Functional Nursing: Definition, Advantages and Disadvantages

Functional nursing is a term that is becoming increasingly used in healthcare settings around the world. It refers to the approach of providing quality, effective, and holistic nursing care in order to better improve patient health outcomes and the overall quality of care. This approach to nursing care has been found to be especially beneficial in long-term care facilities, where functional nursing can be used to reduce medical errors, improve patient compliance, and enhance the overall patient experience. In this blog post, we will discuss the concept of functional nursing and explore why it is an important tool in the healthcare industry. We will also look at the various benefits of functional nursing and how it can be implemented in a variety of healthcare settings. This blog post is geared towards healthcare professionals, administrators, and anyone with an interest in learning more about functional nursing and how it can be used to improve patient care.

Functional nursing is a nursing model that focuses on efficiency and getting as many tasks as possible done in the shortest time. It is task-oriented as it involves giving a particular nursing function to each worker. It’s often a helpful model in hospitals with a deficiency of registered nurses.

What are the advantages of functional nursing?

Because of its many benefits, functional nursing is used in hospitals all over the world. Here are four benefits of this model:

Nurses complete work within the shortest time possible

In functional nursing, each nurse is given a task by the team leader as part of a division of labor. This reduces redundancy and also enhances teamwork. In comparison to other models, the reduced redundancy brought about by improved teamwork enables the workload to be completed in a short period of time. The percentage of hours of care delivered by registered nurses is reduced to about 4 using this model. 5 to 5. 5 hours of care per patient day.

Nurses gain career skills faster

Individual nurses can perform the tasks automatically as they repeatedly complete them. Nursing professionals can complete tasks quickly because the brain remembers those that are performed repeatedly. This is especially true when learning new skills. Through this technique, nurses learn how to work more quickly. Interpersonal skills, assertiveness, management abilities, and communication abilities are some of the skills that nurses acquire.

The nurses rarely become confused about their responsibilities because they only perform one specific task. As a result, the nurses can work more quickly to complete their tasks. This benefit primarily benefits unlicensed assistive workers and licensed practical nurses.

Efficiency in providing nursing care

There was a shortage of registered nurses during World War II because the nurses cared for the wounded soldiers. Due to this condition, functional nursing has developed into what it is today. Because hospitals employ individuals with other skills, also known as orderlies, to carry out the necessary duties, functional nursing can be cost-effective. Utilizing these orderlies frequently results in lower hospital costs.

Using unlicensed personnel promotes the use of nursing resources flexibly. The highly skilled nurses are given the opportunity to work on complex cases that require expert attention and care while the auxiliary workforce handles the basic duties. Hospitals can use lower operating costs and still operate within labor-market constraints by using fewer registered nurses. By using delegated tasks, the hospital and head nurse are able to maintain workforce efficiency while gaining greater control over work activities.

Promotes teamwork

Giving specific employees their own tasks fosters a positive sense of teamwork. In order for functional nursing to operate effectively, the nurses must collaborate while completing their tasks. Working together fosters teamwork and a fulfilling workplace by increasing coworkers’ self-assurance and trust in their abilities.

What is functional nursing?

The supervisory model of functional nursing assigns tasks to nursing and support staff. The unit’s head nurse delegated duties to other nurses, who cared for all the patients there. The registered nurses are in charge of complex tasks under the functional nursing model, while orderlies and junior staff are in charge of the fundamental duties. As an illustration, one nurse might only provide medication administration, while another nurse might admit and discharge patients.

What are the disadvantages of functional nursing?

Similarly, functional nursing may have some disadvantages, such as:

May hinder the provision of holistic care

Providing for a patient’s physical, spiritual, and mental needs is referred to as holistic care. With functional nursing, this becomes problematic. When nurses focus only on one task, they are unable to meet all of the patients’ needs, which could result in a general decline in the standard of patient welfare and care. However, to help offset this, think about lengthening the time a nurse spends with a patient or adding more tasks to their workload.

May affect nurse-patient relationships

Creating a positive relationship with the patient is crucial to nursing. One-to-one interaction between the nurse and patient promotes this relationship. The nurse-patient relationship is essential because it allows the patient to confide in the nurse and reveal information that is necessary for diagnosing the patient’s illness. The nurses miss out on establishing a connection with the patient for long enough to establish trust as they focus on their individual tasks.

As various nurses work to heal the patients, the fragmentation brought on by this form of care may cause confusion among the patients. As a result, there is a great chance that various employees will overlook the importance of patients’ needs in favor of completing their individual tasks. While performing their duties, nurses can try to spend more time getting to know their patients in order to help patients get to know their caregivers.

May limit the growth of registered nurses

In functional nursing, the nurse only completes the tasks that have been delegated to her by the supervisor. These tasks underutilize the rest of the skills while continuing to call for the use of certain skills. As a result, nurses’ careers stagnate because they are unable to advance their skills. The tasks given to registered nurses are also insufficient to test and put to use the knowledge and abilities they have acquired through their education and training.

It is best to assign different tasks to staff members to avoid this. Try to introduce a slight change to the tasks frequently. By providing them with a challenge, it may encourage the use and development of their skills.

May affect the nurses morale

The registered nurses may feel undervalued because this model is built on assistive personnel and less skilled workers handle the majority of the workload. This may affect overall morale or engagement at work. However, explore ways to recognize and utilize registered nurses through:

Major types of functional nursing care systems

Because of things like changing patient needs and technological advancements, nursing and medical care are constantly evolving. This affects how facilities organize their workforces. The following four main functional nursing care systems are available for use in facilities:

Total patient care

The registered nurse is in charge of all patient care and is in charge of the patients for a particular round or shift. All patient care is given and overseen by the nurse. Its main benefit is that it guarantees complete shift continuity by making sure that all tasks are completed. Responsibility is obvious because the registered nurse is the one in charge.

One disadvantage is that total patient care can be costly. Because there is only one person providing care, there may be delays in the delivery of that care, wasting valuable time. When there are enough nurses available, this kind of nursing care works best.

Team nursing or modular nursing

A registered nurse who serves as the team leader in modular nursing manages a group of patients while collaborating with other team members. Other registered nurses, licensed practical nurses, and unlicensed assistance staff are included on the team. Examples of these individuals include:

If implemented properly, this system can be very rewarding for both the staff and the patients. The staff may feel valued because they get to use their skills to the fullest, and it may be economical because hiring unlicensed staff is frequently less expensive than hiring registered nurses. But for team functional nursing to succeed, the registered nurse team leader must possess strong leadership abilities. Inconsistent team members and a high patient acuity could make it challenging to accomplish.

Primary nursing

The registered nurse is responsible for their primary patients in primary nursing. In order for a nursing team to function, each nurse must carry out their responsibilities and take on the burden of providing care. This implies that the nurse evaluates the patient, develops a care plan, assesses the quality of care provided to the patient, and determines whether to contact a doctor about a change in the patient’s condition.

Case management

The registered nurse designated as the case manager for the case management nursing system oversees the patients’ care and the use of resources. This type of oversight enables the system to concentrate on specific patients. Patients who are high-risk or problem-prone may express a high level of satisfaction with the system because it makes it easier to keep track of their conditions. Case management can also show to be cost-effective because patients get the resources they need based on their conditions.

PATIENT ASSIGNMENT METHODS/FUNCTIONAL NURSING

FAQ

What is the difference between functional and team nursing?

The RN serves as a team leader in team nursing care, supervising less experienced patient care providers and providing direct patient care when less experienced staff is unable to do so. Functional nursing makes use of the staff to perform tasks like medication or treatment nursing (Davis, 1993).

What are the three types of nursing?

The three most common types of nurses—Licensed Vocational Nurse (LVN), Registered Nurse (RN), and Advanced Practice Registered Nurse (APRN)—are discussed here.

They can then receive one of the following:
  • A certificate in vocational nursing.
  • A nursing diploma.
  • An associate degree in nursing.

What are the four models of nursing?

Functional nursing, total patient care, team nursing, and primary nursing are frequently mentioned as the four fundamental models.

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