In anticipation of a nursing shortage, the nursing management in a fac

In anticipation of a nursing shortage, the nursing management in a facility are investigating a nursing care delivery model that involves staff members working under the direction of a regis-tered nurse leader. This model is called:

1. Team nursing
2. Primary nursing
3. Functional nursing
4. Total patient care nursing

ANSWER

ANS: 1
In team nursing a registered nurse leads a team that is composed of other RNs, LPNs or LVNs, and nurse assistants or technicians. The team members provide direct client care to groups of cli-ents, under the direction of the RN team leader. Nurse assistants are given client assignments ra-ther than being assigned particular tasks. Primary nursing is a model of care delivery whereby an RN assumes responsibility for a caseload of clients over time. Typically the RN selects the clients for his or her caseload and cares for the same clients during their hospitalization or stay in the health care setting. Functional nursing is task-focused, not client focused. In this model, tasks are divided, with one nurse assuming responsibility for specific tasks. Total patient care is a model of care where an RN is responsible for all aspects of care for one or more clients. The RN may dele-gate aspects of care but retains accountability for care of all assigned clients.