STAFFING AND NURSING CARE
DELIVERY MODELS
Staffing
 Activities to ensure an adequate number and mix of team
members
 Staffing considerations
Patient needs
Staff satisfaction
Organizational needs
Meeting Patient Needs
 Primary considerations
Number of patients
Intensity of care required
Staff experience and preparation
Meeting Staff Needs
 24 hour/day, 365 day/year staffing needs create staffing
challenges
Creative staffing options, Staff input about staffing
Meeting Organizational Needs
 Budget and financial management
 Licensing and accreditation
 Customer satisfaction
 Quality care
NURSING CARE DELIVERY MODELS
Detail assignments, responsibility, and authority to
accomplish patient care and type of caregivers to patient
care needs
Classic Nursing Care Models
Total patient care
Functional nursing
Team nursing
Primary nursing
Total Patient Care
 Nurse is responsible for planning, organizing, and
performing all care
 Common use areas—intensive care unit (ICU) and
postanesthetic care unit (PACU)
Registered
Nurse
Registered
Nurse
Registered
Nurse
8-hour shift
8-hour shift
8-hour shift
Patient Care
The registered nurse plans,
organizes, and performs all care
Total Patient Care (Case Method) Delivery
Nurse Manager
LPN/LVN
RN
Nurse Aide
Nurse Aide
PO Meds
Treatments
Assessments
Care Plans
Vital signs
Hygiene
Hygiene
Stocking
Assigned Patient Group
Functional Nursing Care Delivery Model
Nurse Manager
RN Team Leader
RN
LPNs/LVNs
Nursing Assistants
Assigned Patient Group
RN Team Leader
RN
LPNs/LVNs
Nursing Assistants
Assigned Patient Group
Team Nursing Model
Nurse Manager
Geographic
Patient Unit
Geographic
Patient Unit
Geographic
Patient Unit
Patient Care
Team:
RNs
LPNs/LVNs
Nurse Aides
Meds
Supplies
Linens
Patient Care
Team:
RNs
LPNs/LVNs
Nurse Aides
Meds
Supplies
Linens
Patient Care
Team:
RNs
LPNs/LVNs
Nurse Aides
Meds
Supplies
Linens
Modular Nursing Model
Primary Nurse
Physician and
other members
of the health care
team
24-hour responsibility for
planning, directing &
evaluating patient care
Patient
Primary Nursing Model
Associate Nurses
Provide care
when primary
nurse is off duty
Nurse Manager
Patient Care
Respiratory Services
Patient Transportation
Housekeeping ECG Admission/Discharge
Phlebotomy
Physical/Occupational/Speech Therapy Dietary Services
Financial Counseling
Supply Management
Patient
Patient-Centered Care Model
Collaborates With
Patient and Family
Onset of
Illness
NURSE CASE MANAGER
Assesses, plans, implements, coordinates,
monitors, and evaluates patient care
options and services to meet health needs
Collaborates with Nursing,
Physicians, Physical/Speech/
Occupational Therapists, Dietary,
and Ancillary Services
Coordinates Services:
Home Care, Hospice,
Extended /Long-term Care
Ambulatory Care Services
Nursing Case Management Model
Resolution of
Illness
THANK YOU