Author: Ellie Carey Overview

Primary Nursing is a care delivery system that supports professional nursing practice. Within Primary Nursing, a therapeutic relationship is established between a registered nurse and an individual patient and his or her family. The relationship is initiated by the RN and is in effect for an episode of care or service. becomes a priority for other members of the care team. The Primary Nurse does not provide all patient care. In partnership with the patient, the RN identifies the patients unique health needs and priorities, establishes an individualized plan of care, provides direct care as appropriate, and communicates the plan to other members of the team. The associate nurses are responsible to A defining component of Primary Nursing is follow the plan of care unless a change in patient clarity of the RNs acceptance of responsibility condition warrants an adjustment of the plan. for decision-making regarding the nursing care the patient receives during a health event. The primary relationship is known to the patient and family, and the safeguarding of that relationship Primary Nursing focuses on the nurse-patient relationship, strengthening accountability for

care

and

facilitating

patient

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family

involvement in the planning of care.

Program Agenda

This one-day dynamic workshop educates and prepares staff to develop the infrastructure for Primary Nursing. This care delivery system emphasizes nurse autonomy and a responsibility relationship for patient care, which results in nursing excellence and a positive experience for

pride associated with the responsibility. The program covers the following topics:

A brief history of Primary Nursing Elements of a care delivery system Comparison of care models versus care delivery systems

every patient. Through presentation, reflection, and smallgroup dialogue, the participants will have the opportunity to explore and deepen their understanding of how Primary Nursing is instrumental in establishing and maintaining a therapeutic relationship with patients and their loved ones. The RN will realize the potential for achieving greater professional satisfaction and Definition and congruence of responsibility, authority, and accountability (R+A+A) Primary Nursing implementation process Relationship-focuses: relationship with self, teamwork, nurse/physician relationships, Establishment and preservation of the therapeutic nurse-patient relationship Staffing and scheduling to create an infrastructure of support for continuity of care

Participant & Organizational Objectives Creating a culture of ongoing development as Primary Nursing evolves in your unit over time Leading for empowerment Managing ones own interpersonal relationships Outcomes measurement Nurses will achieve a new sense of autonomy and confidence in their ability to truly manage the patients nursing care. Participants will achieve a greater feeling of professional satisfaction. Who Should Attend Participants will gain new perspectives on teamwork and practical suggestions for how to Direct care nurses, nurse managers, nurse maximize the interdependence of RNs with directors, and nurse executives seeking LPNs and NAs. improved patient satisfaction or simply wanting to ensure excellence in patient care professional nursing practice. Those seeking an opportunity to find greater meaning in their work experience as described in the first three Those from a facility beginning or desiring to questions on the HCAHPS survey. strengthen their Magnet journey Those desiring a care delivery model that enhances professional nursing new meaning and purpose in their work. Nurse/physician collaboration and collegiality are enhanced. Nursing staff is engaged and inspired, finding Patients feel better oriented and more secure. Primary Nursing promotes a satisfying patient Participants will achieve a higher level of