Professional Practice Integration and Leadership: Transforming Nursing Culture at the Bedside and Beyond

Tuesday, 13 July 2010: 10:50 AM

Millie Hepburn, MSN, RN, ACNS-BC
Nursing Administration, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY
Toby Bressler, RN, MPA, OCN
Nursing Administration, Management, New York Presbyterian Columbia University Morgan Stanley Childrens' Hospital, New York, NY
Karin E. Swiencki, MSN, RN, AOCN
Department of Nursing, New York-Presbyterian/Columbia, New York, NY
Nebuchadrezzar Alday, BSN, BSCE, MSIE
Department of Nursing - 8HS Neurology, New York Presbyterian Hospital - Columbia University Medical Center, New York, NY
Maria Esperanza L. Estilo, BSN, MS
Nursing Administration-Cardiac Surgery, New York Presbyterian Hospital, New York, NY
Audrey Graham-O'Gilvie, BSN, MSN
Nursing Administration, New York Presbyterian Hospital, Columbia Campus, New York, NY
Linda Valentino, RN, MSN
Department of Nursing, New York Presbyterian, New York, NY

Learning Objective 1: Describe five elements of professional practice to promote nursing autonomy, certification, and evidence-based practice by changing paradigms at one metropolitan academic medical center.

Learning Objective 2: Identify strategies to promote leadership, effective primary nursing care delivery, collaboration, shared-decision making, delegation, and health policy engagement.

Although criteria exist for nursing professional practice models, a clear affiliation with organizational strategic planning within hospital settings are lacking. A dearth of modeling contributes to a lack of nursing autonomy and resultant task-oriented work style. Implementation of organizational professional practice models in hospital settings which are geared to bedside professional nurses have been shown to correlate directly to continued improvement in patient outcomes, as well as a healthy work environment, nursing retention, and nurses' positive perception of their inherent ability to lead.  However, developing organizational strategies for continued nursing development have not been strategically linked to formal curricula for nursing personnel in a problem based workshop in a small group workshop framework.  

This presentation will illustrate one organization's professional development workshop, geared to integrate a toolkit for understanding and integrating national standards, ethics, primary nursing, shared decision making, collegial communication and evidence based practice into the complexity of care at the bedside. Pre and post surveys of staff nurses perception of professional practice, job satisfaction and patient satisfaction are used as measures to quantify effectiveness of the curriculum. The strategies for roll out of the program and organizational readiness will be described. The curriculum, entitled PPI & L (Professional Practice Integration and Leadership) serves as a model for our organization to continually raise the bar on professional nursing practice.