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Magnet: Our Professional Practice Model


Gabriella Malagon

on 2 July 2015

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Transcript of Magnet: Our Professional Practice Model

Professional Practice Model
Professional Practice Model Structure: Nursing Theory
Professional Practice Model-Planting
the Seeds of Professional Nursing Practice

1. Summarize the purpose of a Professional Practice Model.

2. Describe the components of SMBHWN's Professional Practice Model including the structure, process, and outcomes.

3. Define SMBHWN’s Care Delivery Model of Patient- and Family-Centered Care and the Caritas Factors.

Theories are composed of concepts, definitions, and/or models providing a systematic view of a phenomenon (observable fact or event)

The purpose of including theory in the PPM is to describe, explain, and/or predict different nursing practices

A PPM needs to include these concepts and definitions of practice, resonating with all nurses in the organization

The results of incorporating theory in the PPM can give substantive meaning to the philosophy of nursing regarding the caring nature of nursing
1. Aligns and integrates nursing practice with the
mission, vision, philosophy, and values of nursing.

2. Provides an overarching conceptual framework for
interprofessional collaborative patient care.

3. Guides nurses in their decisions about how to practice,
collaborate, and develop themselves professionally.
Professional Practice Model Structure
Integrated within the PPM is the Care Delivery Model which promotes consistent, efficient, and accountable delivery of nursing care.

The model is a representation describing the manner in which care is delivered, the context of care, and expected outcomes of care.

Nurses practice using the care delivery model that defines nurses’ influence and accountability for clinical decision-making and outcomes.
Professional Practice Model Process: The Care Delivery Model
Exemplary professional practice is evident through the application of the PPM's structures and processes

The result in applying the PPM's structure and process will improve outcomes in Sharp HealthCare's six pillars of excellence

The implementation of the PPM's structure and process will also enhance nursing practice, collaboration, communication, and professional development that allows for high quality patient outcomes
Professional Practice Model Outcomes
Professional Practice Model Components
first step
in the PPM structure, are Sharp Healthcare Core Values
second step
in the PPM structure are the Nursing Scope and Standards of Practice
fourth step
in the PPM structure is the Planetree philosophy that contributes to a healthy and healing environment
Quality Pillar
Service Pillar
People Pillar
Finance Pillar
Growth Pillar
Community Pillar
What is a Professional Practice Model?
A Professional Practice Model (PPM), is a system (structure, process, and outcomes) representing the environment in which care is delivered and nurses' influence over the delivery of care in an organization

The structure includes all the factors that affect the context in which care is delivered; The structure describes WHAT nursing is

The process are all the actions that constitute the delivery of care; The process is HOW nurses deliver the care

The outcomes are all the effects of healthcare delivery on patients/families, providers, and the organization

The scope of practice describes the "who," "what," "where," "when," "why," and "how" of nursing practice to provide a complete picture of the dynamic and complex practice of nursing

The standards of professional nursing practice are authoritative statements of the duties that all registered nurses are expected to perform competently
In addition to the Scope and Standards of Nursing Practice:

Nurse Practice Act (2725): provides clear legal authority of functions and procedures

California Code of Regulations (Title 16): outlines registered nurse competency

California Code of Regulations (Title 22): delineates the care that a registered nurse should provide

-Philosophy based on the premise that care should be organized first and foremost around the needs of the patient.

-Guides providers through a structured process that enables caregivers to transform the healthcare experience they provide through ten components of the Planetree Model.

Human interactions/independence, dignity, and choice
Importance of family, friends, and social support
Patient education and community access to information
Healing environment: Architecture & interior design
Nutritional & nurturing aspects of food
Arts program, meaningful activities, and entertainment
Spirituality and Diversity
Importance of Human Touch
Integrative therapies/paths to well-being
Healthy communities/enhancement of life's journey
Jean Watson-Watson’s Theory of Human Caring

SMB nurses were invited to participate in a survey to determine which nursing theorist best reflects their beliefs about nursing practice and based on the results, it was determined that Jean Watson's Theory of Human Caring reflects the care provided at SMBHWN

three major elements
of the Theory of Human Caring are: Caritas Factors, Transpersonal Caring Relationships, and the Caring occasion/Caring moment

Caritas Factors
: Processes that guide caring in nursing
Transpersonal Caring Relationships
: To go beyond one's own ego and reach a deeper connection while comforting a patient
Caring occasion/Caring moment
: In a caring environment, the nurse and patient/family can come together to create a moment

The ten Caritas Factors are incorporated into SMBHWN's Care Delivery Model
Professional Practice Model Structure: Nursing Theory
third step
in the PPM structure are the Magnet Model Components that support nursing excellence
Why have a Professional Practice Model?
A Professional Practice Model (PPM):

1. Supports a professional practice environment
2. Guides day-to-day decision making
3. Helps orient providers to how we operate
4. Guides the development of performance improvement/evidence-based practice projects
5. Promotes continuous professional development
6. Supports nursing autonomy and clinical excellence
7. Helps with recruitment by communicating who we are
A tree is oftentimes used as an analogy to understand the relationship between the structure, process, and outcomes components of the PPM.

The roots and trunk of a tree provide a strong foundation for the tree, similarly, the structure serves as a strong foundation in the PPM
This foundation gives rise to the branches of a tree in the same manner that the structure supports a good process in the PPM
The branches then bear the fruit or the leaves, much like a good process that yields quality outcomes or the "fruits of labor"
SMBHWN's Care Delivery Model: Patient-and Family-Centered Care
Patient- and Family- Centered Care includes:

Engage patients and families in their care or the care of their infant through dialogue, knowing their individual needs, and establishing trust.

Empower patients and families by individualizing care to meet their needs, providing them with information to make well-informed decisions, involving them in hand-off communication and/or in the care of their infant

Activated patients and families use the education and tools provided to them to assist in helping them transition to home or the next level of care
Example: Decreasing total number of hospital-acquired infections
Example: Achieving patient satisfaction survey scores equal to or greater than 90%
Example: Achieving Employee Opinion survey scores greater than 90%
Example: Demonstrating safety effectiveness, cost, and impact on practice in the planning and delivery of nursing services
Example: High enrollment in prenatal and community health education courses
Example: Increasing health and wellness of the San Diego community by participating in biometric screenings
The structure, process, and outcomes of the PPM will help us achieve our vision every patient/family, every time
The Magnet Model components include
: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge, Innovations & Improvements, and Empirical Outcomes
Caritas Factors:
Ten Process that guide caring in nursing which includes:

1. Embracing altruistic values and practicing
loving kindness
2. Instilling faith and hope and honoring others
3. Being sensitive to self and others by nurturing
individual beliefs and practices
4. Developing helping-trusting-caring relationships
5. Promoting and accepting positive and negative
feelings as one authentically listens
6. Using creative scientific problem-solving
methods for caring decision making
7. Sharing teaching and learning that addresses
the individual needs and comprehension styles
8. Creating a healing environment for the physical
and spiritual self respecting human dignity
9. Assisting with basic physical, emotional, and
spiritual human needs
10. Open to mystery and allowing miracles to
Scope and Standards of Nursing Practice
Gabriella Malagon-Maldonado, DNP, PhD(c), APRN, CNS, NEA-BC
Director of Education, Research, and Professional Practice
Full transcript