NHM UP Staff Nurse-2023 shift 1st
Nursing Foundation
Easy

A nursing system in which all nursing care for a patient is managed by one nurse for a 24-hr period is called:

Appeared in: NHM UP Staff Nurse-2023 shift 1st

Explanation

  • Primary nursing is a care delivery model where a single nurse is assigned direct responsibility for a patient's care throughout their entire hospital stay.
  • This model assigns 24-hour accountability to the primary nurse for assessing, planning, coordinating, and evaluating the patient's nursing care.
  • Even when off-duty, the primary nurse remains responsible, with associate nurses carrying out the established care plan.
  • The core principles are continuity of care, a strong nurse-patient relationship, and clear accountability.

Why Other Options Were Wrong

  • Option A: Modular nursing involves a team of nurses assigned to a specific geographic area or 'module' of a unit, which is a modification of team nursing, not 24-hour individual responsibility.
  • Option C: Secondary nursing is not a nursing care delivery model. It refers to a level of the healthcare system involving specialized care provided by specialists upon referral.
  • Option D: Tertiary nursing is not a nursing care delivery model. It refers to the highest level of specialized medical care, such as organ transplants or advanced cancer treatment.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Nursing Care Delivery Models to guide bedside assessment, documentation, and the next nursing action.
  • Understanding different nursing care models is crucial for nurses to know their roles, responsibilities, and the structure of their work environment, which directly impacts patient care quality and safety.
  • The choice of a care delivery model can affect nurse satisfaction. Primary nursing, for example, offers high autonomy and can increase job satisfaction but also carries the risk of burnout due to high responsibility.
  • What if the nurse was only responsible for the patient during their 8-hour shift? This would describe the 'Total Patient Care' or 'Case Method' model, where a nurse provides all care for a patient but responsibility is transferred to the next nurse at the end of the shift, unlike the 24-hour accountability in primary nursing.
How to Approach the Question
  • First, identify the key phrases in the question: 'all nursing care,' 'managed by one nurse,' and '24-hr period.'
  • These phrases point to a model with high individual accountability and long-term responsibility.
  • Next, review the definitions of the nursing models provided in the options.
  • Compare the key phrases from the question to the definition of each model.
  • Primary nursing is defined by one nurse having 24-hour accountability for a patient's care from admission to discharge, which directly matches the question's description.
  • Eliminate the other options. Modular nursing is team-based and geographical. Secondary and tertiary are levels of healthcare, not nursing delivery models.
Concept Tested & Keywords
  • Concept Tested: Nursing Care Delivery Models
  • Stem keywords: nursing system, managed by one nurse, 24-hr period
  • Lead-in keywords: is called

Question ID

Q5m-z7kvyq6tShNL9XGT1J

Reference Book

E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) pp. 208-210, 268-270

E6 Nursing_Management_and_leadership_Johny_Kutty_JosephCbs_Publishers (pp 16-364 of 374) p. 80-82

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