Team nursing is a model that utilizes a team approach to care for patients in the acute care setting.

In this
lesson, we will review the definition, pros, and cons of the team nursing model, and look at some examples.

What Is the Team Nursing Model?

Team nursing is a model in which a group of healthcare professionals, including nurses, care for a group of
patients in the acute care or inpatient setting. Acute care, also known as critical care, is when nurses help
patients confronting life-threatening issues. This model came about in the 1950s and 1960s in a response to the
increasing shortage of nurses due to World War II and nurses leaving hospitals.
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 patient’s
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 to complete orders from the
healthcare provider and help you recover from illness or injury. This is considered team nursing.

Pros of Team Nursing

Every member of the team brings something important to patient care in the team nursing model. The working
shift is started out with a conference involving the team leader or charge nurse, assigned nurse, and patient care
technician or nurse's aide. During this conference, the team discusses the patients and their plans for care.
Some of the main pros of the team nursing model include:

 The strengths of all healthcare professionals are utilized to provide the best care possible.
 Each patient receives individualized care, which has been shown to improve patient outcomes and
patient satisfaction.
 Each team member can perform the skills at which they excel, which helps with job satisfaction and
patient safety. This also provides the nurse with time to document care in the health record.
 The patients are given the most comprehensive care and every member of the team can contribute to
decision making.

Cons of Team Nursing

Team nursing can also be challenging since communication and delegation are necessary with this model. In
contrast with the primary nursing model, where a single nurse maintains patient care, the assigned nurse in 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.
Some of the main drawbacks to the team nursing model include:

 The nurse remains responsible for the duties being performed without performing them personally. This
takes time away for the nurse from the assigned patients.
 Assigning staff with this model can be challenging, because the staff competencies must meet the
patient's needs.
 All members of the team must also be focused on the patient and his or her needs.

https://study.com/academy/lesson/team-nursing-model-definition-pros-cons-examples.html
Team Nursing
A dramatic change occurred after World War II in the years between 1943 and 1945. The level and number of
auxiliary personnel began increasing, and the professional nurse was assuming more and more of the
management functions. Because of the changing configuration of the work group and the dramatic social
upheaval, a study was commissioned to device a better way to provide nursing care. Dr. Eleanor Lambertson of
Columbia University in New York and Francis Perkins of Massachusetts General Hospital were the authors of
the system known as team nursing. Team nursing was developed to deal with the influx of post war workers and
the head nurse’s overextended span of control. This was accomplished by arranging the workers in teams. The
team consists of the senior professional nurse becoming the team leader; the members of the team are other
registered nurses (RNs), licensed practical nurses (LPNs) or vocational nurses, and nurses’ aides. Each is being
given a patient assignment in keeping with the employee’s education and experience. The team leader makes
the assignments, delegated the work through the morning report, make rounds throughout the shift to make sure
patients are being cared for properly, and conducts a team conference at the end of the shift to evaluate the
patient care and plan an update nursing care plan.
Since 1950, team nursing is becoming a popular way to structure nursing care. Team nursing is a pattern of
patient care that involves changing the structural and organizational framework of the nursing unit. This method
introduces the team concept for the stated aim of using all levels of personnel to their fullest capacity in giving
the best possible nursing care to patients. The structural and organizational changes necessary for this method
includes the introduction of the nursing team with the team leader assuming responsible for the management of
the patient care. The head nurse decentralizes authority to the team leader to direct the activities of the team
members. The head nurse is no longer the center of all communication on the division because the members
communicate directly with the team leader.
The team leader had the responsibility for synchronizing the abilities of her/his team members so that they can
function effectively in a team relationship. Emphasis is placed on the ability of all participants of patient care to
plan, administer, and evaluate patient care. The team approach to patient care represents more than
reorganization or restructuring of nursing service. Instead, it is a philosophy of nursing and a method of
organizing patient care. The difficulty with this method concerns the nurse’s absence at the bedside; the nurse is
directing the care of others and thus not using nursing’s specialized knowledge as the best provider of patient
care. Problems with this system have become the stimulus for a new system.
Advantages
 Supports comprehensive care
 May increases job satisfaction
 Increases cost effectiveness
Disadvantages
 Decreases personal contact with client
 Limits continuity of care

https://nursing.iugaza.edu.ps/Portals/55/LN_nsg_ldrshp_final.pdf
Team Nursing
Team nursing grew out of functional nursing; nursing units often resort to this model when appropriate staffing
is unavailable. A group of nursing personnel or a team provides care for a cluster of clients. The way clients are
divided varies and depends on several issues: the layout of the unit, the types of clients on the unit, and the
number of clients on the unit. The organization of the team is based on the number of available staff and the
skill mix within the group.

An RN assumes the role of the team leader. The team may consist of another RN, an LPN, and NAP. The team
leader directs and supervises the team, which provides client care. The team knows the condition and needs of
all the clients on the team.

The team leader acts as a liaison between the clients and the health-care provider/physician. Responsibilities
include formulating a client plan of care, transcribing, and communicating orders and treatment changes to team
members, and solving problems of clients and/or team members. The nurse manager confers with the team
leaders, supervises the client care teams and, in some institutions, conducts rounds with the health-care
providers.

For this method to be effective, the team leader needs strong delegation and communication skills.
Communication among team members and the nurse manager avoids duplication of efforts and decreases
competition for control of assignments that may not be equal based on client acuity and the skills sets of team
members.

https://dl.uswr.ac.ir/bitstream/Hannan/138758/1/9780803636637.pdf