Implementing a Care-Based Nursing Workforce Model: Implications for Missed Care, Teamwork, and Satisfaction

Nursing care delivery models may serve as a significant factor contributing to nurse satisfaction, frequency of missed care, and patient outcomes. The nursing leadership team at our institution sought to determine if an adaptation of our primary registered nurse (RN) nursing model would enhance sati...

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Bibliographic Details
Published in:Journal of nursing care quality Vol. 40; no. 1; pp. 32 - 38
Main Authors: Polancich, Shea, Dick, Tracey, Ledlow, Jennifer, White-Williams, Connie, Chambers, Amanda, Thomas, Keri, Poe, Terri, Miltner, Rebecca
Format: Journal Article
Language:English
Published: United States 02-10-2024
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Summary:Nursing care delivery models may serve as a significant factor contributing to nurse satisfaction, frequency of missed care, and patient outcomes. The nursing leadership team at our institution sought to determine if an adaptation of our primary registered nurse (RN) nursing model would enhance satisfaction of bedside nurses and care of patients. An improvement study introducing a care-based delivery model was implemented between January 2023 and January 2024 on a medical-surgical neurology/spinal unit at our organization. Adoption of a care-based nursing model was supported with the delivery of brief education sessions utilizing in situ simulations for development of competencies in teamwork and delegation. During the pilot period, overall satisfaction with job role improved 23%. Six missed nursing care elements and 7 teamwork elements significantly improved. A care-based nursing model may improve staff satisfaction and quality of nursing care.
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ISSN:1057-3631
1550-5065
1550-5065
DOI:10.1097/NCQ.0000000000000815