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The Effects of the Primary Nursing Care Model: A Systematic Review | OMICS International | Abstract
ISSN: 2167-1168

Journal of Nursing & Care
Open Access

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Review Article

The Effects of the Primary Nursing Care Model: A Systematic Review

Elina Mattila1*, Anneli Pitkänen2, Seija Alanen3, Kaija Leino4, Katja Luojus5, Anja Rantanen6 and Pirjo Aalto7
1Director of Nursing, Tampere University Hospital, Tampere, Finland.
2Director of Nursing, Pirkanmaa Hospital District, Tampere University Hospital, Tampere, Finland.
3Director of Nursing, Department of Neurosciences and Rehabilitation, Tampere University Hospital, Tampere, Finland.
4Director of Nursing, Division of Surgery, Gastroenterology and Oncology, Tampere University Hospital, Tampere, Finland.
5Project Manager, TAITO project, Pirkanmaa Hospital District, Tampere University Hospital, Tampere, Finland.
6Postdoctoral researcher, School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.
7Chief Nursing Director, Administration Center, Pirkanmaa Hospital District, Tampere University Hospital, Tampere, Finland.
Corresponding Author : Elina Mattila
PhD, Director of Nursing, Division of Surgery
Gastroenterology and Oncology
Tampere University Hospital, POB 33610 Tampere, Finland
Tel: +358 50 3130373
Fax: +358 3 31164358
E-mail: [email protected]
Received April 16, 2014; Accepted September 24, 2014; Published September 26, 2014
Citation: Mattila E, Pitkänen A, Alanen S, Leino K, Luojus K et al. (2014) The Effects of the Primary Nursing Care Model: A Systematic Review. J Nurs Care 3:205. doi:10.4172/2167-1168.1000205
Copyright: © 2014 Mattila E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Nursing care models provide the infrastructure for organizing and delivering care to patients and families. Over the decades, different models have waxed and waned. Since the 1980s, the primary nursing model has gained increasing prominence. However, there is no systematic research evidence on the effects of this model for patients, their family members, nursing staff or the care organization. This subject has much current relevance because of the requirement to develop evidence-based nursing care. Objective: To describe the effects of the primary nursing model for patients, their family members, nursing staff and the care organization. Design: A systematic literature review. The studies selected for review (n=9) were appraised for quality using the Quality Assessment Tool for Quantitative Studies, as developed by the Effective Public Health Practice Project. Data sources: The research data were collected from four databases from January 1990 to March 2013. Results: Research on the effects of the primary nursing model has largely been restricted to the effects for patients and nursing staff. No data are available on how it affects the patient’s family members or the care organization. The preliminary evidence suggests that the primary nursing model may have beneficial effects for patients in the context of maternity care. There is less evidence of the primary nursing model’s positive effects for nursing staff. However, it is possible that the model contributes to an increased sense of job control and autonomy. Conclusion: The existing body of research has methodological shortcomings, and more RCT studies are needed to establish the effects of the primary nursing model, for instance on the organization’s costs, nurses’ job satisfaction and staff retention. Further research is also needed into the effects of the primary nursing model on numerically measurable outcomes, such as medication errors during hospital care and the length of treatment periods.

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