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

San Diego