Primary and Team Nursing Models in Practice

The model of nursing care

The observed model of nursing practice is primary nursing that was used in the practice setting. The identification of this particular model was possible due to the observed patterns of practice the nurses utilized. Every patient was assigned a nurse practitioner who was entirely responsible for the treatment process. According to the primary nursing model, a nurse in charge of a particular patient makes all the decisions and carries out a treatment plan for his or her patient. One nurse provides care for several patients within a shift and sustains throughout a term of hospitalization. Thus, the observed process of decision-making carried out by one responsible nurse and the scope of interventions provided for the patients indicated that the model used in the organization is primary nursing.

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The primary nursing model is broadly addressed in the academic literature. According to Mattila et al. (2014), the advancement in the field of nursing care requires more opportunities for nurses’ autonomy to be able to provide high-quality service for well-informed patients with high expectations. The primary nursing model gives an opportunity to establish relationships with patients and their families, as well as ensure professionals’ competence and consistency of care. In general, primary nursing is a type of infrastructural organization of a health care organization’s work within which “patient care is the responsibility of a named nurse for the duration of the patient’s hospital stay” (Mattila et al., 2014, p. 2). This model is based on a patient-oriented approach and ensures trusting relationships between nurses and patients, as well as guarantees the sustainability of healthcare service.

The team nursing model is different from primary nursing because it deploys a contrasting approach to the organization of work within an organization. The article by Hastings, Suter, Bloom, & Sharma (2016) claims that this model provides an opportunity to ensure highly qualified care within collaborative work “without compromising quality” (p. 1). The study evaluates patient outcomes, service cost changes, and efficacy of human resource management within the team nursing model. The hierarchical distribution of responsibilities and decision-making enables the staff to provide high-quality service based on the collaborative work on the solution-finding. The research findings indicate that this approach has visible positive effects on human resource outcomes; the lack of negative implications for patient care suggests the possibility of a broad application of the team nursing model.

Different nursing care models and their implementation

The team nursing model is based on the hierarchical organization of care. In this case, a group of nurses works with one patient, sharing responsibilities and carrying out decision-making together. On the contrary to primary nursing, this approach ensures including different professional views and finding the best option for the most effective patient outcome (Campbell & Richard-Eaglin, 2018). The quality of nursing care is validated by evidence-based practice. This implication affects the safety issue because the patients’ treatment is more secure when a group of qualified specialists verifies the best care plan. The implementation of team nursing might improve staff satisfaction due to the opportunities to grow professionally in a group and delegate responsibilities within a hierarchy.

Lessons learned about the two nursing care models

In conclusion, this assignment allowed me to observe the practical implementation of the primary nursing model and compare it to the team model. Within primary nursing, a nurse is completely responsible for the whole stay of a patient in a hospital. It enables quality and consistency of care but imposes difficulty of work and limits evidence-based care. Team nursing, on the contrary, engages a group of qualified nurses who perform within a hierarchy. It provides more opportunities for high-quality, evidence-based care, better patient safety outcomes, and cost-effectiveness of service.


Campbell, J. G., & Richard-Eaglin, A. (2018). Implementing an integrated team-based model of care. North Caroline Medical Journal, 79(4), 228-229. Web.

Hastings, S. E., Suter, E., Bloom, J., & Sharma, K. (2016). Introduction of a team-based care model in a general medical unit. BMC Health Services Research, 16(245), 1-12. Web.

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Mattila, E., Pitkänen, A., Alanen, S., Leino, K., Luojus, K., Rantanen, A., & Aalto, P. (2014). The effects of the primary nursing care model: A systematic review. Journal of Nursing and Care, 3(6), 1-12. Web.

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1. StudyCorgi. "Primary and Team Nursing Models in Practice." July 18, 2021.


StudyCorgi. "Primary and Team Nursing Models in Practice." July 18, 2021.


StudyCorgi. 2021. "Primary and Team Nursing Models in Practice." July 18, 2021.


StudyCorgi. (2021) 'Primary and Team Nursing Models in Practice'. 18 July.

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