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Monday, November 5, 2007

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This presentation is part of : Professional Leadership Strategies
Development and Implementation of a Professional Practice Model: Integrating Theory into Practice
Sally Welsh, MSN, RN, CNAA-BC1, Jadie Barrie, MSN, RN1, and Mary Blaney, RN, OCN2. (1) Nursing, Memorial Health University Medical Center, Savannah, GA, USA, (2) Oncology Admin, Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center, Savannah, GA, USA
Learning Objective #1: identify challenges to operationalzing a professional practice model into practice.
Learning Objective #2: identify benefits to nurses of implementing a PPM.

In May 2004, the nurses at Memorial Health University Medical Center began a journey to redefine the practice of Nursing within our institution.  During the next eighteen months, the Nursing Vision Team made significant progress by creating a Nursing Philosophy, Vision and Strategic Plan.  A Shared Governance structure was also implemented.  During the Nursing Strategic Planning Retreat in August 2005, we realized we were ready to define and implement our Professional Practice Model (PPM) and Care Delivery systems.  We understood that operationalizing theory into practice would be a challenging, yet vital, task.

Upon review of the various Nursing theories, we selected Jean Watson’s “Theory of Transpersonal Caring”.  Watson’s “caritas processes” were consistent with our Nursing philosophy, vision and values.  We also incorporated the 14 Forces of Magnetism as components of our PPM.  In January 2006, the PPM was formally adopted by our Shared Governance Councils. The next steps were to educate and engage the nursing staff to bring our new model to life.

During Nurses Week 2006, we celebrated our new PPM and conducted informational sessions for all nursing staff.  In June 2006, Jean Watson spent two days on site, meeting with staff and discussing strategies on how to implement her theory into practice.  Next, Nursing leaders and unit practice committees worked together to develop unit specific care delivery models.  Each model must adhere to the organizational PPM; however, the unit care delivery models may vary to accommodate the various patient populations and care delivery settings.

To support the long term success of our PPM, we have revised nursing job descriptions, orientation and documentation systems.  Development of our Professional Practice Model and Care Delivery systems have provided the structure for our nurses to live our vision - “Experience and Share the Joy of Nursing”.