Nursing Care Chapter 3 Flashcards

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Questions and Answers

What is Functional Nursing?

A model breaking down patient care tasks assigned to RNs, LPNs, or UAPs. (correct)

A model requiring all nurses to have advanced degrees.

A model where all care is provided by a single RN.

A model focusing solely on administrative tasks.

What are the pros of Functional Nursing?

Staff become very efficient at performing their regularly assigned tasks.

What are the cons of Functional Nursing?

Uneven continuity, lack of holistic understanding of the patient, problems with follow-up.

What is the role of the RN in Team Nursing?

To lead a small group of caregivers. Signup and view all the answers

What are the advantages of Team Nursing?

Holistic perspective of patient needs, use of LPNs and UAPs. Signup and view all the answers

What are the disadvantages of Team Nursing?

Time spent on communication, supervision, and potential continuity issues. Signup and view all the answers

Define Total Patient Care.

The RN is responsible for all aspects of care for one or more patients. Signup and view all the answers

What are the pros of Total Patient Care?

Continuous, holistic, expert nursing care and accountability. Signup and view all the answers

What are the cons of Total Patient Care?

RNs spend more time doing tasks that could be done more cost-effectively. Signup and view all the answers

What does Primary Nursing ensure?

The same nurse designs, implements, and is accountable for patient care. Signup and view all the answers

What is a disadvantage of Primary Nursing?

Requires excellent communication; continuity can be disrupted. Signup and view all the answers

What is the primary focus of Practice Partnerships?

Continuity of care between an RN and an assistant nurse. Signup and view all the answers

What are the cons of Practice Partnerships?

UAPs may juggle instructions from multiple RNs, potential for unbalanced responsibilities. Signup and view all the answers

Define Case Management.

Organizes patient care by major diagnoses and focuses on predetermined outcomes. Signup and view all the answers

What are Critical Pathways used for?

To provide direction for managing the care of a specific patient during a specified time. Signup and view all the answers

What is Differentiated Practice?

RNs' responsibilities differ based on competence and training associated with their education level. Signup and view all the answers

What is Patient-Centered Care?

Nurse coordinates a team of multi-functional caregivers. Signup and view all the answers

What defines Clinical Microsystems?

A small unit of care that maintains itself over time. Signup and view all the answers

What does the Patient-Centered Care model provide?

Care from admitting to discharge on the unit. Signup and view all the answers

What is the Synergy model?

A model that matches patient characteristics with nurses' competencies. Signup and view all the answers

What do Clinical Microsystems use for decision making?

Structures that put decision making in small units of those who provide the care. Signup and view all the answers

What is the Chronic Care model designed for?

To provide daily care to patients by clinical teams. Signup and view all the answers

Study Notes

Functional Nursing

Task-oriented model dividing patient care into specific duties assigned to RNs, LPNs, and UAPs.
RNs assess patients while others handle bathing, vital signs, and treatments.

Advantages and Disadvantages of Functional Nursing

Pros: High efficiency in assigned tasks.
Cons: Creates uneven continuity; lack of holistic patient understanding; challenges in follow-up care.

Team Nursing

An RN leads a small team (max five members) to provide care for a small patient group.

Advantages and Disadvantages of Team Nursing

Pros: Holistic view of patient needs; effective use of LPNs and UAPs for non-RN tasks; time-saving.
Cons: Requires significant communication and coordination; continuity may be affected by staff changes.

Total Patient Care

An RN is responsible for all aspects of care for assigned patients throughout their shift.

Advantages and Disadvantages of Total Patient Care

Pros: Offers continuous, expert nursing care; assures accountability; facilitates consistent communication.
Cons: More costly due to RNs performing tasks that could be done by less skilled personnel.

Primary Nursing

RNs maintain a primary patient load, designing and implementing nursing care for the duration of patients’ hospital stays.

Advantages and Disadvantages of Primary Nursing

Pros: Knowledge-based practice promoting decentralized decision-making; accountability and improved continuity of care; higher satisfaction among nurses, patients, and physicians.
Cons: Necessitates strong communication; primary nurses must manage associate nurses; continuity can be disrupted by unit transfers.

Practice Partnerships

An RN collaborates closely with an assistant nurse (UAP or LPN), sharing the same schedule and patient group.

Advantages and Disadvantages of Practice Partnerships

Pros: Enhances continuity and accountability; more cost-effective.
Cons: UAPs may be spread thin due to assignments to multiple RNs; risk of inappropriate responsibility for junior members.

Case Management

Coordinates patient care around major diagnoses, targeting specific outcomes within set timelines and resource limits.

Critical Pathways

Provide structured management for patient care over a defined time frame.

Differentiated Practice

Role responsibilities for RNs vary based on their level of education (BSN or ADN), training, and personal experience.

Patient-Centered Care

Nurses coordinate a multi-functional team providing unit-based care, emphasizing decentralization, efficiency, quality, and cost control.

Clinical Microsystems

Small, self-sustaining units focused on care delivery, promoting teamwork, communication, and continuity.

Traditional Care Models

Includes functional nursing, team nursing, total patient care, and primary nursing.

Integrated Models of Care

Encompasses practice partnerships, case management, critical pathways, and differentiated practice.

Patient-Centered Care Model

Employed by Magnet-certified hospitals, ensures comprehensive care from admission to discharge.

Synergy Model

Developed by the American Association of Critical Care Nurses, aligns patient characteristics with nursing competencies.

Clinical Microsystems Structure

Facilitates decision-making within small care-providing units.

Chronic Care Model

A proactive system designed for integrated daily patient care by clinical teams across the system.

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Description

Explore key concepts of delivering nursing care in Chapter 3 through dynamic flashcards. Review the model of functional nursing, including its advantages and disadvantages. Perfect for nursing students looking to reinforce their understanding of patient care roles.