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Primary or team nursing? Two conditions determine the choice
The Journal of Nursing Administration
|November 1, 1982
Summary
Primary nursing enhances patient care and nurse involvement when support systems are efficient and patients need complex care. Inefficient systems or less acute patients make team nursing more cost-effective.
Area of Science:
- Nursing Administration
- Healthcare Management
- Health Economics
Background:
- Primary nursing emphasizes professional nurse involvement but its cost-benefit is debated.
- Team nursing is an alternative structure with different resource implications.
Purpose of the Study:
- To analyze the cost-benefit of primary nursing versus team nursing.
- To identify factors influencing the cost-effectiveness of primary nursing.
Main Methods:
- Cost-benefit analysis comparing primary and team nursing structures.
- Evaluation of nursing support system efficiency and patient care requirements.
Main Results:
- Primary nursing is more cost-beneficial with efficient support systems and high-acuity patients.
- Team nursing may be superior in settings with inefficient support or lower patient care needs.
Conclusions:
- The optimal nursing structure (primary vs. team) depends on operational efficiency and patient acuity.
- Efficient nursing support systems are crucial for realizing the benefits of primary nursing.