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Chapter 39. nurse staffing, models of care delivery, and ...

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Nurse staffing, models of care delivery, and interventions. jean ann seago, ph.d., rn. university of california, san francisco school of nursing. background. 8 pages
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Chapter 39. Nurse Staffing, Models of Care Delivery,and InterventionsJean Ann Seago, Ph.D., RNUniversity of California, San Francisco School of NursingBackgroundUnlike the work of physicians, the work of registered nurses (RNs) in hospitals is rarelyorganized around disease-specific populations. Rather, patients are generally grouped byage and/or intensity of nursing care (e.g., pediatrics or intensive care). Adult patients whorequire the least amount of nursing care (the largest proportion of hospitalized patients),may be separated into medical or surgical units but may also be combined on one unit.Because the work of RNs and other nurses is organized differently than the work ofphysicians, this chapter explores the literature related to nursing structure and processvariables that may affect outcomes that relate to patient safety.Investigations of patient outcomes in relationship to nurses and their professionalresponsibilities in hospitals commonly involve structural measures of care...