The nurse manager has been charged with evaluating whether the current system of team nursing is efficient and cost-effective for the unit. Which statement supports the cost-effectiveness of team nursing on this unit?
1. Team nursing is cost-effective because it allows for the use of unlicensed assistive personnel to provide care delegated by the registered nurse.
2. Research concludes that team nursing is the most cost-effective care delivery system.
3. Managed care organizations provide financial incentives to institutions that use team nursing as a means to decrease the high cost of registered nurse salaries.
4. The Institute of Medicine's 2004 report Keeping Patients Safe identified team nursing as the most cost-effective care delivery system.
1
Rationale 1: In response to nursing shortages, health care institutions tend to utilize a nursing care delivery system that uses a variety of licensed nurses and unlicensed assistive personnel. Team nursing is a model that utilizes licensed and unlicensed personnel.
Rationale 2: Nurse researchers have not found sufficient evidence that supports any one particular model of care delivery as the most cost-effective.
Rationale 3: Managed care financial initiatives are centered on directing patients to the most cost-effective and efficient treatment center.
Rationale 4: The Institute of Medicine has not found sufficient evidence to support any one particular model of care delivery as the most cost-effective.
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