewer RNs to provide patient care
e. Patient, nurse, and family are able to develop a relationship based on trust
f. Nurse has more opportunity to observe and monitor the progress of the patient

Question 2

The nurses on your unit want to change the patient care delivery model from functional nursing to primary care nursing. They are concerned about the disadvantages of functional nursing, which include which of the following? Select all that apply.

a. Patients feel disjointed.
b. Care can be delivered to a large number of patients.
c. LPNs are forced to work outside their scope of practice.
d. Patients become the sum of the tasks rather than an integrated whole.
e. Other types of health care workers are used when there is a shortage of RNs.
f. Technical, rather than professional, nursing care often results.

joewallace · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

A, C, E, F
Some of the advantages of using a Total Patient Care delivery model include consistency of one
individual caring for patients for an entire shift; patient, nurse, and family are able to develop a
relationship based on trust; nurse has more opportunity to observe and monitor progress of the patient;
the fact that this model works well in a specialized unit such as hospice. Total Patient Care is very
costly because it requires a higher number of RNs to provide patient care.

Answer to Question 2

A, D, F
The disadvantages of functional nursing include patients feeling disjointed; patients becoming the sum
of the tasks rather than an integrated whole; and technical, rather than professional, nursing care
resulting. The advantages of functional nursing are that care can be delivered to a large number of
patients, and other types of health care workers are used when there is a shortage of RNs. LPNs should
never be forced to work outside their scope of practice no mater which care delivery system is used.