A state has experienced an economic downturn and a shortage of registered nurses. Which nursing care delivery model would hospital administrators be likely to avoid?
1. Case method
2. Team nursing
3. Primary care nursing
4. Functional nursing
3
Rationale 1: The case method requires a nursing staff made up exclusively of registered nurses but is generally reserved for intensive care units. It is not practiced hospital wide. The use of RNs in these units is cost-effective.
Rationale 2: Team nursing allows for the inclusion of LPNs or UAPs who are paid less than RNs.
Rationale 3: Primary care nursing may not be the preferred system during downturns in the economy and cyclical nursing shortages because of the perception that labor costs are high due to the large numbers of registered nurses employed by a facility.
Rationale 4: Functional nursing allows for the inclusion of LPNs and UAPs who are paid less than RNs.
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