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Nursing Professional Practice Model

Nursing Quality and Accreditation Department

The Objectives

By the end of this presentation, you'll know more about:

  • The history of the Nursing Professional Practice model and its relation to MAGNET designation program

  • The newly developed King Hamad University Hospital Nursing Professional Practice Model.

  • The types of the Nursing care Model

  • The purpose of establishing Nursing professional practice model in KHUH.

  • The nursing care model that been adopted each division and their practice frame works.

Presentation Objectives

How it all started?

THE HISTORY

The professional practice model was considered to be one of the MAGNET designation program’s important requirements, where it was clearly mentioned in one of its main component known as "The Exemplary professional Practice".

Being a part of the recognition's gap analysis, the nursing quality team intended to meet the required standards, by meeting up with all nursing senior managers "ADONs" to assign them to explore their wards' nursing care model, which they can adopt and perform.

The Magnet Recognition Program provides a roadmap to nursing excellence, which benefits and reflect on organization's nursing service and reputation improvement.

To nurses, the Magnet Recognition means education and development through every career stage, which leads to greater autonomy at the bedside practice.

To patients, it means the very best care, delivered by nurses who believed in providing the best of care to all patient throughout their career.

MAGNET Designation Program

How important is to study the history?

Timeline

Nursing history provides us the knowledge needed to understand our profession, learn from our past, and inform our patients and the community about the significant role we play in health care industry.

knowing the history of the nursing profession supports and empowers it's identity and promotes critical thinking. When nurses decided to well-establish the history of their profession, job retention will be atainable.

1873

In the early 1800’s nurses received no training

and were expected to clean and do laundry as

well as caring for patients.

Most nurses knew

almost nothing about medicines or symptoms and

physicians often regarded nurses as little more than maids.

Not until 1873, where nursing

education was started to be based on the Nightingale model, which produced trained graduate nurses

Nurses had functionally evolved during the second World War as a result of the nursing shortage.

Registered nurses were extremly needed to nurse and look after the troops.

Nursing staff were assigned to complete specific tasks for a group of patients.

1939-1945

Eleanor C. Lambertsen believed that introcducing team nursing will help improving patient care.

Her dissertation was about “Education for Nursing Leaders” which introduces the model of team nursing, a

model that is still influential in nursing practice.

Today Lambertsen’s concept called for registered

nurses and doctors to coordinate the work of occupational and physical therapists, social workers

and other health care professionals.

1957

1969

In 1969 from the work of a team had evolved from direct nursing care to primary nursing care in the acute medical wards at the University of Minnesota Medical Center.

The nursing staff was

experiencing extreme frustration with their chaotic work environment; the nursing care delivery

model was "too fragmented and diffuse".

At the center of the KHUH Nursing Intra-Professional Care Model there is a "Tree" that symbolizes the patient, family, and community.

The outstretched hands demonstrate the caring relationships and the practices within the services and to our patients.

The nursing department values are what surrounds the core of the model which are the lynchpin of the PPM.

The Nursing Department implements its mission guided by the seven core nursing values embedded in the organization and are reflective of what it means to be a KHUH nurse.

KHUH NURSING PROFESSIONAL PRACTICE MODEL

Intra-professional delineation and shared responsibilities

  • Role delineation is a process that determines the support services, staff profile, and minimum safety standards to ensure that clinical services are delivered safely and appropriately.

  • Role delineation in nursing is a description of the responsibilities and functions of nursing staff in a specific role, including the current activities common to this role.

  • Each staff functions within the scope of practice mandated by regulations and within the defined job descriptions. On the other hand, there is also a mutual ground for shared responsibilities between RNs and PCAs.

Delineation

of Responsibilities

The Historical Review of The Nursing Care Model

Types the of Nursing Care Models

The oldest method of organizing patient care is to

have each nurse responsible for planning,

organizing, and performing all care for assigned

patients.

It is commonly adopted by the critical care units, due to the nurse to patient ratio and patient acuity level

Total Patient Care Model

Functional nursing was designed as an efficacy model that seeks to get many tasks

accomplished in a short period of time.

Functional Nursing evolved during the second World War as a

result of the nursing shortage.

Registered nurses were needed to nurse the troops and to complete specific tasks for a group of patients.

Functional nursing is task-oriented in scope. Instead of one nurse performing many functions,

several nurses are given one or two assignments to handle and acomplish.

Functional Nursig Model

Team nursing involves use of a team leader and team members to provide various aspects of

nursing care to a group of patients. In team nursing, medications might be given by one nurse.

while baths and physical care are given by a nursing assistant under the supervision of a nurse

team leader.

Skill mixes include experienced and specially qualified nurses to nursing orderlies.

Team Nursing Model

Modular Nursing Model

Modular Nursing is a modification of team nursing and focuses on the patient's

geographic location for staff assignments.

The unit is divided into groups referred to as

modules - also called districts or pods.

The same team of caregivers is assigned consistently to the same geographic location.

Each location, or module, has a RN assigned as the team leader, and the other team

members may include LVNs/LPNs and Unlicensed Assistant Personnel (UAP)

Primary Nursing Model

The primary nursing method is based on the idea that a nurse is responsible for planning, delivering, and evaluating the care of one or more patients from the moment of admission to discharge.

In order to allow continuity of care, each primary nurse is assisted by associate nurses.

Relationship-Based Nursing Practice is a care delivery model designed to transition nursing care from task-focused to relationship-based.

Three main relationships are as follows:

  • The nurse with the patient
  • The nurse with the colleagues
  • The nurse with self

This actualizes the role of the professional registered nurse and contributes to job satisfaction, as well as increasing patient and family satisfaction.

Relationship Based

Care

The designation program suggested in one of its' model components known as the "Exemplary Professional Practice", that the applying organization must have a Nursing Professional Practice Model.

The Exemplary Professional Practice encourages the role of nursing and allows nurses to practice in an environment where autonomy and professional accountability define quality patient care based on the best evidence.

It also describes how nurses practice and collaborates with other disciplines and how their role is aligned with the hospital's mission.

PURPOSE

The Nursing Divisions and their adopted Care Models.

The nursing department had a fundemental role in achiveing the organization's vision by meeting the designation's desirable nursing excellence standards.

Therefore, the nursing quality and accreditation department had proposed to start a series of formal meetings with senior nursing managers (ADONs) to talk about KHUH Nursing Professional Practice Model.

The meetings were conducted also to discuss the ADONs' adopted nursing care models and how it possibly fit their respected units based on the nursing care delivery sytsem inplace

NURSING DIVISIONS

Primary Nursing Care Modle

Medical

&

Surgical Division

The nurse is responsible for planning, delivering, and evaluating the care of one or more patients from the moment of admission to discharge.

Nursing Units adopted this model:

  • Male Medical and Surgical Wards
  • Female Medical and Surgical Wards
  • Day Care Unit
  • Hemodialysis

Medical & Surgical Wards

Nursuing Care frame work

Hemodialysis

Ingerated Nursing Care Model: Total Patient Care and Team Nursing Care

Critical Care Division

Where a registered nurse provides one-to-one care to patients, as well as having a degree of team work through shared responsibility and task delegation between nurses and the patient care assistants.

Nursing Unit adopted this model :

  • Neonatal Intensive Care Unit (NICU)
  • Adult Critical Care Units (ICU-A, ICU-B, ICU-Oncology, HDU)
  • Pediatric Critical Care Unit (PICU)
  • Emergency Medicine Department (EMD)

Emergency Medicine Depatrtment

Nusing Care frame Work

Adult/Pediatric and Neonatal Intensive Care units

Ingerated Nursing Care Model: Primary Nursing Care and Team Nursing Care

Maternity &

Child

Division

Nurse is responsible for planning, delivering, and evaluating the care of one or more patients from the moment of admission to discharge through continuous nursing care.

The modle had also added a degree of team work through shared responsibility and task delegation between nurses and the patient care assistants.

Nursing Units adopted this model:

  • Labor and Delivery unit
  • Post-natal ward (3B)
  • Antenatal ward (3A)
  • Pediatric ward

Post-Natal Ward

Labor and Delivery Unit

Nursing Care Frame work

Pediatric ward

Antenatal Ward

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