A nursing unit has just completed a 6-month trial of using team ...

[tiffannnnyyyyyy]

A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster.
 
  What are the most common reasons team nursing is not successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There are problems with delegation.
  2. There are problems with the skill set of the UAPs on the teams.
  3. The LPNs on the team do not accept their position of being in the middle.
  4. Communication on the team or with the nurse manager is flawed.
  5. RNs and LPNs struggle with who is in control and has the power on the team.

Question 2

The nursing staff of a medicalsurgical unit would like to work four 10-hour shifts each week. For which reason would the unit nurse manager probably deny this request?
 
  1. There is no overlap of staff.
  2. There are not enough nurses working during a 24 hour period of time.
  3. This would create discord and confusion with other health care departments.
  4. This staffing pattern would not be cost-efficient.

[Jadwiga9]

Answer to Question 1

1,4
Rationale 1: If the team leader does not delegate effectively or team members do not accept delegation well, team nursing will not be effective.
Rationale 2: Problems with UAP skill sets can be overcome by education. This is not a common reason team nursing does not work.
Rationale 3: While LPNs can be in the middle between the UAP and the RN, there is no indication that this is a common problem.
Rationale 4: Poor communication is a common problem and can make the team approach ineffective.
Rationale 5: There is no indication that this is a common issue.
Global Rationale:

Answer to Question 2

4
Rationale 1: With 10 hour shifts there is an overlap of staff.
Rationale 2: In order to cover 24 hours, three nurses are needed. In order to cover 24 hours with 12-hour shifts, two nurses are needed.
Rationale 3: There is no evidence that 10-hour shifts for nurses would adversely affect other departments.
Rationale 4: Since there is substantial overlap when covering 24-hours with 10-hour shifts, this staffing pattern is generally not cost-efficient.
Global Rationale:

[tiffannnnyyyyyy]

TYSM

[jackie]

Excellent