Team nursing and ITU – a good combination?

Models of care in nursing: a systematic review

“…In the third study, documentation practice scores relating to pain were significantly higher in the team nursing model (7.5 SD 2.67) compared with the total patient care model (6.0 SD 2.79) ( P = 0.006) 24 . In contrast, in the final study, monthly care audits demonstrated no significant difference in patient care between the team nursing and patient allocation models of care 22 …”

“…Studies were carried out in both public and private hospitals. The various models of care reported were implemented in general hospital wards, 8,25,26,[28][29][30] medical surgical wards, 12,24,27,31 orthopaedic, psychiatric ward, 7 intensive care unit 22 and acute care 23,27 (Table 3).…”

“…Although indirectly related to patient outcomes, several studies examined the quality of nursing documentation with team nursing being superior to that of primary nursing model, 26 although one study 22 found no difference. Early discharge was also supported by a team nursing model.…”

“…Another important aspect throughout the analysis was the small sample sizes. Four studies 22,25,26,31 had less than 50 nurses and four studies had between 51 and 100 nurses in the study. Three studies had more than 100 participants 8,21,29 and one had 1137 nurses to evaluate three models of care 29 .…”

“…Similar results were reported at the 3‐month follow up where 53% of the nurses stated that they were satisfied with the team nursing model of care compared with 69% for the patient allocation method. A significant difference was observed at the 6‐month follow up where 69% of the nurses in the patient allocation model of care compared with 1% in the team nursing model stated that they were satisfied with the style of nursing 22 (Fig. 7).…”