Description
Part A
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Complete Required Content listed in the content area & Read in Marquis & Huston:
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Chapter 4 – Ethical Issues
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Chapter 5- Legal and Legislative Issues
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Then in your discussion group:
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1. Describe what it means to be an ethical leader including an example of where you have seen a leader either uphold or break ethics (application).
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2. Given the ethical principles listed on pg 88 of your text discuss how this may impact the difficulty a Nurse Leader/Manager may have in decision making (analysis).
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NB: See attachment of ethical principles
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3. Have you ever been directed in your nursing practice to do something unsafe or that you were inadequately prepared to do? What did you do and how would you handle the situation differently after reading chapter 5 (application)?
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Part B
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Week 5 Discussion-Part B
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Complete Required Content listed in the content area & Read in Marquis & Huston:
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Chapter 14-
Topic: Organizing patient care,
Chapter 15 –
Topic: Employee Recruitment, Selection, Placement & Indoctrination
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Then in your discussion group:
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Discuss: What patient care delivery model would you say most closely fits your current work situation or a former work environment (analysis)? Identify what worked well in the delivery system in terms of cost effectiveness and patient/staff satisfaction. (evaluation).
We use Total Patient Care in my hospital. See attachment of delivery models
Analyze why workflow and care processes should precede implementation of care technology to facilitate nursing practice.
Describe Interview techniques that reduce subjectivity and increase reliability and validity during the interview process.
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Text book
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Marquis, B.L., & Huston, C.J., (2021).
Leadership roles and management functions in nursing: Theory and application, 10
th
edition.
Lippincott, Williams & Wilkins
DISPLAY 4.2 ETHICAL PRINCIPLES
Autonomy: Promotes self-determination and freedom of choice
Beneficence: Actions are taken in an effort to promote good
Nonmaleficence: Actions are taken in an effort to avoid harm
Paternalism: One individual assumes the right to make decisions for another
Utility: The good of the many outweighs the wants or needs of the individual
Justice: Seeks fairness, treats “equals†equally and treats “unequals†according to their differences
Veracity: Obligation to tell the truth
Fidelity: Need to keep promises
Confidentiality: Keeps privileged information private
leader-manager in organizing groups for patient care are shown in Display 14.1.
Traditional Models of Patient Care Organization
Five traditional means of organizing nursing are total patient care, functional nursing, team and
modular nursing, primary nursing, and case management (Display 14.2). Each of these models
has undergone many modifications, often resulting in new terminology. For example, primary
nursing was once called case method nursing and is now frequently referred to as a professional
practice model. Team nursing is sometimes called partners in care or patient service partners,
and case managers assume different titles depending on the setting in which they provide care.
Even many of the newer models of patient care delivery systems are recycled, modified,
or retitled versions of these older models. Indeed, it is sometimes difficult to find a delivery
system true to its original version or one that does not have parts of others in its design.
Total Patient Care Nursing or Case Method Nursing
Total patient care is the oldest mode of organizing patient care. With total patient care, a care
in Figure 14.1.
provider
assumes total responsibility during their time on duty for meeting all the needs of
asigned patients. A structural diagram of total patient care in an acute care setting, is shown
Total patient care nursing is sometimes referred to as the case method of assignment be-
cause patients may be assigned as cases, much like the way private duty nursing was histori-
cally carried out. Indeed, at the turn of the 19th century, total patient care was the predominant
nursing care
delivery model. Care was generally provided in the patient’s home, and the nurse
was responsible for cooking, house cleaning, and other activities specific to the patient and
family in addition to traditional nursing care. During the Great Depression of the 1930s, how-
ever
, people could no longer afford private duty nurses and care shifted to hospitals instead.
As hospitals grew over the next two to three decades, total care continued to be the primary
means of organizing patient care.
This method of assignment is still widely used in hospitals and home health agencies today
because of its advantages. For example, total patient care provides caregivers with high auton-
and responsibility. Assigning patients is simple and direct and does not require the plan-
ning that other methods of patient care delivery require. In addition, the lines of responsibility
and accountability are clear, so the patient theoretically receives holistic and unfragmented
care during the caregiver’s time on duty.
omy
Charge nurse
Caregiver
Caregiver
Caregiver
Patients
Patients
Patients
FIGURE 14.1 Case method or total patient care structure.
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