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Learning Objective 1: The learner will describe if delivery of care in an acute progressive setting is better in a team nursing approach versus a non-team nursing approach.
Learning Objective 2: The learner will discuss the benefits (employee satisfaction and employee engagement) of a team nursing approach in comparison to a non-team nursing approach.
The team approach had a positive impact on patient care outcomes and the work environment. The staff was actively involved in the creation of the model and the division of the workload. Staff decided not to establish guidelines for workload divisions, but team members were to decide workload distribution. In this comparison trial, the nursing unit was divided into two sections. In the control section, staffing was based upon usual productivity and staffing guidelines. In the experimental section, assignments involved a team approach in the delivery of care. Various employee and patient outcomes were the dependent variables and measured by a collection tool developed by staff.
Results indicated an overwhelming response for the team nursing approach. Employees demonstrated cohesiveness whereas patients commented on how nurses seemed to be functioning collaboratively as a unified team. Nurses reported efficiency in shift documentation assessments times earlier. Pain re-assessment times improved from 60% to 72%. As for employee satisfaction, meal breaks occurred more frequently as 100% of team members received meal breaks. Staff rated that team members functioned very well together. Other results demonstrated improvements compared to the control model: documentation of patient individualized goals (93% versus 77%), medication reconciliation assistance (69% versus 38%), glucose management assistance (94% versus 63%), and admission/discharges/transfers assistance (76% versus 36%).
The data continues to show significant improvement in the work environment and outcome measures.