A comparison of nurse‐related behaviour, philosophy of care and job satisfaction in team and primary nursing

Reed, Suzanne Elizabeth

doi:10.1111/j.1365-2648.1988.tb01433.x

Cited by 60 publications

(42 citation statements)

References 10 publications

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“…Furthermore, the two units forming the innovative professional model were also in the same university-affiliated hospital that has a long tradition of professional focus in nursing care delivery and has long been characterized by efforts to recruit university-trained nurses, promote a professional culture and support professional development. Overall, the findings are consistent with other studies suggesting that leaders in healthcare organizations often choose a particular nursing care delivery system based on philosophy, available resources and contextual demands [47]. …”

Section: Discussionsupporting

confidence: 90%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

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BackgroundOver the last decades, converging forces in hospital care, including cost-containment policies, rising healthcare demands and nursing shortages, have driven the search for new operational models of nursing care delivery that maximize the use of available nursing resources while ensuring safe, high-quality care. Little is known, however, about the distinctive features of these emergent nursing care models. This article contributes to filling this gap by presenting a theoretically and empirically grounded taxonomy of nursing care organization models in the context of acute care units in Quebec and comparing their distinctive features.MethodsThis study was based on a survey of 22 medical units in 11 acute care facilities in Quebec. Data collection methods included questionnaire, interviews, focus groups and administrative data census. The analytical procedures consisted of first generating unit profiles based on qualitative and quantitative data collected at the unit level, then applying hierarchical cluster analysis to the units’ profile data.ResultsThe study identified four models of nursing care organization: two professional models that draw mainly on registered nurses as professionals to deliver nursing services and reflect stronger support to nurses’ professional practice, and two functional models that draw more significantly on licensed practical nurses (LPNs) and assistive staff (orderlies) to deliver nursing services and are characterized by registered nurses’ perceptions that the practice environment is less supportive of their professional work.ConclusionsThis study showed that medical units in acute care hospitals exhibit diverse staff mixes, patterns of skill use, work environment design, and support for innovation. The four models reflect not only distinct approaches to dealing with the numerous constraints in the nursing care environment, but also different degrees of approximations to an “ideal” nursing professional practice model described by some leaders in the contemporary nursing literature. While the two professional models appear closer to this ideal, the two functional models are farther removed.

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Section: Discussionsupporting

confidence: 90%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Much research in both the USA and the UK has sought to evaluate nursing systems by measuring their effects on process and care outcome (e.g. Giovanetti 1981, Chavigny & Lewis 1984, Reed 1988). Quality of patient care, patient satisfaction with care and nurses’ job satisfaction have been the dominant measures used.…”

Section: Evaluating Nursing Systemsmentioning

confidence: 99%

Nursing organizational practice and its relationship with other features of ward organization and job satisfaction

Adams

Bond

Hale

1998

Journal of Advanced Nursing

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This paper describes a new classification of ward organizational practice in nursing. Data related to aspects of ward nursing practice were collected by postal survey from a nationally representative sample of 74 acute hospital wards, and subjected to hierarchical cluster analysis. The model which was deemed to best 'fit' the data, provided three types of ward practices, which have been named: 'devolved', 'two tier' and 'centralized' nursing. The distinguishing features of the three classifications are similar but not identical to accepted 'ideal types' of primary, team and functional systems. The relationships between wards in each of the three identified categories and other ward organizational practice processes of nursing care and job satisfaction are described.

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“…PN is a care delivery model that is viewed as professional and patient-centred (Bond, 1991). While the primary nursing delivery system emphasizes the care of the patient being assigned to one nurse, the philosophy of PN emphasizes a therapeutic nurse-to-patient relationship, and the importance of patient-centred care (Reed, 1988;Manthey, 1988;Miller, 1998). The fact that PN is considered to be both a philosophy of care as well as a model of care delivery is congruent with our nurses' belief system and their desired practice standards.…”

Section: Working Definitions Of Primary Nursingmentioning

confidence: 75%

Redefining the primary nurse role in oncology care: A 21st century perspective

McFarlane¹,

Bennett²

2006

CONJ

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Oncology nursing is a rapidly evolving specialty with increasing demands upon nurses to respond to the complex needs of cancer patients and their families. Primary nursing (PN) Oncology nursing is a rapidly evolving specialty creating increased demands upon nurses to respond to the escalating complex needs of cancer patients and their families. The model of care delivery with the potential to fulfill this challenge is the primary nursing model (PN). This model is designed to facilitate nurses to practise to their fullest scope in meeting patient needs, including physical and supportive care requirements. Since primary nursing, in collaboration with oncologists, has been in practice at our large ambulatory cancer centre for more than two decades, we determined it was timely to review and redefine the role. This objective was accomplished through the implementation of the Primary Nurse Role Development Project (the project). It was positioned as a key strategic priority for the nursing department in our quest to improve not only patient care outcomes, but also to enhance the professional practice of oncology nurses at our centre. The results of the project indicated that while primary nurses functioned with relative effectiveness as demonstrated in a patient satisfaction survey (2003), enhancements to practice are required to provide optimal nursing care to individuals affected by cancer in the 21st century.

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A comparison of nurse‐related behaviour, philosophy of care and job satisfaction in team and primary nursing

Cited by 60 publications

References 10 publications

A taxonomy of nursing care organization models in hospitals

A taxonomy of nursing care organization models in hospitals

Nursing organizational practice and its relationship with other features of ward organization and job satisfaction

Redefining the primary nurse role in oncology care: A 21st century perspective

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