Primary nursing has been both a philosophy of care and a delivery model for many hospitals during the past decade. Although the authors still value the philosophy of primary nursing, they believe the model no longer is effective in their hospital. The authors describe the experience of changing the nursing care delivery system from primary nursing to case management in leveled practice.

California↗

PubMed1988

Contingency theory: explaining staff nurse retention.

Staff nurse retention is becoming an increasingly important topic for nurse managers at all levels. Client acuity is increasing, qualified staff are becoming more scarce, and practicing nurses are often frustrated by nonresponsive organizations. Research which tested contingency theory shows that specific organizational designs, when combined with certain dimensions of nursing technology, increase staff nurse retention. This author discusses contingency theory's implications for organizational effectiveness.

Efficiency↗