Nursing Administration Questions
Nursing Administration Questions
Nursing Administration Questions
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Nursing Administration
Several methods of assignment are used to plan for patient care in a hospital.
These methods are the traditional methods and the in advanced methods.
1. Case method.
2. Functional method.
3. Team method.
4. Modular nursing.
Case management
1. CASE METHOD:
It is the oldest patient care delivery method. In this method one professional
nurse assumes total responsibility of providing complete care for one or more
patients (1-6) while she is on duty. This method is used frequently in intensive
2. FUNCTIONAL METHOD:
getting the greatest amount of tasks in the least time. In this method, the
nursing care is divided into tasks and each staff member is assigning to
perform one or two tasks for all patients in the unit according to the level of
Technical nurses:Responsible for taking vital signs and recording intake and output for all
patients in the unit, while another might be giving baths to all bedridden patients.
Nurse aides:Responsible for making beds for all ambulatory patients and assisting mobility-
impaired patients to move in bed or walk in the hall.
3. TEAM METHOD:
The concept of team nursing was introduced in the early 1950s. It is a method of nursing
assignment that binds professional, technical and nurse aides into small teams. This method
allows for efficient utilization of technical and/or nurses aide through the direct supervision,
guidance, and teaching of professional nurses.
Process of implementing the team method:
One registered nurse in the team is appointed by the head nurse to serve as a team leader. The
team members commonly consist of at least one professional nurse, one technical nurse, nursing
students and nursing aides. All team members may receive reports about their patients care
needs from the team leader or team member on previous shift.
professional nurse to care for the most seriously ill patients, to ensure informed observation
and skilled interventions.
Often, the team leader assigns the technical nurse to bath, feed, and move and change
dressings for patients.
Aides are assigned to make beds, assist ambulatory patients with bathing and grooming,
testing urine and performing simple nursing care procedures.
Team leader usually administers medications and monitors parenteral fluid therapy for all
patients assigned to the team. Without team planning and communication through the team
conferences, team nursing may become in reality just a variation of the functional method
4. MODULAR NURSING:Modular nursing assignment is used when the nursing staff includes
technical and nurse aides, as well as professional nurses. Although two or three persons are
assigned to each module, the greatest responsibility for the care of assigned patients falls on the
professional nurse. The professional nurse is also responsible for guiding and teaching non-
professional nurse
This method is the best in an agency with an all-professional nurse staff. It is: A comprehensive,
continuous and coordinated nursing process for meeting the total needs of each patient. Basic
concepts in primary nursing:
Patient assessment by a primary nurse, who plans the care to be given by secondary or
associate nurse when the primary nurse is off duty. The 24 hours responsibility for care is put
into practice through the primary nurses written directive on a preplanned communication
assignment.
Complete communication of care given in the nursing staff daily reporting method.
CASE MANAGEMENT:
Case management is a process of monitoring an individual patients health care by the case
manger, for the purpose of maximizing positive outcomes and containing costs. The case manger
has graduate-level preparation or is at an advanced level of nursing practice. The case manager
role requires not only advanced nursing skills but also advanced managerial and communication
skills.
2. Based on :
a- Nursing needs of each patient and approximate time required to care for him.
b- The capabilities, skill level, previous experience and the interest of the staff
members.
c- Job description.
3. Planned weekly, and revised daily if necessary to assure continuity of care.
4. Take into account all the direct , indirect and unit activities
5. Consider the geographical location of the unit and the assigned duties to save nurses
time and effort.
6. Must be balanced among nursing staff.
7. Never to assign the same task to more than one nurse.
Characteristics of effective assignment:
It should be
1. Definite and easily understood. 2. Simple. 3. Clear. 4. Signed.
5. Written. 6. Posted in advance