Integrated Primary Nursing

Abstract

Care delivery models are an integral component for delivering patient care. Although models may be abstract, nursing care delivery models need to be evolving and reality-based, as they serve to organize the allocation of nursing resources. How nursing resources are allocated is associated with patient and professional RN satisfaction, RN perceived autonomy, and quality outcomes. Care delivery models must be evolving within today's dynamic healthcare environment and must be structured within the context of a professional practice model. At the Hospital of the University of Pennsylvania, a Magnet-designated organization, a blend of traditional primary nursing and the updated relationship-based care has been developed and actualized. This model, Integrated Primary Nursing, exists within the framework of the Hospital of the University of Pennsylvania Nursing Excellence in Professional Practice. The coalescence of the 2 has yielded a care delivery model for the 21-st century RN knowledge worker.

What constitutes an excellent allied health care professional? A multidisciplinary focus group study

“…Such a curriculum usually includes multidisciplinary topics, intensive courses presented by expert lecturers, small group discussions, and liberal choices in study possibilities. By using such education programs for talented students, it may be possible to positively influence the students’ growth toward excellence 4. However, evidence in the field of health care education supporting this notion is lacking.…”

“…Professional excellence refers to a professional role in a broad sense related to a qualification of a professional in (clinical) practice. The educational preparation of excellent professionals can be seen from the perspective of undergraduate courses, extended curriculum courses, as well as postgraduate courses 2,4,5. The excellent professional is a professional with competencies related to higher-order reasoning, personal qualities, skills, values, and beliefs 6.…”

The primary nursing care delivery system within a haemodialysis context – experiences of haemodialysis primary nurses in Sweden

“…[20] Our findings regarding the haemodialysis primary nursing model provide important information regarding how the haemodialysis PNs use the primary nursing model to be able to focus on the evolution of people's experienced health problems and their diseases. This empowers the PN's ability to guide the patient toward the overarching goal of health and healing and to reduce the burden of their illness.…”

Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study

“…Moreover, uptake of primary nursing in acute settings has been reported to be inconsistent and unstructured (Goode & Rowe, 2001;Korhonen & Kangasniemi, 2013). Given the rapid changes in the way health care is delivered today to meet patients' and their families' needs, the conception of primary nursing has been surprisingly constant (Jost, Bonnell, Chacko, & Parkinson, 2010;Mattila et al, 2014). Thus, research that investigates the implementation of primary nursing in acute care settings and its relationship to person-centred quality of care, including achieved coordination and continuity of care, is necessary.…”