Which of the following is a nursing care delivery model based on case management?

Bihar CHO -2019

Nursing Management & leadership

Medium

Appeared in: Bihar CHO -2019

Explanation

Case management is a collaborative care delivery model focused on coordinating services across the healthcare continuum to ensure quality and cost-effective outcomes.
Critical pathways are the foundational tool used in case management.
These pathways are standardized, interdisciplinary care plans that map out the expected sequence and timing of interventions for a particular diagnosis or procedure.
By using critical pathways, case managers can track patient progress against expected outcomes, manage resource utilization, and facilitate timely discharge.

Option A: Primary nursing is a distinct care delivery model, not a component of case management. It emphasizes continuity of care with one nurse having 24-hour accountability for a patient's care plan from admission to discharge.
Option B: A Patient Classification System (PCS) is a management tool used to determine nursing workload and appropriate staffing levels based on patient acuity. It is not a model for delivering patient care.
Option D: Total Nursing, also known as Total Patient Care, is a model where one nurse is responsible for all the care of a group of patients during a single shift. It is a different model from case management.

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 care delivery models is crucial for nurses as it affects their roles, responsibilities, and the way they collaborate with the healthcare team.
The choice of model impacts patient outcomes, cost of care, and nurse satisfaction. Case management, for instance, is vital in managing complex patient cases and reducing hospital length of stay.
What if? If a hospital's primary goal was to complete tasks for a large number of patients with maximum efficiency and fewer registered nurses, the Functional Nursing model might be implemented, though it risks fragmented care.

How to Approach the Question

First, identify the core concept of the question, which is 'nursing care delivery model' and the specific type, 'case management'.
Analyze the relationship between 'case management' and the given options.
Recognize that 'Primary Nursing' and 'Total Nursing' are alternative, distinct models of care delivery.
Identify 'Patient Classification System' as a staffing tool, not a care delivery model.
Understand that 'Critical Pathways' are not a model themselves, but are the essential, defining tool used to implement the case management model.
Conclude that 'Critical Pathways' is the best answer as it is the concept most directly based on and integral to case management.

Concept Tested & Keywords

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