Team Nursing and Total Patient Care Delivery Models


There are numerous complex tasks that specialists working in the healthcare sector face every day. The increased significance of their job results in a great level of expectations related to health care delivery. That is why the modern healthcare sector could be characterized by the existence of numerous models of nursing care delivery that are chosen concerning the patients basic needs and demands. They all are used in real-life conditions.

For instance, team nursing was observed, and it implied the distribution of the main functions between the members of a specialist team who deliver nursing care to a patient (Team nursing benefits both staff and patients, n.d). Each member of this very squad had a certain set of responsibilities that were needed to guarantee a patients recovery. There was a team leader who performed managerial functions and created the pattern according to which the tasks were distributed between specialists. At the same time, this very leader monitored the patients state and provided him with all services needed for his satisfaction and recovery. The model proved its efficiency and guaranteed positive outcomes.

Investigation of the current model

Besides, this very model is discussed in several various research articles. For instance, Wright and Brajtman (2011) revolve around the advantages of the above-mentioned approach. They describe relations within the interprofessional care team that is responsible for the delivery of certain services to a patient. Investigating the model, they are sure that the given pattern could be considered efficient enough because of several factors.

First of all, this structure determines the great professionalism level, as each member has certain competence in various spheres. Furthermore, it might help to solve different ethical problems that appear while delivering care. For instance, the patient’s personal needs and preferences could be satisfied only if there is a person who could act by the appropriate behavioral pattern. Altogether, the usage of the given model could also be taken as the guaranty of the consideration of the most crucial aspects of every case because every team member covers his/her partner and checks whether all essential aspects are minded.

Hua, Becker, Wurmser, Holtz, and Hedges (2012) also revolve around the given issue. In their article, they investigate the factors that contribute to the increased efficiency of the above-mentioned nursing model and condition its usage in the modern health care sector. Conducting the research, investigators conclude that every nursing team could be characterized by the increased efficiency of communication patterns used by its members while trying to deliver the needed care to a patient. At the same time, efficient communication results in the absence of misunderstandings and serious drawbacks in their functioning.

It also means that these specialists can discuss the most important and significant problems that might appear. The authors are sure that this very pattern might help to achieve significant improvement of the main showings and contribute to the patient’s satisfaction and recovery. Additionally, the improved quality of care could also be attained by the usage of the most efficient approaches to treatment and the ability to share the experience with the other team members. These factors explain the great practical use of the given nursing care delivery model.

Investigation of the alternative model

However, there are many other models used by various healthcare establishments all over the world. These are total patient care, functional nursing, and primary nursing. The total patient care model is focused on the most vital patient’s needs. In general, patient care nurses are responsible for planning, organizing, and performing various crucial tasks. Yet, Goldstein et al. (2015) are sure that patient satisfaction is the key to recovery.

That is why it is essential to introduce the pattern that will be able to help him/her feel comfortable and benefit from all provided services. Using chronic tinnitus as the background for their study, they provide credible examples that show the direct correlation between the positive outcomes and the level of the above-mentioned satisfaction. In this regard, they are sure that the total patient care model should be considered one of the most efficient approaches that could be used to help patients and attain better final showings. The researchers also emphasize the great perspectives related to the further usage of the given model.

Hansson et al. (2015) proclaim the great importance of the given model and its beneficial impact on patient recovery. They use cases of chronic heart failure as the background for the investigation. Comparing the terms of patients complete recovery, they manage to conclude that those who were provided with the total patient care model are excepted to show better results in comparison with those who were provided with other patterns of care delivery.

The patients were asked to evaluate the positive effect of the treatment and determine its efficiency. The results of this very survey proved the great efficiency of the pattern and contributed to its further spread across various health care establishments that function in the state. In general, the authors can provide a clear and understandable explanation for all their assumptions and contribute to the issue’s better comprehension. If to consider their assumptions one should accept the great practical use of the suggested approach and contribute to its implementation.

Analysis of the current model

However, speaking about the opportunities for the usage of a certain model, one should monitor the way it is being implemented in the existing health care settings. Yet, several important aspects should be mentioned while discussing it. First, the model depends on the efficient cooperation between all team members, their skills, competencies, and the communication pattern chosen as the basis for the evolution of the relations within a group and provision of health care services.

It has already been stated that communication skills and their efficiency impact the outcomes of any team and predetermine positive or negative results. At the moment, the model is characterized by a great level of mutual understanding and collaboration between all its members. Secondly, there is a high level of motivation, which results from the common responsibility and the importance of the final result. Finally, the current nursing model is being implemented in all hospital departments and shows good results contributing to the increased efficiency and great outcomes. The patients satisfaction level also raised. All these factors evidence the great patterns significance.

Recommendations for the usage of the new model

However, the ongoing development and evolution should be the main features of the modern health care sector. It means that some new approaches should be implemented to guarantee even better results. With this in mind, the above-mentioned hospital could be recommended to alter its functioning and introduce the total patient care model to guarantee its further evolution. Several obvious advantages come from this new strategy. First, researches show that the level of patient satisfaction will grow and it will also contribute to the improvement of the outcomes. At the same time, the focus on the basic needs of patients will guarantee their faster recovery.

These factors should also be considered when choosing the model of nursing care delivery and creating the pattern according to which the given establishment will continue its growth. Additionally, the shifts of priorities towards the patients needs and attempt to satisfy them could not but contribute to the initiation of the significant change process that will impact all spheres of this health care unit functioning.


In conclusion, evaluation of the existing models of nursing care delivery provides us with an opportunity to evaluate their efficiency and realize the model according to which they are implemented into the real-life conditions. One should accept the great positive impact all these models have on the health care sector as they guarantee its efficient functioning and condition patients recovery. For this reason, the choice of the model should be given great attention as it predetermines the needed outcomes. Numerous research articles highlight advantages that come from the implementation of one or another pattern.

Yet, both team nursing and total patient care approaches help specialists to perform their tasks and provide nursing care to patients. For these reasons, the choice of the appropriate model should be determined only by the meaningful peculiarities of a certain hospital and the main aspects of its functioning.


Goldstein, E., Ho, C., Hanna, R., Elinger, C., Yaremchuck, K., Seidman, M.,…Jesse, M. (2015). Cost of Care for Subjective Tinnitus in Relation to Patient Satisfaction. Otolaryngology-Head NeckSurgery, 152(3), 518-523. Web.

Hansson, E., Ekman, I., Swedberg, K., Wolf, A., Dudas, K., Ehlers, L.,…Olsson, L. (2015). Person-centred care for patients with chronic heart failure – a cost–utility analysis. European Journal of Cardiovascular Nursing, 15(4), 276-284. Web.

Hua, Y., Becker, F., Wurmser, T., Holtz, J., & Hedges, C. (2012). Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety. HERD, 6(1), 8-38. Web.

Team nursing benefits both staff and patients. (n.d.). Web.

Wright, D., & Brajtman, S. (2011). Relational and embodied knowing: Nursing ethics within the interprofessional team. Nursing Ethics, 18(1), 20-30. Web.