A nurse-manager on an oncology unit has been informed that she must determine which nursing care delivery system (NCDS) is best for efficient client care, client satisfaction, and cost reduction. Knowing that two or three registered nurses, four licensed practical nurses, and five nursing assistants are generally on duty on each shift and that the clients can easily be grouped by geographic location and client care needs, the nurse-manager and her staff appropriately decide to implement which NCDS?
A. Functional nursing B. Case management C. Team nursing D. Primary nursing
Team nursing-rationale: team nursing is efficient and less costly to implement than primary or case management systems. because staff members know each other well, they can function effectively as a team. although functional nursing is the most cost-effective, care is commonly fragmented and clients are less satisfied. case management and primary nursing require more registered nurses than are available.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 117.