Which one of the following is correct in nursing care delivery where nurses assume total responsibility for meeting all the needs of assigned patients during their time on duty?

Appeared in: AIIMS Raipur lecturer 2021

Explanation

The Case Method, also known as Total Patient Care, is a model where one nurse is assigned total responsibility for all the needs of a patient during their shift.
This approach ensures holistic and continuous care for the duration of the nurse's duty.
It is commonly practiced in critical care settings like ICUs, where one-on-one, comprehensive monitoring and care are essential.
The key differentiator is the assignment of one nurse to one patient (or a small group) with complete accountability for all care provided within that shift.

Option B: Functional nursing is a task-oriented model, not a patient-oriented one. Care is fragmented as different nurses perform different tasks (e.g., medication, hygiene) for all patients on the unit.
Option C: Progressive patient care is a system of organizing care based on the patient's acuity and needs, involving moving patients to different units (e.g., ICU, intermediate care, self-care) as their condition changes. It is not a model for daily nurse-patient assignment.
Option D: In team nursing, responsibility for patient care is shared among a group of nursing personnel (including RNs, LPNs, and aides) led by a team leader. No single nurse has total responsibility.

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 to know how their roles and responsibilities are defined within a healthcare facility, which directly impacts patient assignments and workflow.
The choice of a care delivery model affects patient outcomes, nurse satisfaction, and the cost-effectiveness of care. For example, the Case Method provides high-quality, holistic care but is the most expensive in terms of staffing.
What if the question asked for a model with 24-hour accountability for a patient from admission to discharge? The answer would be Primary Nursing, where a single 'primary' nurse is responsible for planning the patient's care around the clock, even when they are not on duty.

How to Approach the Question

First, identify the core concept of the question, which is about defining a specific nursing care delivery model.
Analyze the keywords in the stem: 'total responsibility,' 'meeting all the needs,' and 'during their time on duty' are the critical descriptors.
Evaluate each option against these keywords. The Case Method aligns perfectly with one nurse taking total responsibility for a patient's complete care during a shift.
Consider the other options: 'Functional' implies tasks, 'Team' implies shared work, and 'Progressive' implies patient movement based on acuity.
By matching the definition in the stem to the correct model, you can confidently select the right answer.

Concept Tested & Keywords

Concept Tested: Nursing Care Delivery Models
Stem keywords: nursing care delivery, total responsibility, assigned patients, time on duty
Lead-in keywords: Which one, correct
Negative lead-in flag: false

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E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart B (pp 328-654 of 982) pp. 19-21, 23-25

E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) p. 267-269

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