Team nursing

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Team nursing is a system of integrated care that was developed in 1950s (under grant from W.K. Kellogg Foundation) directed by Eleanor Lambertson at Teachers College, Columbia University in New York, NY. Because the functional method received criticism, a new system of nursing was devised to improve patient satisfaction. “Care through others” became the hallmark of team nursing. It was developed in an effort to decrease the problems associated with the functional model of nursing care. Many people felt that, despite a continued shortage of professional nursing staff, a patient care delivery model had to be developed that reduced the fragmented care that accompanies functional nursing.

Contents

Team nursing was developed because of social and technological changes in World War II drew many nurses away from hospitals, learning haps, services, procedures and equipment became more expensive and complicated, requiring specialisation at every turn. It is an attempt to meet increased demands of nursing services and better use of knowledge and skills of professional nurses.[ citation needed ]

Definitions

Objective

The objective of team nursing is to give the best possible quality of patient care by utilising the abilities of every member of the staff to the fullest extent and by providing close supervision both of patient care and of the individual who give it.

Line of organization

A clear line of organization and structure is needed for team nursing to provide a mechanism for horizontal and vertical communication, and an organized pattern is employed.[ citation needed ]

Functions

The two important points of functioning are:

  1. The head nurse must know at all times the condition of the patients and the plan for their care and must be assured that assignments and workmanship contribute to quality nursing
  2. The team leader must have freedom to use their initiative and the opportunity to nurse, supervise, and teach unencumbered by the responsibility for administrative detail

Functions of a registered nurse

Channels of communication

  1. Reports
  2. Work or assignment conference
  3. Patient care conference
  4. Written nursing care plan

The greatest single distinguishing feature of team nursing is the team conference. In general, there are three parts to the conference;

It is essential that the conference be well planned, brief but comprehensive and interesting. The team leader is the chair person for the conference. They offer opportunity for all personnel to evaluate patient care and solve the problems through team discussion.

Advantages

Disadvantages

Modifications

In an attempt to overcome some of its disadvantages, the team nursing design has been modified many times since its original inception, and variations of the model are evident in other methods of nursing care delivery such, as modular nursing.[ citation needed ]

Modular nursing

Modular nursing is a modification of team nursing and focuses on the patient’s geographic location for staff assignments. [5]

Advantages: [6]

  1. Continuity of care is improved when staff members are consistently assigned to the same module
  2. The RN as team leader is able to be more involved in planning and coordinating care.
  3. Geographic closeness and more efficient communication save staff time.

Disadvantages: [6]

  1. Costs may be increased to stock each module with the necessary patient care supplies (medication cart, linens and dressings).
  2. Long corridors, common in many hospitals, are not conducive to modular nursing.

See also

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References

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  4. 1 2 Marquis & Huston (2009). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.
  5. Magargal (1987). "Modular nursing: Nurses rediscover nursing: Skillful planning puts the caregiver close to the patient to provide service". Nursing Management.
  6. 1 2 3 Yoder-Wise (2003). "State and association/certifying boards: CE requirements". The Journal of Continuing Education in Nursing.