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Paradigms and practices: the organization of the delivery of nursing care
Author(s) -
Berry A. J.,
Metcalf C. L.
Publication year - 1986
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.1986.tb01292.x
Subject(s) - nursing , task (project management) , nursing care , patient satisfaction , patient care , nursing outcomes classification , maternity care , medline , psychology , medicine , nursing research , team nursing , health care , management , economics , economic growth , political science , law
The patient allocation paradigm of nursing care is slowly superseding the task allocation paradigm. A research study reported here upon the introduction of patient allocation in a maternity hospital found that patients experienced few significant changes in their satisfaction; similar to previous studies this research found that the nurses reported significant gains in satisfaction. Following analysis of the ‘medical model’ assumptions inherent in the two paradigms and the methods used in the studies, it is suggested that a third paradigm of nursing care is emerging, ‘patient centred’— a paradigm within which the patient is a participating individual.