A new graduate nurse is looking for employment and is hoping to find a facility that utilizes nursing personnel based on their educational preparation and skill set. Which of the following systems implements this practice?
1. Patient-focused care
2. Shared governance
3. Differentiated practice
4. Managed care
Correct Answer: 3
Rationale 1: Patient-focused care is a delivery model that brings all services and care providers to the client. This is not the model described in the stem.
Rationale 2: Shared governance is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. This is not the model described in the stem.
Rationale 3: Differentiated practice is a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets. This model consists of specific job descriptions for nurses according to their education or training.
Rationale 4: Managed care focuses on cost containment, consumer satisfaction, health promotion, and preventive services. This is not the model described in the stem.
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