The nursing care delivery model that would not be preferred during economic downturns and nursing shortages would be:
1. Primary care nursing.
2. Case method.
3. Functional nursing.
4. Team nursing.
Primary care nursing.
Rationale: 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. The case method utilizes an exclusive registered nurse staff in intensive care units where client acuity is high and there is a need for the holistic and comprehensive care delivered by a registered nurse. Functional and team nursing allows for the inclusion of unlicensed personnel who are lower-paid workers to whom the registered nurse can delegate tasks.
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