A system in which each patient is assigned to a nurse who has 24-hours responsibility for nursing care delivered to the patient is termed:

Appeared in: AIIMS Raipur NO - 2019 (Shift-1)

Explanation

Primary nursing is a model where one nurse is assigned comprehensive 24-hour responsibility for a patient's care throughout their entire hospital stay.
The primary nurse is accountable for assessing, planning, implementing, and evaluating the patient's care from admission to discharge.
This model emphasizes continuity of care, as an associate nurse follows the primary nurse's care plan when the primary nurse is off-duty.
The core principle is a strong, therapeutic nurse-patient relationship and holistic, individualized care.

Why Other Options Were Wrong

Option B: Functional nursing is a task-oriented model. Nurses are assigned to specific functions (e.g., medication administration, wound care) for all patients on a unit, rather than having total responsibility for a few patients.
Option C: Modular nursing is a modification of team nursing where the unit is divided into geographical 'modules.' A team of nurses is consistently assigned to care for the patients within one module, but responsibility is shared within the team, not held by a single nurse for 24 hours.
Option D: In team nursing, a team of nursing personnel (including RNs, LPNs, and aides) provides care to a group of patients, led by a team leader (an RN). Responsibility is shared among the team for a specific shift, not held by one nurse for 24 hours.

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 care delivery models is crucial for nurse managers when making staffing assignments that balance patient safety, quality of care, and budget constraints.
The choice of model significantly impacts nurse satisfaction. Primary nursing offers high autonomy and satisfaction but also carries a risk of burnout due to the high level of responsibility.
Patient outcomes and satisfaction are often highest with primary nursing due to the continuity of care and strong therapeutic relationships.

How to Approach the Question

First, identify the key phrase in the question stem: '24-hours responsibility for nursing care'.
This phrase implies a single point of accountability for a patient over their entire stay, not just for one shift or for one task.
Next, review the definitions of the nursing models provided in the options.
Functional nursing is task-based.
Team and Modular nursing are group-based.
Primary nursing is the only model where a single nurse is assigned 24-hour accountability for a patient's care from admission to discharge. Match the key phrase to this definition.

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: system, assigned to a nurse, 24-hours responsibility, nursing care
Lead-in keywords: termed
Negative lead-in flag: false

Question ID

QUoW4fz16Z0cYVYWbXpsA6

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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