Moving Away From Primary Care Nursing

Published:October 27, 2022DOI:
      Experienced writers know how hard it can be to “kill your darlings.” In writing, you kill your darlings when you decide to get rid of an unnecessary storyline, character, or sentence in a piece of creative writing—elements you may have worked hard to create but that must be removed for the sake of your overall story. It serves as a good metaphor for trying to redesign nursing care delivery models in health systems today. Most health systems still use a primary nursing care delivery system. The challenge is that delivering care this way has become unsustainable in most care settings, especially outside of obstetrics, critical care, and the operating room.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Nurse Leader
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Sherman R.O.
        Team nursing revisited.
        J Nurs Adm. 1990; 20: 43-46
        • Incredible Health Staff
        How Legacy Hires and Retains Permanent Nurses [webinar]. August 3, 2022.
        (Available at:)
        • NSI Nursing Solutions
        2022 NSI National Health Care Retention & RN Staffing Report.
        (Available at:)
        • Einstein A.
        Albert Einstein Quotes.
        (Available at:)
        Date: 2022
        Date accessed: September 4, 2022


      Editor-in-Chief Rose O. Sherman, EdD, RN, NEA-BC, FAAN, is Adjunct Professor of Nursing at Marian K. Shaughnessy Leadership Academy, Case Western Reserve University, in Cleveland, Ohio, and is the author of The Nuts and Bolts of Nursing Leadership: Your Toolkit for Success. She can be reached at [email protected] .