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Primary nursing: is it worth it?

M Macdonald1

  • 1Sisters Development Programme, Gloucester Health Authority, Rikenel, Montpellier.

Journal of Advanced Nursing
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

This review suggests primary nursing is a worthwhile nursing model. Evidence indicates positive outcomes for staff and patients, supporting its implementation and continued use in healthcare.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Health Services Research

Background:

  • Primary nursing is a significant nursing delivery model with extensive literature.
  • Evaluating the worth of primary nursing requires examining descriptive, formative, and summative evidence.

Purpose of the Study:

  • To review the primary nursing literature to determine its overall worth.
  • To assess the value of implementing and the outcomes of primary nursing.

Main Methods:

  • Systematic review of North American primary nursing literature.
  • Categorization of literature into descriptive, formative, and summative evaluations.
  • Analysis focused on implementation process and outcomes (staff/patient satisfaction, quality, cost).

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Main Results:

  • Descriptive literature supports the initial adoption of primary nursing.
  • Formative evaluation suggests the implementation process is likely beneficial.
  • Summative evaluation provides tentative but positive evidence for outcomes, including satisfaction, quality, and cost-effectiveness.

Conclusions:

  • Primary nursing demonstrates a positive trajectory of worth across descriptive, formative, and summative evidence.
  • Further research may solidify the tentative 'yes' from summative evaluations.
  • The findings support the continued exploration and application of primary nursing models.