Predictability of a Professional Practice Model to Affect Nurse and Patient Outcomes

Abstract

Thousands of patients experience needless deaths and injuries as a result of errors while hospitalized for an unrelated problem. The lack of an established professional practice model (PPM) of nursing may be a contributing factor to patient care quality and safety breaches. The PPM of nursing was tested for its ability to affect nurse and patient outcomes. Using a retrospective/prospective research design, secondary data were collected from 2395 staff nurses on 15 inpatient-nursing units covering a 6-year timeframe. Data were analyzed using ANOVA and the Pearson correlation. Nurse and patient outcomes on 2 hospital campuses reached statistical significance. Positive correlations were seen between the initiation of a PPM and subsequent nurses' perception of quality of care, nurse interactions, decision making, autonomy, job enjoyment, and patient satisfaction. This study provides empirical evidence that a uniquely designed PPM in alignment with organizational context can indeed impact nurse and patient outcomes in a community health system.

Nursing professional practice models:an integrative literature review

“…Despite the differences found between the various models, it is generally agreed that each element of the PPM strengthens the other components, making the whole greater than the sum of its parts (Chamberlain et al, 2013). It should be noted that, regardless of the elements of nursing PPMs, the primary focus is on the patient and the relationship established between the professional and the patient, the key element of success (Stallings-Welden & Shirey, 2015;Basol et al, 2015;Erickson & Ditomassi, 2011). This idea has been corroborated by other authors (Slatyer et al, 2015;Harwood et al, 2007b) who have reported that the core of the PPM is the nurse-patient-family relationship.…”

“…According to Hoffart and Woods (1996), a PPM has some key elements, including autonomy, accountability, professional relationships, a patient care delivery model, shared management and mechanisms of compensation and rewards. The Magnet Recognition Program, mentioned by several authors (Slatyer et al, 2015;Stallings-Welden & Shirey, 2015;Berger et al, 2012), describes a PPM as a schematic representation of the care provided by nurses in order to achieve high-quality outcomes. From this perspective, the PPM reflects how nurses perform, collaborate, communicate, develop professionally, and integrate the nursing mission, vision, values, philosophy and theory in their practice (Berger et al, 2012).…”

“…Currently, many healthcare organizations value the contribution of a PPM to nursing practice (Harwood et al, 2013). Although the literature suggests that nursing professional practice models in hospital settings are an essential tool for achieving excellence in nursing and patient outcomes (Stallings-Welden & Shirey, 2015;Harwood et al, 2013), we are unaware of any hospital in Portugal that has defined a nursing PPM, thus making this a little-known issue among Portuguese professionals. Based on these assumptions, we set the following questions to guide our integrative literature review: What is the scientific production of nurses on nursing professional practice models in hospital settings over the last 10 years?…”

Fundamental care guided by the Careful Nursing Philosophy and Professional Practice Model©

“…Professional practice models are well suited to provide a value‐based conceptual, methodological and practical structure for nurses’ provision of patients' fundamental care needs. In fact, use of a professional practice model has been recommended to help address fundamental care‐related patient safety issues and care erosion in the United States (Stallings‐Welden & Shirey, ) and Ireland (O'Ferrall, ).…”

Nursing care quality: a study carried out in Portuguese hospitals

“…In a retrospective analysis of the evolution of nursing, Machado (2013) believes that there is a persevering connection to the concepts of quality and continuous quality improvement. At the international level, hospital institutions that aim to strengthen the contribution of nursing to the improvement of processes and outcomes, have been investing in the development and implementation of professional practice models, which are essential to the promotion of excellence in nursing practice (Stallings-Welden & Shirey, 2015). In Portugal, the constant search for excellence in professional practice is regulated.…”