3 What is a Professional Practice Model? Professional Practice Model (PPM) - diagram used to demonstrate how:Organizational goals and values relate to each other.Professional Nursing plans, delivers, and evaluates patient care.The organization evaluates the results for the patient.Professional relationships impact interdisciplinary care.Defines nursing as a profession rather than a task-based job.
4 What is a Care Delivery System (CDS)? The Care Delivery System describes our approach to delivering patient care by:Detailing assignments, responsibilities and authority to accomplish patient care;Determining who is going to perform what tasks, who is responsible, and who makes decisions.Matching numbers and type of caregivers to patient care needs.Provides structure that:Allows the nurse to function as a professional and a colleagueSupports the organization and effective use of resources.
5 Relationship Based Care Nurse-PatientNurse-SelfNurse-TeamDesigned to strengthen or transform three critical relationships to achieve quality, financial, and organizational outcomes
6 What does all this mean in your work area? Each unit provides patient care a little differently.
7 CollaborationMUSC Nurses function as an equal member of a caring team that creates a healing environment and fosters trust between, clinicians, patients and the community.Collaboration is demonstrated by a nurse’s relationship to a patient and relationship to other members of the healthcare teamA key nursing value we identified
8 How is collaboration done on your unit? Examples:8 East: Charge nurses collaborate with other nurses on the team. Nurses collaborate with the healthcare team during physician rounds each day- Relationship to Healthcare TeamNNICU: RN collaborates with the family to plan their neonate’s care for the shift- Relationship to Patient/FamilyOR: Time Outs- Relationship to Patient/FamilyAmbulatory units: ‘huddles’IOP: ‘flash huddles’
9 ExpertiseMUSC Nurses demonstrate their expertise, growing from novice to expert, as they deliver safe effective care.Within the care delivery system, this is exemplified by a nurse’s relationship to the patient as well as to themselves.
10 How is expertise demonstrated on your unit? Relationship to Patient:Credentialing on badgesUse of AIDETRelationship to Self:Continuing EducationCertificationCompetency demonstrationFormal education
11 AdvocacyAt MUSC nurses demonstrate advocacy for the patient in all respects, including equity in access to healthcareAdvocacy is demonstrated through a nurse’s relationships with the patient and the health care team.
12 How is advocacy done on your unit? Relationship to the patient:Consultations with internal expert consultants, i.e. Ethics Team, Wound Care RN, Pain Resource RN, Lactation RN, and Psychiatric Liaison RNSpeak UP!Lewis Blackman ActDaisy AwardRelationship to the healthcare team:Professional behaviorsConflict resolutionUnit and hospital Governance CouncilsSchwartz Rounds
13 IntegrityMUSC nurses demonstrate integrity by being worthy of the trust of patients, families, & colleagues.Trust is based on the relationships they build with the patient, the healthcare team, and themselves.
14 How is integrity demonstrated on your unit? Relationship to PatientInvolving patient in plan of careEthics consultationRelationship to Healthcare TeamManaging upTransparency in informationRelationship to SelfFollowing policies for double checking high alert medsMUSC Standards of BehaviorANA Code of Conduct
15 InnovationAs MUSC nurses we demonstrate creativity in all facets of our practiceInnovation impacts all the relationships important in our care delivery system: relationship to patient, health care team, and self.
16 How do you demonstrate Innovation in your work area? Relationship to PatientIndividualized plan of careEvidence Based practiceRelationship to Healthcare TeamResearchNew product trialsPractice CouncilsRelationship to SelfNursing Professional Advancement ProgramStaff Nurse as Leader workshop
17 AccountabilityNurses demonstrate accountability through responsiveness to outcome measures and by maintaining current knowledge/skill.Accountability is demonstrated in nurses’ relationships to the patient, the team, and themselves.
18 How is accountability demonstrated on your unit? Relationship to Patient:Hourly roundingPain reassessmentS.K.I.N. care team & prevalence surveyRelationship to Healthcare team:Delegation and follow upChecklistsDocumentationRelationship to Self:Maintaining credentials and competenciesParticipating in shared governanceProfessional membership and participation
19 Professional Practice and Care Delivery System Framework
20 Professional Practice Model and Care Delivery System Unit: __________________Professional Practice ModelCare Delivery SystemUnit RepresentationCollaborationNurse to SelfNurse to TeamNurse to PatientExpertiseAdvocacyIntegrityInnovationAccountability