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Primary Nursing Care Model in Geriatric Units

The model of nursing care

I observed the essential elements of the primary nursing model, including its being oriented at establishing productive relationships between nurses and patients and facilitating individualized provider-patient interactions (Nadeau, Pinner, Murphy, & Belderson, 2017). Moreover, I was able to observe the provision of personalized education to specific healthcare consumers, which is another trait of the model being discussed (Nadeau et al., 2017). In the geriatric unit where my observations took place, nurses were responsible for managing the care needs of specific patients until their discharge from the hospital.

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All clients were visited by specific nurses on a daily basis, and those specialists performed multiple responsibilities, including planning, monitoring, and delivering care. For instance, D. was responsible for managing and educating three elderly clients around the clock. When she was not available, nursing associates could help D. by following individualized instructions received from her. Concerning how she managed to provide care, D. was always in contact with physicians and other doctors to get the most recent news and plan accordingly.

She also was the primary person to teach those patients how to avoid subsequent complications and conduct self-examinations. The frequent contacts between specific nurses and specific patients, as well as those nurses’ wide range of responsibilities associated with particular clients, helped me to identify the care model.

The academic article by Payne and Steakley (2015) makes use of the case study research method to delve into the details of the primary care model of nursing care. With reference to the case of a young hallucinating patient with suicidal ideation, the researchers explain the care model’s benefits. They include patient empowerment, specialized education/care plans, building rapport with patients, increased job satisfaction rates in nurses, and so on (Payne & Steakley, 2015). To sum up, the source discusses multiple opportunities to serve healthcare consumers by creating nurse-patient partnerships based on the model in question.

The study by Fairbrother, Chiarella, and Braithwaite (2015) reviews four different approaches to care provision, including the team nursing model, and argues that team nursing is fully compatible with modern patients’ and nurses’ needs. The researchers see the fact that “work is being rapidly reconfigured in healthcare services” as the reason why team nursing offers contemporary and effective solutions (Fairbrother et al., 2015, p. 489). As the authors highlight, the model finds inspiration in the principles of humanistic psychology and involves the distribution of care tasks among the members of small teams with well-established structures. In general, the source provides a thorough review of the model’s advantages associated with staff members’ job satisfaction and patient outcomes.

The implementation of the different nursing care model

Due to its advantages, the team nursing care model could be used in the observed practice setting to benefit both care providers and patients. Instead of scrambling between planning interventions and implementing them, RNs responsible for patients, such as D., could focus only on plan development and task distribution, thus acting as team leaders. Since all team members would play specific functions, the risks of care mistakes associated with multitasking would decrease, leading to improvements in care quality and safety. Concerning staff satisfaction, the segregation of duties would improve conflict resolution practices and enable particular team members to focus on polishing specific skills and developing their strong sides. With that in mind, the care model would also be likely to improve care providers’ job satisfaction.


In summary, thanks to the assignment, I have learned how to observe nurses’ work and make notes helping to proceed from the seemingly disparate facts to the main principles of care provision. Additionally, I have gathered new knowledge peculiar to the primary nursing model’s ability to contribute to primary nurses’ job satisfaction by enabling them to build nurse-patient relationships that are actually based on mutual trust. Moreover, I have improved my understanding of the team care model by getting acquainted with new facts regarding its theoretical underpinnings.

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Fairbrother, G., Chiarella, M., & Braithwaite, J. (2015). Models of care choices in today’s nursing workplace: Where does team nursing sit? Australian Health Review, 39(5), 489–493. Web.

Nadeau, K., Pinner, K., Murphy, K., & Belderson, K. M. (2017). Perceptions of a primary nursing care model in a pediatric hematology/oncology unit. Journal of Pediatric Oncology Nursing, 34(1), 28–34. Web.

Payne, R., & Steakley, B. (2015). Establishing a primary nursing model of care. Nursing Management, 46(12), 11–13. Web.

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