The organization of nursing workers and how patient care is provided are vital aspects that determine patient results in hospitals. However, there is evidence and studies in recent years that reveal that nurses frequently operate below an optimal level of organizational environments in terms of work organization, work environment and staffing (Seago, 2016). When coming up with decisions concerning these situations, health-care leaders assume or undertake that care can actually be organized under diverse models (Seago, 2016). Thus, at our clinical agency we capitalize on nursing services’ safety and quality through the use of different models.

Team nursing delivery model

Our clinical agency mainly uses the team nursing delivery model to offer quality and safe nursing services. In team nursing, the registered nurse (RN) operates entirely as a team leader and organizes a small team of usually not more than four or five nurses to offer care to a small grouping of patients (Seago, 2016). As the manager of the team, the registered nurse is accountable for knowing the state and needs of all the patients who have been allocated to the team, and for organizing the care of every patient (Seago, 2016). Compared to total patient care model which is also the oldest technique of organizing patient care, the nurses are accountable for preparing, executing and organizing all care, as well as individual hygiene, prescriptions, emotional support, treatments and education needed for their allocated grouping of patients during the allocated shift (Seago, 2016).

We selected the team nursing delivery model because, the team leader is accountable for inspiring an accommodating environment while ensuring and maintaining a clear line of communication between the team members which makes it easy for follow-ups on patients and ensuring quality services are provided.

Advantages of team nursing delivery model

  1. In this model, high-quality, all-inclusive care can be offered with a fairly high percentage of additional staff.
  2. Every single member of the team is capable of contributing in decision making and problem solving.

Disadvantages of team nursing delivery model

  1. At times the team leader may not possess the leadership abilities needed to efficiently direct the team and build a “team spirit.”
  2. Inadequate time for care organization and communication might lead to vague objectives. Therefore, duties and care might be fragmented.


Seago, J.A (2016), Chapter 39. Nurse Staffing, Models of Care Delivery, and Interventions. Retrieved on 26th March 2016 from



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