The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Disadvantages of this method are that Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Standard Text: Select all that apply. 1. The client may have multiple primary nurses if transfers within the facility are necessary.
2. Physician satisfaction is decreased.
3. Staff nurses cannot be held legally liable for care provided outside their work hours.
4. It requires a knowledge-based nursing practice model.
5. All persons caring for the client must have excellent communication skills.

Answer 1

1,3,5
Rationale 1: If a client requires transfer between units, a new primary nurse will be assigned in each unit. In some cases, this could result in multiple primary care nurses during one hospitalization.
Rationale 2: Physician, nurse, and client satisfaction is generally increased with primary care.
Rationale 3: The premise of primary nursing is that the nurse holds 24-hour-a-day accountability for client care. Legally, nurses cannot be accountable for care provided outside their work hours.
Rationale 4: Requiring a knowledge-based nursing practice model is seen as an advantage of primary nursing.
Rationale 5: Excellent communication must exist between the primary nurse and associate nurse. This is often difficult.
Global Rationale: