Which of the following is a modification of team nursing and focuses on the patient's geographic location for staff assignments?

Appeared in: RIMS Nursing Officer - 2022

Explanation

Modular nursing is a care delivery system where a hospital unit is divided into geographically defined zones or 'modules'.
It is considered a modification or hybrid of team and primary nursing.
A consistent team of nursing staff is assigned to each module, with a Registered Nurse (RN) leading the team.
The primary goal is to improve communication, accountability, and continuity of care by creating smaller, localized teams.
This model increases the RN's involvement in care planning and reduces the time staff spend traveling between patients.

Why Other Options Were Wrong

Option B: Holistic nursing is a philosophy of care that emphasizes treating the whole person (mind, body, spirit), rather than a specific system for assigning staff to patients.
Option C: Primary nursing assigns one nurse to be responsible for a patient's total care throughout their hospital stay. The focus is on continuity of care and the nurse-patient relationship, not on the patient's geographic location within the unit.
Option D: Village health nursing is a component of community health services, typically in rural areas. It is not a model for organizing staff within an inpatient hospital unit.

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.
Modular nursing can improve efficiency by reducing the walking distance for nurses, allowing them more time for direct patient care.
This model fosters better teamwork and communication within a smaller, consistent group of caregivers, which can lead to improved patient safety and satisfaction.
What if? If a hospital was facing a nursing shortage and high patient-to-nurse ratios, team nursing (the model from which modular nursing is derived) might be implemented. This allows a mix of skilled and less-skilled personnel to care for a larger group of patients under the direction of a professional nurse leader.

How to Approach the Question

First, identify the key phrases in the question: 'modification of team nursing' and 'focuses on patient's geographic location'.
Analyze each option based on these key phrases.
Recall the definition of 'team nursing' (a team led by an RN cares for a group of patients). The correct answer will be a variation of this.
Evaluate 'modular nursing'. This model uses geographic 'modules' and is a known modification of team nursing. This directly matches the question's criteria.
Consider the other options. 'Holistic nursing' is a philosophy. 'Primary nursing' is about one-to-one responsibility, not geography. 'Village health nursing' is community-based. These do not fit the criteria.
Conclude that modular nursing is the only option that combines the elements of team nursing with a geographic assignment strategy.

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: modification of team nursing, patient's geographic location, staff assignments
Lead-in keywords: Which
Negative lead-in flag: false

Question ID

Qc6KK5bOmStVq5yVdYRS-_

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

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