UP NHM CHO 7 Sept 2022 (Shift-2)
Nursing Foundation
Medium
Combination of functional and team nursing method is:
Appeared in: UP NHM CHO 7 Sept 2022 (Shift-2)
Explanation
- Modular nursing is a hybrid model that integrates features of both team and functional nursing.
- It is considered a modification of team nursing, where a team of caregivers is assigned to a specific group of patients.
- The assignment is based on geographic location, creating a 'module' or zone within a larger unit.
- Within this module, an RN leads the team, and tasks are delegated among members, which incorporates the task-based approach of functional nursing.
- This structure aims to improve communication and continuity of care by having a consistent, smaller team responsible for a specific set of patients.
Why Other Options Were Wrong
- Option A: Primary nursing involves one nurse having 24-hour accountability for a patient's care from admission to discharge. It focuses on continuity and accountability, not on combining team and functional methods.
- Option C: Case nursing, or total patient care, involves one nurse providing all care for a patient or a small group of patients during a single shift. It is not a team-based or task-delegation model.
- Option D: Private duty nursing is a form of the case method where a nurse provides exclusive one-on-one care to a single client, typically in a home setting. It does not involve a team or functional task division.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Nursing Care Delivery Models helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Understanding different nursing care delivery models is crucial for nurse managers to optimize staffing, ensure patient safety, and improve care quality based on the unit's specific needs (e.g., patient acuity, staff skill mix).
- Modular nursing can improve efficiency and team satisfaction by creating smaller, more manageable workgroups and reducing travel time for staff on a large unit.
- A potential downside is that care can still become fragmented if communication within the module's team is poor or if the team leader lacks strong leadership skills.
How to Approach the Question
- First, understand the core concepts of the two models mentioned in the question: 'functional nursing' (task-oriented) and 'team nursing' (collaborative group led by an RN).
- The question asks for a 'combination' of these two. Your goal is to find the option that blends these characteristics.
- Evaluate each option against this requirement.
- Recall or deduce that 'Primary nursing' focuses on individual accountability, and 'Case nursing' is about total care for a shift, neither of which are combinations.
- Identify 'Modular nursing' as a modification of team nursing that uses geographically assigned teams, where tasks are often delegated functionally within the team.
- This makes Modular nursing the best fit as a hybrid model.
Concept Tested & Keywords
- Concept Tested: Nursing Care Delivery Models
- Stem keywords: functional nursing, team nursing, combination
- Lead-in keywords: is
Question ID
QRc4UUZQRGhVzcO9N5tFgx
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
Practise the full UP NHM CHO 7 Sept 2022 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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