TEERTHANKER MAHAVEER COLLEGE OF NURSING

SUBJECT: - ADVANCED NURSING PRACTICEz

LESSON PLAN ON:- PRIMARY NURSING AND TEAM NURSING

Submitted To:
Mr.mohd. ishak sir
Assoc. professor
(HOD of med-surg nursing dept.)

Submitted by:
Prasann roy
m.sc nursing 1st year
TMCON Submitted on………………
 Lesson plan
Name of the teacher Mr.Mohd. ishak sir
Class M.Sc. Nursing
Subject: advanced nursing practice
No. of students 21
Unit:
Topic: primary nursing and team nursing
Previous knowledge Students have some knowledge about nursing
Duration: 45min
Methods of teaching: Lecture cum Discussion
Teaching aids: Black Board, pamphlets
General Objectives
On completion of the topic the students are able to develop understanding about primary nursing and team nursing

Specific objectives:

 To introduce the Primary nursing and team nursing

 To define Primary nursing and team nursing

 To explain the comparison between primary nursing and team nursing

 To describe the advantages and disadvantages of Primary nursing.

 To describe the advantages and disadvantages of team nursing.

 To conclude the topic

S. Specific Time Content Teaching Students A.V Evaluation
NO. Objective Learning activity Aids
Activity
Primary nursing Lecture listening Black
1. To introduce the 5 min cum Board Asking
Primary nursing Originated in 1969 by staff nurses at the University of discussion questions
and team Minnesota.
nursing
Primary care nursing is when a single nurse is identified as
the point of contact and primary caregiver for a patient
during his or her particular hospital stay or other episode of
care. As envisioned by staff nurses at the University of
Minnesota in 1969, the primary care nursing team is
composed of that lead nurse, who directly supervises the
engagement of a licensed practical nurse and/or nursing
assistant in that patient’s care. Further, the primary care
nurse acts as care partner, serving as communications liaison
between the patient and his or her doctor and other care team
members.

Team nursing
Team nursing is a system of integrated care that was
developed in 1950s directed by Eleanor Lambertson at
Teachers College, Columbia University in New York, NY.
Because the functional method received criticism, a new
system of nursing was devised to improve patient satisfaction

The team usually consists of a charge nurse or team leader

(also a nurse), more nurses, and patient care technicians or
nurse's aides. The charge nurse is responsible for assigning
patients to the team members, as well as being
knowledgeable about the patients and their plans of care. The
 nurses who are assigned to the patients delegate tasks to the
patient care technicians or nurse's aides within their scope of
practice to assist in the care of the patients. Each team is
responsible for five to six patients, depending upon the
setting and staffing.
If you've ever been a patient in a hospital, you may have had
two people caring for you at a time (a nurse and a patient
care technician, or nurse's aide) each performing certain
types of tasks in order to complete orders from the healthcare
provider and help you recover from illness or injury. This is
considered team nursing.
2. To define Primary nursing Lecture Discussio Black What is
Primary nursing 5 min Primary Nursing is a system of nursing care delivery which cum n Board primary
and team emphasizes continuity of care and responsibility acceptance discussion and team
nursing by having one registered nurse (RN). nursing.

Team nursing
method of providing nursing services to inpatients in which
responsibility for planning and coordination of care is shared
by members of a group; the team may include registered
nurses, practical nurses, and other nursing personnel, but the
team leader is most often a registered nurse
(Medical Dictionary for the Health Professions and Nursing
© Farlex 2012)

3. To explain the 10 Lecture Discussio leaflets Asking

comparison min Element Team nursing Primary nursing cum n questions.
between discussion
primary nursing
and team Decision-making Decision-making RN makes
nursing occurs over a decisions for
 individual
patients based on
their therapeutic
single shift;
relationship,
largely by team
which is
leader or nurse
sustained for the
manager.
length of stay of
the patient on the
unit.

Nurse
assignments are
Nursing patient-based to
assignments are ensure continuity
based on level of of care. An RN is
complexity and assigned to a
commensurate patient and
Work allocation level of expertise; remains that
and/or patient focus is on tasks patient's primary
assignment to be nurse for as long
accomplished; as the patient
assignments remains on the
change based on unit (unless
patient acuity and circumstances
work complexity. require that a new
primary nurse is
assigned).

Communication Communication Communication

is hierarchical; is direct. Patient
the care provider information is
 solicited by the
primary nurse
who
communicates
reports to the directly and
team leader; the proactively with
team leader team members,
reports to physicians, and
physicians and/or other colleagues.
other health care The primary
team members. nurse is
responsible for
integrating
information and
coordinating care.

Managers
promote the
nurse-patient
Nurse manager relationship and
supervises the the professional
Management of
team leader who role of the nurse.
the unit or
is responsible for They influence
environment of
supervising other care by creating a
care
staff in the healthy work
delivery of care. environment and
empowering the
staff to remove
barriers to care.

4 To describe the 5 min Advantages Lecture Listening Blackb Enlist the

advantages and cum oard advantages
 disadvantages of discussion and
Primary nursing.  The main advantage of this care model is disadvanta
accountability, as there is no ambiguity about who is ges of
responsible for the patient's care plan Primary
nursing
Diadvantages

 Inadequately prepared or incompetent primary

nurse maybe incapable of coordinating a
multidisciplinary team or identifying complex
patient needs and condition changes.

 Many nurses maybe uncomfortable in this role or

initially lack the experience and skills necessary for
the role.

5. To describe the 5 min  High quality comprehensive care can be provided Lecture Listening Blackb Enlist the
advantages and despite a relatively high proportion of ancillary staff. cum oard advantages
disadvantages of  Each member of the team is able to participate in discussion and
team nursing. decision making and problem solving. disadvanta
 Each team member is able to contribute his or her ges of
own special expertise or skills in caring for the patient. Primary
nursing
 Work load can be balanced and shared.
 There is a variety in the daily assignment

Diadvantages
  Establishing a team concept takes time, effort and
constancy of personnel. Merely assigning people to a
group does not make them a ‘group’ or ‘team’.
 Unstable staffing pattern make team nursing difficult.
 Insufficient time for care planning and
communication may lead to unclear goals. Therefore,
responsibilities and care may become fragmented.

7. To summarise 10 In contrast with the primary nursing model, where a single Lecture Listening non Asking
the topic min nurse maintains patient care, the assigned nurse in questions.
the team model delegates tasks to the patient care technician
or nurse's aide such as performing vital signs, bathing,
drawing blood, performing ECGs, and other such skills
within their scope of practice

REFERENCES