The nurse manager has been charged with evaluating and determining if the current system of team nursing is efficient and cost effective for the unit
Which of the following statements supports the cost-effectiveness of team nursing on this unit? 1. Team nursing is cost-effective since it allows for the use of unlicensed assistive personnel to provide care delegated by the registered nurse.
2. The Institute of Medicine's 2004 report Keeping Patients Safe identified team nursing as being the most cost-effective care delivery system.
3. Research conducted by Aiken, Buerhaus, Kramer, and Needleman concludes that team nursing is the most cost-effective care delivery system.
4. Managed care organizations provide financial incentives to institutions that use team nursing as a means to decrease the high cost of registered nurse salaries.
Team nursing is cost-effective since it allows for the use of unlicensed assistive personnel to provide care delegated by the registered nurse.
Rationale: 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. The Institute of Medicine and the nurse researchers have not found sufficient evidence that supports any one particular model of care delivery as being the most cost-effective. Managed care financial initiatives are centered on directing patients to the most cost-effective and efficient treatment center.
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