Marie Manthey
| Marie Manthey | |
|---|---|
| Born | July 17, 1935 |
| Alma mater | St. Elizabeth Hospital(Diploma) University of Minnesota (B.S.N.) University of Minnesota (M.S.N) |
| Occupation | President Emeritus |
Marie Schuber Manthey (born July 17, 1935) is an American nurse, author, and entrepreneur. She is recognized as one of the originators of Primary Nursing, a system of nursing care delivery which emphasizes continuity of care and acceptance of responsibility for care over a period of time by having one registered nurse (RN), often teamed with a licensed practical nurse (LPN) and/or nursing assistant (NA), who together provide complete care for a group of patients within a hospital unit or department.
Manthey received a diploma in nursing from St. Elizabeth Hospital in Chicago, Illinois in 1956. She received her Bachelor of Science in Nursing Administration in 1962 and her Master of Science, Nursing Administration in 1964, both from the University of Minnesota in Minneapolis. Manthey was awarded an honorary doctorate from the University of Minnesota in 1999.
While serving as Assistant Director of Nursing at the University of Minnesota Hospital, she was head of a team of nurses that implemented Primary Nursing in 1969 on Unit 32, an acute medical care ward. Manthey was later named Associate Director of Nursing at the University of Minnesota.
In 1968 Primary Nursing evolved from the work of a team of direct care providers on Unit 32 at the University of Minnesota Medical Center who were experiencing extreme frustration with their chaotic work environment. The result was a nursing delivery system that was "too fragmented and diffuse -- one in which 'everybody's responsible for everything and nobody's responsible for anything'."
At the time, it was quite revolutionary to allow the nurse providing care for the patient to determine the amount and type of nursing care the patient would receive. Nurses had been expected to follow policies and orders rather than making decisions based on their own professional judgment. Nurses providing direct care also did not generally communicate with physicians. Instead, patient information was communicated by the unit manager or nurse in charge. These individuals served as a go between, transmitting patient information/messages and orders between the nurses providing patient care and the patient’s physician.
"The change to primary nursing eliminated one level of nursing supervision, the traditional team leader, and flattened the well-worn hierarchical structure. Each registered nurse on Station 32 assumed 24-hour responsibility and accountability to plan nursing care for a small group of patients. The results were positive, totally unplanned and nearly palpable. The staff nurse instantly earned, and claimed, the power to make nursing decisions. Almost overnight, communication changed to a direct, person-to-person pattern; physicians discussed patients with the nurse caregiver, not the head or charge nurse."
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