Team nursing

Function or functional nursing care system describes a task-oriented approach within the work organization of the sick and elderly in the nursing measure the workflow within a nursing unit, such as a station structured. The essential principle of functional care is the defragmentation of complex nursing tasks in individual activities that are associated with each individual caregivers. The basics of this operation is to serve a higher productivity of the individual. The high degree of division of labor is borrowed from the industrialized production and is based on a centralized hierarchical system (see Taylorism ).

This care system is in contrast to the holistic approach of process-oriented operation of the primary nursing.

Activity orientation

With the function of certain formal care or treatment care activities will be carried out continuously to all patients or residents, or within a particular group. One example is the injection of insulin, administered by a nurse successively all patients or residents. Here, the function is in the foreground, another example is the obtaining of the beds while the individual needs of care recipients who may wish to get up in this example until later, the organizational structure is subordinated.

Benefits

The advantages of functional maintenance are in the routine of a clear hierarchical structure and the unique assignability of the contact person for the patient, since only the ward manager or shift supervisor, another object perceives as the staff of care. In addition, low-skilled workers can be better used, since they can be assigned to individual activities of varying difficulty. Training periods for nurses, support staff and trainees are shorter because guidance and knowledge can be communicated more quickly to individual activities. For the function nursing a lower proportion of examiniertem staff is necessary, since this treatment the nursing tasks can be assigned to isolated and is therefore more cost -effective than primary nursing. Another advantage may lie in the less intensive examination of the patient, especially in areas where the psychological burden is very high, for example in the care of the seriously ill, this can provide a significant stimulus for the individual employee.

Disadvantages

The disadvantages of these care structures are available for the nurses on the one hand in the congestion of the station or layer lines, on the other hand, in the underuse particular registered nurses by uniform activities and the non-applicability of acquired knowledge and the reduction of decision-making and scope of action of the individual. The coordination effort is high and the documentation and the planning of individual activities must partly take place several times. In addition, the function is interrupted by maintenance of process circle of care planning, implementation and evaluation of nursing and the nursing documentation and the flow of information and a comprehensive understanding of nurses for the care process more difficult. The time required for the function of care is often higher than in the reference care, because the travel times and process -related waiting times increase. For the patient, or the inhabitants to adapt to the daily routine of care can be difficult, ever-changing nurses complicate the personal relationship and building a trusting relationship with the caregiver.