Nursing models

leadership management

1. TYPES OF NURSING MODELS COMPILED BY N/C KIRAN FATIMA PRESENTED TO, MAJ. SARWAT ISMAIL

2. OBJECTIVES At the end of presentation the learner will be able to, Define types of nursing care model Differentiate the advantages and disadvantages Discuss the application of these models in pt. care areas of the hospital.

3. NURSING CARE MODEL System to which detail assignments,reponsibilty,and authority to accomplish the patient care Determine who is going to perform what tasks ,who is responsible,and who makes decisions Match number and type of care giver to patient care needs

4. TOTAL PATIENT CARE Nurses assume total responsibilty for meeting all needs of assigned patients during their time on duty Form of primary nursing care Nurse is responsible for planning,organinsing and performing all care Oldest method of organising patient care Typically performed by nursing students Common use areas are ITC and PACU

5. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES High level of autonomy Approch to patient care varies nurse to nurse Lines of responsibilty and accountibilty are clear Not cost effective Patient recieve holistictic and unfragmented care Lack of RN availibilty Continutiy of communication

6. FUNCTIONAL NURSING Staff member assigned to complete specific tasks for a group of patients Evolved during world war II as a result of a nursings shortage Unskilled workers trained to perform routine,simple tasks Common use areas- operating room

7. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES Care is provided economically and efficiently Care may be fragmented Minimum no. of RNs required Patient may be confused with many care providers Taskes are completed quickly Caregiver feel unchallenged care can be provided to large no. of patients

8. TEAM NURSING RN as team leader coordinates care for a group patients Evolved in the 1950s to improve patient satisfaction Goal was to reduce fragment care Common areas-most inpatient and outpatient areas

9. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES High quality ,comprehensive care with a high proportion of ancillary staff Continuity suffers if daily team assignments vary Team members participate in decison making and contribute their own expertise Team leader must have good leadership skills Insufficient time for planning and communication

10. PRIMARAY NURSING RN “Primaary nurses” assumes 24-hour responsibility for planning,directing and evaluating care Evolved in 1970s to improve RN autonomy An approch in which the nurse has reponsibilty and accountibility for the continous guidence of specific clients until they are discharged Autonomy,authority and accountibilty are basic to model. Common use areas----hospice,home health, and long-term care settings

11. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES High-quality,holistic patient care Establish rapport with patient. Establish rapport with patient RN must accept 24-hour responsibility RN feels challenged and rewarded More RNs needed;not cost effective

12. MODULAR NURSING Modification of team nursing patient unit is divided into modules or units with an RN as team leader The same team of caregiver is assigned consistently to the same geographic area Concept evolved to increase RN involvement in care

13. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES Continuity of care is improved Increased cost to stock each module RN more involved in planning and coordinating care Long corridors not conductive to modular nursing Geographic closeness and efficient communication