“…Of note from this present review is the need to continually develop and adapt a PPM to keep up to date with scientific changes (Arroyo-Marlés et al, 2018;Burke et al, 2018;Gentile & Marzinski 2020;Glassman, 2016;Holskey & Rivera, 2020;Keleekai-Brapoh & Toresco, 2020;Murphy et al, 2018;Qu et al, 2019). A PPM is considered the most recognizable symbol for nursing in an organization, and therefore, changes to nursing practice, both in the external and internal environments, should be represented within a model (Arroyo-Marlés et al, 2018;Glassman, 2016;Holskey & Rivera, 2020;Keleekai-Brapoh & Toresco, 2020).…”