nursing care delivery model

1. Tutorial 1A – Total Patient Care
• 📌 Scenario:
• One nurse provides all care for 4 patients in a
surgical ward. Strong nurse-patient bonds, but
high nurse fatigue.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. What are the key strengths for patients and
nurses?

2. Tutorial 1B – Functional Nursing
• 📌 Scenario:
• Nurses split tasks: one gives meds, another
does dressings, assistants handle vitals.
Patients meet many caregivers daily.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. What benefits does this model offer during
staff shortages?

3. Tutorial 1C – Team Nursing
• 📌 Scenario:
• An RN leads a team of RN, LPN, and aide for 6
patients. Shared care responsibilities.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. How does teamwork support collaboration
and safety?
• 3. What challenges could arise in

4. Tutorial 1D – Primary Nursing
• 📌 Scenario:
• One nurse coordinates a patient’s plan of care
across the entire admission.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. How does this model influence patient trust
and satisfaction?
• 3. What staffing and cost challenges are

5. Tutorial 2A – Modular Nursing
• 📌 Scenario:
• Patients grouped geographically into
'modules.' Teams work in their assigned zone.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. How does modular nursing improve
workflow efficiency?
• 3. What challenges arise with uneven patient

6. Tutorial 2B – Relationship-Based
Care
• 📌 Scenario:
• Nurses consistently care for the same patients
across multiple admissions.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. How does this model strengthen patient-
centered care?
• 3. What risks exist with high nurse turnover?

7. Tutorial 2C – Partnership Model
• 📌 Scenario:
• Each RN works with a dedicated unlicensed
assistive personnel (UAP). Together they
provide all patient care.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. How does this improve delegation and
efficiency?

8. Tutorial 2D – ACE Model (Acute
Care for Elders)
• 📌 Scenario:
• Older adults are admitted to a specialized
geriatric unit with an interdisciplinary team
focused on preventing delirium, falls, and
decline.
• 💡 Discussion Questions:
• 1. Which model is this?
• 2. What outcomes are improved most for
elderly patients?

9. Tutorial 3A – Patient Outcomes
• 📌 Scenario:
• Team nursing reduced medication errors, but
fall rates remained unchanged.
• 💡 Discussion Questions:
• 1. Why did medication errors improve while
falls did not?
• 2. What adaptations could reduce fall risk in
this model?

10. Tutorial 3B – Nurse Outcomes
• 📌 Scenario:
• Functional nursing unit: fast task completion
but high stress & unclear roles.
• 💡 Discussion Questions:
• 1. Why might this model increase nurse
stress?
• 2. What strategies could reduce stress while
keeping efficiency?

11. Tutorial 3C – Mixed Outcomes
• 📌 Scenario:
• Hospital switched from team nursing to
modified total patient care. No satisfaction
change, but care perceived as more effective.
• 💡 Discussion Questions:
• 1. Why might care effectiveness be perceived
as better?
• 2. Why did nurse satisfaction not improve?

12. Tutorial 3D – Nurse Competence
• 📌 Scenario:
• New model in Korea: nurses with >10 years
experience & critical thinking training showed
higher patient safety competence.
• 💡 Discussion Questions:
• 1. What does this suggest about experience
and training?
• 2. How can hospitals integrate critical thinking
into daily practice?

13. Tutorial 4A – Burnout & Retention
• 📌 Scenario:
• High nurse turnover. Hospital seeks a model
that boosts retention without higher costs.
• 💡 Discussion Questions:
• 1. Which model would you recommend for
retention?
• 2. What policy changes could support this
choice?

14. Tutorial 4B – Patient Safety Priority
• 📌 Scenario:
• Falls and hospital-acquired infections are
increasing. Leadership wants a safety-focused
model.
• 💡 Discussion Questions:
• 1. Which model(s) prioritize patient safety
best?
• 2. How does staffing mix influence safety?

15. Tutorial 4C – Cost Pressure
• 📌 Scenario:
• Finance department pushes for cost reduction
while maintaining quality.
• 💡 Discussion Questions:
• 1. Which model might be most cost-effective?
• 2. What risks occur if cost is prioritized over
safety?
• 3. How could hybrid models balance quality

16. Tutorial 4D – Hybrid Innovation
• 📌 Scenario:
• Hospital allows staff to design their own
hybrid model for their ward.
• 💡 Discussion Questions:
• 1. What features from traditional and modern
models would you combine?
• 2. How would you ensure balance between
efficiency, safety, and satisfaction?