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Posted: January 8th, 2024
TASK: Discuss each of the following nursing care modalities and how the nursing manager can apply them while organizing nursing care:
1. Total nursing care
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2. Functional nursing
3. Team nursing
4. Primary nursing
5. Case management
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Nursing care modalities are frameworks that outline and organize the scope and delivery of nursing care to patients. They are influenced by various factors, such as patient needs, staff availability, organizational structure, and health-care policies. Different nursing care modalities have different advantages and disadvantages for both nurses and patients. Here is a brief discussion of each of the following nursing care modalities and how the nursing manager can apply them while organizing nursing care:
1. Total nursing care: This is a traditional model of nursing care in which one nurse is responsible for planning, delivering, and evaluating the care of one or more patients from admission to discharge. The nurse provides all aspects of care, such as physical, emotional, social, and spiritual needs. This model allows the nurse to establish a close relationship with the patient and provide individualized and holistic care. However, this model can also be demanding and stressful for the nurse, especially in settings with high patient acuity or turnover. The nursing manager can apply this model in settings where continuity of care is important, such as intensive care units or hospice care. The nursing manager should also ensure that the nurse has adequate support and resources to cope with the workload and prevent burnout.
2. Functional nursing: This is a task-oriented model of nursing care in which a team of nurses performs different tasks depending on their level of education, training, and experience. The team leader, usually a registered nurse (RN), collaborates with physicians to determine the needs of a group of patients. The team leader then delegates tasks to other team members, such as licensed practical nurses (LPNs), nursing assistants, or technicians. For example, an LPN might administer medications, while a nursing assistant might assist with bathing and dressing. This model allows for efficient and economical use of staff skills and resources. However, this model can also compromise the quality of care and patient satisfaction, as the nurses focus on their individual tasks rather than the overall condition or progress of the patient. The nursing manager can apply this model in settings where there is a high demand for basic care tasks, such as surgical wards or emergency departments. The nursing manager should also ensure that there is effective communication and coordination among team members to avoid errors or duplication.
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3. Team nursing: This is a collaborative model of nursing care in which a team of nurses with different levels of expertise provides comprehensive care to a group of patients. The team leader, usually an RN, assigns roles and responsibilities to each team member based on their qualifications and competencies. The team leader also supervises and evaluates the performance of the team members. The team members work together to plan, implement, and evaluate the care of the patients. They also communicate regularly with each other and with other health-care professionals involved in the patient's care. This model promotes teamwork, learning, and support among nurses. It also enhances patient outcomes and satisfaction by providing holistic and coordinated care. However, this model can also be challenging to implement due to factors such as staff turnover, workload, or conflicting opinions. The nursing manager can apply this model in settings where there is a need for diverse skills and knowledge, such as medical wards or rehabilitation units. The nursing manager should also ensure that there is clear leadership, role clarity, and feedback within the team.
4. Primary nursing: This is a relationship-based model of nursing care in which one nurse assumes primary responsibility for the care of a group of patients throughout their stay in a health-care facility. The primary nurse assesses, plans, implements, and evaluates the care of the patients in collaboration with other health-care professionals. The primary nurse also communicates with the patient and their family members to provide education, support, and advocacy. When the primary nurse is not available, an associate nurse takes over the care of the patients following the same plan of care established by the primary nurse. This model fosters continuity of care and accountability among nurses. It also empowers patients and their families to participate in their own care decisions. However, this model can also be costly and complex to implement due to factors such as staffing patterns, scheduling systems, or documentation requirements. The nursing manager can apply this model in settings where there is a need for consistent and personalized care, such as maternity wards or oncology units. The nursing manager should also ensure that there is adequate training, mentoring, and recognition for the primary nurses.
5. Case management: This is a collaborative model of nursing care in which a case manager coordinates the care of a group of patients with complex or chronic health conditions across different settings and levels of care. The case manager assesses the needs and goals of the patients and their families and develops a comprehensive plan of care that involves various health-care providers and community resources. The case manager monitors the progress and outcomes of the patients and adjusts the plan of care as needed. The case manager also educates and empowers the patients and their families to manage their own health conditions and prevent complications or readmissions. This model improves the quality and efficiency of care and reduces the costs and utilization of health-care services. It also enhances patient satisfaction and self-management by providing coordinated and integrated care. However, this model can also be challenging to implement due to factors such as lack of standardized protocols, policies, or tools for case management. The nursing manager can apply this model in settings where there is a need for multidisciplinary and transitional care, such as home health care or chronic disease management programs. The nursing manager should also ensure that there is clear communication, collaboration, and evaluation among the case managers and other health-care providers.
References:
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- Evans, M. (2018). Types of Nursing Modalities. Career Trend. Retrieved from https://careertrend.com/info-8520558-types-nursing-modalities.html
- Nursa. (2021). Nursing Care Models: Primary, Individual, and Team Nursing. Nursa. Retrieved from https://nursa.com/blog/nursing-care-models-primary-individual-and-team-nursing-models
- SlideShare. (2012). Modalities | PPT. SlideShare. Retrieved from https://www.slideshare.net/nhelzki31/modalities
- Standards of Care. (n.d.). Nursing Care. Standards of Care. Retrieved from https://www.standardsofcare.org/understanding-care/types/nursing/
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