Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing


This quasi-experimental study was designed to compare the satisfaction of nurses assigned to a medical-surgical unit on which care delivery was changed to a Dyad model (combining elements of team nursing and case management) to nurses on similar units utilizing total patient care delivery. A convenience sample o f nurses from the Dyad model unit was compared to a control group comprised of nurses from three similar medicalsurgical units. Nurse satisfaction was measured using an instrument developed by Wade and Degerhammar (1991). Cost per case and length of stay on selected diagnoses, and labor cost per patient were compared across units. Satisfaction improved in all groups but when submitted to MANOVA analysis this was not statistically significant for type of care delivery system. Greater decreases in cost per case, length of stay and labor cost per patient occurred on the experimental unit.


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