leadership management

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

3. 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.

4. 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

5. NURSING
CARE
MODEL
Total
patient
care
Functio
nal
nursing
Team
nursing
Primary
nursing
Modular
nursing

6. 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

8. 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

9. 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

11. 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

12. 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

14. 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

15. 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

17. 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

18. 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

20. 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