Nursing Care Delivery Model
Conditions
Keywords
Primary Nursing, Missed Nursing Care, Nurse Job Satisfaction, Patient Satisfaction, Nursing Care Delivery
Brief summary
The aim of this study was to determine the effects of the primary nursing model on nurse and patient outcomes. In the study, primary nursing education was provided to the nurses in the experimental group, and the primary nursing model was implemented in the clinics where they worked. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation. The study aimed to evaluate the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care. Hypotheses of the study: H1-1: There is a significant difference between the evaluations of nurses in the experimental group regarding missed nursing care before the primary nursing implementation and at the 3rd and 6th months after the implementation. H1-2: There is a significant difference between the job satisfaction evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation. H1-3: There is a significant difference between the role and competency evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation. H1-4: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding missed nursing care before the implementation and at the 3rd and 6th months after the implementation. H1-5: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding satisfaction with nursing care before the implementation and at the 3rd and 6th months after the implementation.
Detailed description
Nursing care services constitute one of the fundamental components of health services. Organizing nursing care effectively in hospitals and ensuring continuous care for patients are essential responsibilities of nursing management. Nursing care delivery methods provide a framework for organizing and assigning nursing responsibilities in clinical settings. These methods are closely related to organizational philosophy, nursing management approaches, available resources, and the structure of healthcare services. Various nursing care delivery models have been developed over time to improve the quality and continuity of nursing care. Traditional nursing care delivery models include total patient care, functional nursing, team nursing, and primary nursing. Among these approaches, the primary nursing model emphasizes accountability, continuity of care, and professional autonomy of nurses. The primary nursing model assigns a primary nurse to each patient, who is responsible for planning, coordinating, and evaluating the patient's care throughout the hospitalization period. This model promotes continuity of care, improves communication within the healthcare team, and supports nurses' professional autonomy and responsibility. Previous studies have suggested that the primary nursing model may improve nurse-related outcomes such as job satisfaction, role clarity, and professional competence, as well as patient-related outcomes such as satisfaction with nursing care and reduced missed nursing care. Despite the potential benefits of the primary nursing model, there are limited studies examining its effects in clinical settings, particularly in national healthcare systems. Therefore, evaluating the impact of this nursing care delivery model is important for improving nursing care quality and organizational outcomes. This study examined the effects of implementing the primary nursing model on nurse and patient outcomes using a quasi-experimental research design. The primary nursing model was implemented in the experimental group units, while the control group continued with the existing nursing care delivery method. Data were collected from nurses and patients before the implementation and at the third and sixth months after the implementation. The study evaluated the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care.
Interventions
BEHAVIORALPrimary Nursing Care Delivery Model
Nurses in the experimental group will receive education on the primary nursing care delivery model. Following the training, the primary nursing method will be implemented in the participating clinical units for six months.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
In this quasi-experimental study, primary nursing education was provided to nurses in the experimental group and the primary nursing model was implemented in the clinics where they worked. The control group continued with the existing nursing care delivery system. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Nurse Participants Inclusion Criteria * Nurses working in the intervention and control units where the primary nursing care delivery model will be implemented * Nurses who provide direct patient care * Nurses who have been working in the unit for at least 3 months * Nurses who voluntarily agree to participate in the study
Exclusion criteria
* Nurses working in administrative or managerial positions * Nurses who are on leave during the data collection period * Nurses who do not consent to participate in the study Patient Participants Inclusion Criteria * Patients hospitalized in the intervention and control units * Patients aged 18 years and older * Patients who are able to communicate and respond to the questionnaire * Patients who voluntarily agree to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Missed Nursing Care measured by the MISSCARE Survey | Baseline, 3 months, and 6 months after implementation | Missed nursing care will be assessed among nurses working in the intervention and control units using the MISSCARE Survey to evaluate the impact of the primary nursing care delivery model. |
| Nurse Job Satisfaction measured by the Clinical Nurses Job Satisfaction Scale | Baseline, 3 months, and 6 months after implementation | Nurse job satisfaction levels will be assessed among nurses working in the intervention and control units using the Clinical Nurses Job Satisfaction Scale. |
| Patient Satisfaction with Nursing Care measured by the Newcastle Satisfaction with Nursing Care Scale | Baseline, 3 months, and 6 months after implementation | Patient satisfaction with nursing care will be assessed among hospitalized patients in the intervention and control units using the Newcastle Satisfaction with Nursing Care Scale. |
| Nurse Role and Competency measured by the Nurses' Role and Competency Scale | Baseline, 3 months, and 6 months after implementation | Nurses' professional roles and competencies will be assessed among nurses working in the intervention and control units using the Nurses' Role and Competency Scale. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORDemet Yurtsever, RN, PhD
Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey
Outcome results
None listed