In 38 years, I've practiced in just about every care-delivery system ever dreamed up. Returning to team or functional nursing would be an enormous mistake (“It Takes a Team,” October 2012).
Primary nursing—with a reasonable patient assignment load—is most satisfying, because primary nurses regularly confer with the interdisciplinary team—the only team that patients (and this professional nurse) really need.
With primary nursing, the buck stops here, with me, and that's how I hope it will stay.
Theresa Stephany, MSN, RN-BC