reported in the number of times and the duration of absenteeism
among nurses in the functional nursing,26 team nursing26
and primary nursing models of care.26 However,
significantly more health complaints among nurses in the
differentiated practice model were reported compared with
the primary nursing model (P = 0.03).21
Job satisfaction
Team nursing compared with other models. Six
studies8,22,23,28–30 investigated job satisfaction among nurses
implementing the team nursing model of care. Higher job
satisfaction was reported only among agency nurses29 in
team leader wards (team) compared with wards that implemented
primary or hybrid nursing model of care. In the
second trial,30 job satisfaction among nurses was nonsignificantly
higher in wards with team nursing compared
with wards that had the case management and primary
nursing models (Fig. 6).
In the third trial,23 there was a marginal reduction in job
dissatisfaction levels from baseline values (mean score 23.61)
at the 6- (21.87) and 12- (22.37) month follow-up period
following the implementation of the team partnership
model of care. In the fourth study,8 there was no significant
difference relating to job satisfaction, role clarity, stress in
general and tension index between nurses who implemented
the shared care model a form of team nursing and
the patient allocation model. There was a significant
decrease in satisfaction with co-workers in the shared care
model of care.8 In contrast, job dissatisfaction increased
significantly between the 12- and 24-month follow up
(P < 0.0001) following the introduction of the team nursing
model of care.28 Similar results were reported at the 3-month
follow up where 53% of the nurses stated that they were
satisfied with the team nursing model of care compared with
69% for the patient allocation method. A significant difference
was observed at the 6-month follow up where 69% of
the nurses in the patient allocation model of care compared
with 1% in the team nursing model stated that they were
satisfied with the style of nursing22 (Fig. 7).