From Blank Canvas to Masterwork: Creating a Professional Practice Model at a Magnet Hospital

Abstract

Objective. The purpose of this study was to engage registered nurses (RNs) in the creation of a Professional Practice Model (PPM). Background. PPMs are essential as the philosophical underpinnings for nursing practice. The study institution created a new PPM utilizing the voice of their RNs. Methods. Qualitative inquiry with focus groups was conducted to explore RNs values and beliefs about their professional practice. Constant-comparative analysis was used to code data and identify domains. Results. The 92 RN participants represented diverse roles and practice settings. The four domains identified were caring, knowing, navigating, and leading. Conclusions. Nurse leaders face the challenge of assisting nurses in articulating their practice using a common voice. In this study, nurses described their identity, their roles, and how they envisioned nursing should be practiced. The results align with the ANCC Magnet® Model, ANA standards, and important foundational and organization specific documents.

Key Elements of Professional Nursing Practice: A Scoping Review

“…Nursing practice standards have been compiled to ensure high standards of nursing practice, promoting a safe, and ethical work environment, bolstering the health and wellness of nurses, and advocating on healthcare issues that affect nurses and the public [40], [41]. Also relevant to the nursing workforce arrangement where 60% of nurses in the US work in hospitals, the results of this study also show the same thing that the development and/or implementation and/or evaluation of professional nursing practice is carried out in hospital based [5], [6], [10], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28].…”

“…The majority of the studies were developed in the USA (ten studies), with others being from Ireland (one study), Canada (two studies), Australia (one study), Asia (two studies), Middle East (three studies), Portugal (two studies), Colombia (one studies), North America (one studies), and undescribed the location (five studies). Service settings used start from unit based [4], [16] mostly hospital based [5], [6], [10], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], community based [29], [30], to systems based in healthcare systems [11], [31], [32].…”

“…This health system competency is closely related to the ability of nurses to understand existing health policies and systems [4], [18], [21], [33] contribute to the organization and community [17], [23], [24], [25], [34], and culturally competence in nursing practice [25], [28], [35].…”

“…Nursing care implementation cannot be separated from the clinical skills possessed by each nurse [4], [6], [11], [19]. Nurses must not only be able to provide good and skilled nursing care but also nurses are required to ensure that the care they provide is quality so that patient outcomes can be achieved [8], [23], [27], [29].…”

“…There are 13 authors who state that professional development is a component of professional nursing practice. There are at least three terms used to explain this, (1) continuing education [11], [18], [23], [25], [39]; (2) research/innovation [4], [6], [28], and (3) selfimprovement [21], [24], [20], [27], [30].…”