MUSC Nursing’s Professional Practice Model

and Care Delivery System

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.

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

colleague- Supports the organization and effective use of resources.

Relationship Based Care

Nurse-Patient

Nurse-Self

Nurse-Team

Designed to strengthen or transform three critical relationships to achieve quality, financial, and organizational outcomes

What does all this mean in your work area?

• Each unit provides patient care a little differently.

Collaboration

• MUSC 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 team

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 Team

• NNICU: RN collaborates with the family to plan their neonate’s care for the shift- Relationship to Patient/Family

• OR: Time Outs- Relationship to Patient/Family

• Ambulatory units: ‘huddles’

• IOP: ‘flash huddles’

Expertise• MUSC 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.

How is expertise demonstrated on your unit?

Relationship to Patient:– Credentialing on badges– Use of AIDET

Relationship to Self:– Continuing Education– Certification– Competency demonstration– Formal education

Advocacy

• At MUSC nurses demonstrate advocacy for the patient in all respects, including equity in access to healthcare

• Advocacy is demonstrated through a nurse’s relationships with the patient and the health care team.

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 RN

- Speak UP!- Lewis Blackman Act- Daisy Award

• Relationship to the healthcare team:- Professional behaviors- Conflict resolution- Unit and hospital Governance Councils- Schwartz Rounds

Integrity

• MUSC 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.

How is integrity demonstrated on your unit?

• Relationship to Patient- Involving patient in plan of care- Ethics consultation

• Relationship to Healthcare Team- Managing up- Transparency in information

• Relationship to Self- Following policies for double checking high alert meds- MUSC Standards of Behavior- ANA Code of Conduct

Innovation

• As MUSC nurses we demonstrate creativity in all facets of our practice

• Innovation impacts all the relationships important in our care delivery system: relationship to patient, health care team, and self.

How do you demonstrate Innovation in your work area?

• Relationship to Patient- Individualized plan of care- Evidence Based practice

• Relationship to Healthcare Team- Research- New product trials- Practice Councils

• Relationship to Self- Nursing Professional Advancement Program- Staff Nurse as Leader workshop

Accountability

• Nurses 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.

How is accountability demonstrated on your unit?

• Relationship to Patient:- Hourly rounding- Pain reassessment- S.K.I.N. care team & prevalence survey

• Relationship to Healthcare team:- Delegation and follow up- Checklists - Documentation

• Relationship to Self:- Maintaining credentials and competencies- Participating in shared governance - Professional membership and participation

Professional Practice and Care Delivery System Framework

Professional Practice Model and Care Delivery SystemUnit: __________________

Professional Practice Model Care Delivery System Unit Representation

Collaboration• Nurse to Self• Nurse to Team• Nurse to Patient

Expertise• Nurse to Self• Nurse to Patient• Nurse to Team

Advocacy• Nurse to Self• Nurse to Patient• Nurse to Team

Integrity• Nurse to Self• Nurse to Patient• Nurse to Team

Innovation• Nurse to Self• Nurse to Patient• Nurse to Team

Accountability• Nurse to Self• Nurse to Patient• Nurse to Team