An Innovative Professional Nursing Practice Model

Webster, Julie L.; Cowart, Pam

doi:10.1097/00006216-199902330-00005

Cited by 5 publications

(1 citation statement)

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“…Each is the end result of multiple decisions to deal with the numerous constraints and pressures in the nursing care environment such as shortages of nurses, increased acuity of patients’ conditions, and budgetary constraints. However, none of the four models emerging from this taxonomy reflects the exact characteristics of the ideal of nursing professional practice models as it has evolved in the contemporary nursing literature [14,44-46]. Rather, the four models show different degrees of attainment of this ideal.…”

Section: Discussionmentioning

confidence: 99%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

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BackgroundOver the last decades, converging forces in hospital care, including cost-containment policies, rising healthcare demands and nursing shortages, have driven the search for new operational models of nursing care delivery that maximize the use of available nursing resources while ensuring safe, high-quality care. Little is known, however, about the distinctive features of these emergent nursing care models. This article contributes to filling this gap by presenting a theoretically and empirically grounded taxonomy of nursing care organization models in the context of acute care units in Quebec and comparing their distinctive features.MethodsThis study was based on a survey of 22 medical units in 11 acute care facilities in Quebec. Data collection methods included questionnaire, interviews, focus groups and administrative data census. The analytical procedures consisted of first generating unit profiles based on qualitative and quantitative data collected at the unit level, then applying hierarchical cluster analysis to the units’ profile data.ResultsThe study identified four models of nursing care organization: two professional models that draw mainly on registered nurses as professionals to deliver nursing services and reflect stronger support to nurses’ professional practice, and two functional models that draw more significantly on licensed practical nurses (LPNs) and assistive staff (orderlies) to deliver nursing services and are characterized by registered nurses’ perceptions that the practice environment is less supportive of their professional work.ConclusionsThis study showed that medical units in acute care hospitals exhibit diverse staff mixes, patterns of skill use, work environment design, and support for innovation. The four models reflect not only distinct approaches to dealing with the numerous constraints in the nursing care environment, but also different degrees of approximations to an “ideal” nursing professional practice model described by some leaders in the contemporary nursing literature. While the two professional models appear closer to this ideal, the two functional models are farther removed.

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Section: Discussionmentioning

confidence: 99%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

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Bringing the Life Needs Model to Life

King

Tucker

Baldwin

et al. 2006

Physical & Occupational Therapy In Pediatrics

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This article describes the use and utility of the Life Needs Model of Pediatric Service Delivery at a regional children's rehabilitation center. The model is a transdisciplinary, evidence-based model that guides pediatric service delivery to meet the long-range goals of community participation and quality of life for children and youth with disabilities. The article describes the use of the model as a tool to assist with the development of organizational culture, strategic and operational planning, the development of therapists' expertise, and the development of community partnerships. The model also has influenced human resources practices, community relations activities, and research. The model provides needed direction to service planners about the types of services that are important to provide in a geographical region, and fills a gap in outlining the nature of services that can be encompassed in pediatric rehabilitation.

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Making Patient-centered Care Come Alive

Ponte

Conlin

Conway

et al. 2003

JONA: The Journal of Nursing Administration

103

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A patient-centered model of care has profound implications for the way that care is planned, delivered, and evaluated. Although most leaders in healthcare organizations today embrace the basic tenets of a patient-centered philosophy, they often find that moving toward a patient-centered model requires an unanticipated level of commitment and significant adjustments in organizational structures. In this article, the authors describe how patients and families have been integrated into the care delivery model by involving them in planning, decision-making, and improvement processes at all levels of the organization.

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An Innovative Professional Nursing Practice Model

Cited by 5 publications

References 0 publications

A taxonomy of nursing care organization models in hospitals

A taxonomy of nursing care organization models in hospitals

Bringing the Life Needs Model to Life

Making Patient-centered Care Come Alive

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