The nurse is considering leaving a position in an organization that utilized differentiated practice. Which type of delivery system should the nurse consider as being the most similar to differentiated practice?

Question

1. Case method
2. Shared governance
3. Functional method
4. Team nursing

Answer 1

Correct Answer: 4
Rationale 1: The case method is a client-centered model where one nurse is assigned to and responsible for the comprehensive care of a group of clients during a shift. In this method a client has consistent contact with one nurse during a shift, but may have different nurses on other shifts. This is not the model described in the scenario.
Rationale 2: Shared governance is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. This is not the model described in the scenario.
Rationale 3: The functional nursing method focuses on the jobs to be completed. It is a task-oriented approach in which personnel with less preparation than the professional nurse perform less complex care requirements. This is not the model described in the scenario.
Rationale 4: Team nursing is the delivery of individualized nursing care to clients by a team led by a professional nurse. The nursing team consists of registered nurses, licensed practical nurses, and unlicensed assistive personnel. The registered nurse retains responsibility and authority for client care but delegates appropriate tasks to the other team members. This enables nurses to progress and assume roles and responsibilities appropriate for their level of experience, capability, and education—much like the differentiated practice system.