Comprehensive, individualized care provided by the same nurse throughout the period of care refers to?

SCTIMST Staff Nurse - 2016

Fundamental of Nursing

Easy

Appeared in: SCTIMST Staff Nurse - 2016

Explanation

Primary nursing is a care delivery model where a single Registered Nurse (RN) has 24-hour accountability for a patient's care from admission through discharge.
This model emphasizes continuity, as the same nurse (the primary nurse) is responsible for planning, coordinating, and evaluating the patient's care throughout their entire stay.
It promotes a strong nurse-patient relationship, individualized care planning, and clear accountability, directly matching the description in the question.
Even when the primary nurse is off-duty, they leave a detailed plan of care for an associate nurse to follow, ensuring the continuity of their established plan.

Option A: Team nursing involves a group of nursing personnel, led by an RN, caring for a group of patients. This fragments care among multiple providers, which contradicts the 'care provided by the same nurse' aspect of the question.
Option B: Home Health Nursing defines the location or setting of care (the patient's home), not the method of organizing and delivering that care. Different care models, including primary nursing, can be used in a home health setting.
Option D: Critical Care Nursing is a clinical specialty focused on the care of unstable, critically ill patients. It is not a care delivery model. While primary nursing is often practiced in critical care, the term itself describes the specialty, not the assignment model.

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 nurses to know their roles, responsibilities, and the communication pathways within their unit.
Primary nursing is associated with higher patient and nurse satisfaction. Patients feel more secure and understood, while nurses experience greater professional autonomy and accountability.
The choice of a care delivery model impacts patient outcomes, staff satisfaction, and operational efficiency. For example, while primary nursing enhances continuity, it can be more costly due to its requirement for a higher proportion of RN staff.

How to Approach the Question

First, break down the question stem to identify the key defining characteristics: 'comprehensive', 'individualized', 'same nurse', and 'throughout the period of care'.
Recognize that the question is asking for a specific 'nursing care delivery model'.
Evaluate each option against these key characteristics.
Eliminate 'Home Health Nursing' and 'Critical Care Nursing' as they describe a setting and a specialty, respectively, not a care delivery model.
Differentiate between 'Team nursing' and 'Primary nursing'. Note that 'team nursing' involves multiple caregivers, which contradicts the 'same nurse' principle.
Conclude that 'Primary nursing' is the only model that aligns with one nurse being responsible for a patient's complete care journey from admission to discharge.

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: Comprehensive care, Individualized care, Same nurse, Period of care
Lead-in keywords: refers to

Qgk1bGCkp1xcgd0yxCeyG3

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

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 69-71

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart A (pp 26-327 of 982) p. 256-258