Nursing Care Models Overview
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Questions and Answers

What is considered the greatest challenge to most health care organizations today?

  • Inadequate budget allocation
  • The shortage of human resources (correct)
  • High patient census
  • Availability of nursing programs
  • What primarily influences the retention of nursing staff within an organization?

  • Creation of a desirable work environment (correct)
  • Ongoing recruitment efforts
  • Competitive national salary standards
  • Increase in nursing school enrollment
  • Which factor does NOT affect the recruitment of nursing staff?

  • Competitive salaries
  • Financial resources
  • The organization's reputation
  • Staff experience level (correct)
  • What event has contributed to the current nursing shortage?

    <p>Wave of early retirements due to COVID-19</p> Signup and view all the answers

    Which of the following statements is true regarding recruitment?

    <p>Recruitment processes include various methods</p> Signup and view all the answers

    What is one effective way to maintain an adequate employee pool?

    <p>Use word of mouth recommendations from staff</p> Signup and view all the answers

    How does the economy impact nursing shortages?

    <p>Nursing shortages decline when the economy improves</p> Signup and view all the answers

    Why is diversity in nursing staff important?

    <p>Lacking diversity is linked to increased health disparities</p> Signup and view all the answers

    What is a key defect in interview processes that managers should be aware of?

    <p>Subjectivity can significantly impact the interview outcomes</p> Signup and view all the answers

    What is a critical tip for applicants during an interview?

    <p>Make a good first impression and arrive on time</p> Signup and view all the answers

    Which of the following topics is illegal for interviewers to inquire about?

    <p>Marital status</p> Signup and view all the answers

    What does pedagogy primarily focus on?

    <p>Methods for teaching children</p> Signup and view all the answers

    Which key characteristic is NOT part of Senge's Model of Learning Organizations?

    <p>Self-directed assessment</p> Signup and view all the answers

    According to Knowles' work, what is essential for trainers when working with adult learners?

    <p>Creating a climate of openness and respect</p> Signup and view all the answers

    What does andragogy emphasize in the education of adults?

    <p>Experiential techniques and quick application</p> Signup and view all the answers

    Which best describes systems thinking in the context of learning organizations?

    <p>Understanding the interconnectedness of components</p> Signup and view all the answers

    In the assessment of staff learning, which aspect is NOT typically measured?

    <p>Instructor's teaching style</p> Signup and view all the answers

    What is a primary goal of collective learning in an organization?

    <p>To foster positive organizational change</p> Signup and view all the answers

    What is the primary advantage of team nursing?

    <p>Encourages collaboration among team members</p> Signup and view all the answers

    Which nursing model requires one primary nurse to oversee patient care throughout their stay?

    <p>Primary nursing</p> Signup and view all the answers

    What is a key goal of disease management programs?

    <p>To optimize care across multiple treatment settings for chronic illnesses</p> Signup and view all the answers

    Which factor can affect staffing needs in healthcare settings?

    <p>Source of nursing pools</p> Signup and view all the answers

    What role does a Clinical Nurse Leader (CNL) primarily play?

    <p>Lead clinical practice and quality improvement efforts</p> Signup and view all the answers

    What is a disadvantage commonly associated with primary nursing?

    <p>Improper implementation of the model</p> Signup and view all the answers

    In modular nursing, what is the primary benefit of dividing a nursing unit into smaller sections?

    <p>Allows for focused care within specific modules</p> Signup and view all the answers

    Which statement best describes the relationship between disease management and case management?

    <p>Disease management is population-based while case management is individual-based</p> Signup and view all the answers

    What does the nurse navigator model primarily assist with?

    <p>Navigating patients through complex healthcare systems</p> Signup and view all the answers

    What potential pitfall exists with team nursing implementations?

    <p>Reduced staff engagement and collaboration</p> Signup and view all the answers

    What does a 'staffing mix' refer to in a healthcare setting?

    <p>The ratio of licensed to unlicensed personnel</p> Signup and view all the answers

    What does the term 'closed unit staffing' signify?

    <p>Staff cannot be pulled to other units during low census</p> Signup and view all the answers

    What is the primary advantage of self-scheduling for nurses?

    <p>Flexibility in determining their own work hours</p> Signup and view all the answers

    Which aspect is crucial for safe staffing in healthcare facilities?

    <p>Ensuring RNs have manageable workloads</p> Signup and view all the answers

    What is a challenge associated with staffing and scheduling policies?

    <p>Impact on financial costs and retention</p> Signup and view all the answers

    What does 'mandatory overtime' imply for nursing staff?

    <p>Obligation to cover shifts under threat of patient abandonment</p> Signup and view all the answers

    Why is it important for managers to be aware of patient acuity?

    <p>To allocate appropriate levels of nursing care</p> Signup and view all the answers

    What is a common characteristic of scheduling policies in healthcare?

    <p>Employing strict penalties for tardiness</p> Signup and view all the answers

    What is a primary reason that scheduling in nursing is particularly challenging?

    <p>Unpredictable health-care demand</p> Signup and view all the answers

    Which type of staffing allows unit managers to have more control over scheduling decisions?

    <p>Decentralized staffing</p> Signup and view all the answers

    What scheduling option allows nurses to choose their work hours while fulfilling job responsibilities?

    <p>Flextime scheduling</p> Signup and view all the answers

    What is often a benefit of centralized staffing?

    <p>Greater adherence to staffing policies</p> Signup and view all the answers

    Which staffing option generally leads to higher staff satisfaction when guidelines are adhered to?

    <p>Self-scheduling</p> Signup and view all the answers

    Which of the following is NOT a characteristic of decentralized staffing?

    <p>Staffing decisions are made at a central office</p> Signup and view all the answers

    What is the likely impact of increasing nursing care hours and having a better staffing mix?

    <p>Higher quality of care</p> Signup and view all the answers

    Why are fair and uniform staffing and scheduling policies important in nursing?

    <p>To ensure equitable treatment of all employees</p> Signup and view all the answers

    Study Notes

    Total Patient Care Model

    • Nurses assume responsibility for all patient care needs during their shift.
    • This method is sometimes called the "case method".
    • Commonly used in hospitals and home health agencies.
    • Diagram: Charge nurse → caregiver → patients
    • Mostly seen in ICUs and ERs.
    • Disadvantage: Requires adequate nurse preparation, and experience may be lacking.

    Functional Method of Nursing

    • Tasks are divided and assigned to different personnel.
    • Evolved after World War II.
    • Uses relatively unskilled workers trained for specific tasks.
    • Example: One nurse administers medications, another provides treatments.
    • Advantages: Efficient task completion, quick care, little confusion about responsibilities
    • Disadvantages: Fragmentation of care, potential for overlooking patient priorities.
    • Ex: Nursing homes.

    Team Nursing

    • Extensive communication with licensed and unlicensed personnel required.
    • Team members collaborate, contributing special expertise.
    • Allows for diverse skills and knowledge.
    • Disadvantages stem from poor implementation, not the philosophy.
    • Structure: Charge nurse → team leader → nursing staff → patients

    Modular Nursing

    • Dividing a nursing unit into smaller sections or modules.
    • Each module has a team of nurses and other staff assigned.
    • Method of nursing care delivery across geographical locations.

    Primary Nursing/Relationship-Based Nursing

    • Primary nurse plans and monitors care for patients from admission to discharge.
    • One primary nurse is assigned for a patient's entire stay at the hospital, coordinating with other staff.
    • Optimal mode of organizing patient care, especially for diverse skill mixes.
    • Job satisfaction is typically high; however, implementation can be difficult.

    Disease Management Programs

    • Aims to address common, chronic illnesses efficiently, across diverse treatment settings.
    • Encompasses comprehensive, integrated approach to care and reimbursement.
    • Focuses on optimum cost-effective care for groups, not individual patients.
    • Ideal choice for common, high-cost chronic illnesses.

    Nurse Navigators

    • Support services for patients and families navigating complex health care systems.
    • Help patients understand their care and resources.

    Clinical Nurse-Leaders (CNLs)

    • Experienced nurses with advanced degrees and clinical leadership roles.
    • Oversee clinical settings, manage microsystems of care, and implement quality improvement strategies.
    • Responsible for specific groups of clients within units.

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    Nursing Patient Care Models PDF

    Description

    Explore the various nursing care models, including Total Patient Care, Functional Method, and Team Nursing. Understand their advantages, disadvantages, and applications in healthcare settings. This quiz will test your knowledge on the structure and effectiveness of different nursing approaches.

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