When comparing functional nursing and primary nursing, a nurse manager

QUESTION

When comparing functional nursing and primary nursing, a nurse manager, after evaluating particular models of nursing care for potential adoption, determines that patient and nurse satisfaction in primary nursing are:

a. Similar to those in functional nursing.
b. Not of significance in either model.
c. Low by comparison with functional nursing.
d. High when compared with functional nursing.

ANSWER:

ANS: D
Although some studies suggest there is little difference between functional nursing and primary nursing, primary nursing tends to be more satisfying for RNs, who enjoy a high level of accountability and autonomy in decision making. Patient satisfaction is also high, as patients form close therapeutic relationships with the nurse because of the continuity of the relationship. Functional nursing is criticized for low patient satisfaction and potential staff dissatisfaction related to boredom and an autocratic approach to management.