Which one among the following is known as a pattern of nursing care in which an identified nurse delivers consistent and comprehensive care to the client throughout their hospital stay?

Appeared in: AIIMS Raipur lecturer 2021

Explanation

Primary nursing is a care delivery model where one specific Registered Nurse, known as the primary nurse, assumes full responsibility for a patient's care.
This responsibility is continuous, covering the patient's entire hospital stay from admission to discharge, ensuring a consistent and holistic approach.
The primary nurse develops the plan of care, which is followed by associate nurses when the primary nurse is off-duty, maintaining the continuity and integrity of the care plan.
This model directly aligns with the question's description of an 'identified nurse' providing 'consistent and comprehensive care' throughout the stay.

Option A: Case management focuses on coordinating health care services and resources across different settings to manage costs and quality, especially for complex cases. It is not a model for direct, continuous bedside care by a single nurse.
Option B: Functional nursing is a task-oriented model where different nurses perform specific tasks (e.g., medication administration, wound care) for all patients. This leads to fragmented care, as no single nurse is responsible for the patient's overall plan.
Option D: In team nursing, a group of nursing personnel, led by a team leader, provides care to a cluster of patients. Responsibility is shared among the team, not held by one single, identified nurse for the entire stay.

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 nursing care delivery models is essential for nurses to comprehend their roles, responsibilities, and the communication structure within their healthcare facility.
The choice of model significantly impacts patient outcomes, patient satisfaction, continuity of care, and nurse job satisfaction. Primary nursing is known to enhance the nurse-patient relationship.
What if? If the setting was a busy emergency room with high patient turnover, a Functional or Team nursing model might be more practical for efficiency. Primary nursing is better suited for units where patients have longer stays, allowing for a therapeutic relationship to develop.

How to Approach the Question

First, identify the key phrases in the question: 'identified nurse,' 'consistent and comprehensive care,' and 'throughout their hospital stay.'
These phrases strongly suggest a model focused on continuity, accountability, and a strong nurse-patient relationship.
Next, evaluate each option against these key phrases.
Eliminate 'Functional nursing' because it's task-oriented and fragments care.
Eliminate 'Team nursing' because responsibility is shared by a group, not held by a single 'identified nurse.'
Eliminate 'Case management' as it's primarily a coordination role, not a direct, continuous care delivery model.

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: pattern of nursing care, identified nurse, consistent and comprehensive care, throughout hospital stay
Lead-in keywords: Which one

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

E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) p. 208-210

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart B (pp 328-654 of 982) p. 23-25

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