Promoting Professional Engagement with Implementation of a Nursing Practice Model

Tuesday, 14 July 2009

Sharon Gunn, MA, BSN
Critical Care, Baylor University Medical Center at Dallas, TX, Dallas, TX
Theresa Kaplan, MSN
Center for Nursing Education and Research, Baylor University Medical Center at Dallas, TX, Dallas, TX

Learning Objective 1: The learner will be able to identify three key elements of the evidence-based Baylor Healthcare System professional nursing practice model.

Learning Objective 2: The learner will be able to describe several teaching strategies used to facilitate acquisition of knowledge in new hires related to the nursing practice model.

What does it take to be a safe, competent nurse? Professional Practice is more than just performing skills at the bedside. It involves looking at the patient holistically and developing the skills necessary to provide optimal care to our patients.    The AACN Synergy model for Nursing Practice is an evidenced-based practice model (1) that provided the framework to redesign orientation and nursing care throughout the health care system.   Orientation of new graduates can be challenging for nurse educators, preceptors, managers and the new graduates themselves. Issues beyond just clinical aspects of orientation include the transition from student to practicing professional and organizational employee, socialization to the unit, and beginning the journey from novice to expert. After several months, the new graduate is expected to exit from orientation and be able to practice independently at baseline competency. Preceptors are often left to their own devices to get the new graduate from point A to point B.   We evaluated our orientation process looking for improvement opportunities to better meet this exit goal. Since our healthcare system’s professional nursing practice model uses the Synergy Model as a foundational piece, we decided to “synergize” orientation by focusing on learning’s and activities that were essential to and support Safe Passage. Several teaching strategies were developed based on content within the Model.  Focus was extended beyond acquisition of clinical skills to include clinical inquiry, systems thinking, collaborative care approaches, and resource utilization.  The authors will demonstrate how the model may be applied to all nursing levels from novice to expert (2).  Educational strategies and a visual representation of the model will be shared.