Consider the four types of nursing care delivery systems (team, primary, case management, and patient-centered care).
Which system would you find most satisfying in terms of your practice? Primary Nursing
Which would you like least? Case Management
Additionally, consider how organized nursing is involved in political activities designed to strengthen professional nursing and influence health policy.
Sample Answer
Analysis of Nursing Care Delivery Systems and Professional Advocacy
The structure of nursing care delivery significantly impacts professional satisfaction, patient outcomes, and the overall quality of healthcare. We will analyze the four major models—Team, Primary, Case Management, and Patient-Centered—based on professional autonomy, relationship depth, and scope of practice.
Most Satisfying System: Primary Nursing
The Primary Nursing model is centered on the concept of accountability, autonomy, and holistic patient care.
Rationale for Satisfaction
Holistic Care and Accountability: As the primary nurse, you assume 24-hour accountability for the planning, implementation, and evaluation of care for a small group of patients from admission to discharge. This allows for the development of a truly holistic care plan that addresses not just immediate medical needs, but also psycho-social, family, and educational requirements.
Strong Patient-Nurse Relationship: This model allows for continuity of care, fostering a deep, therapeutic relationship built on trust. Seeing a patient through their entire stay and witnessing the positive impact of a well-executed, personalized care plan is profoundly professionally rewarding.
Professional Autonomy: Primary nursing grants the nurse significant autonomy and decision-making authority over the patient's care process. This allows the nurse to practice at the highest level of their license, utilizing critical thinking and clinical judgment to drive patient progress, which is a major source of job satisfaction.