Framing the work: development of a renal nursing professional practice model

Area of Science:

• Nursing
• Nephrology Nursing
• Healthcare Administration

Background:

• A nursing care model task group was formed in 1997 to guide nursing care delivery in a merged hospital corporation.
• Nurses in the renal program initiated the development of an integrated renal nursing professional practice model.
• A city-wide model for two acute care renal centers was recognized as advantageous.

Purpose of the Study:

• To develop a framework for nursing care delivery in a newly merged hospital corporation.
• To create an integrated renal nursing professional practice model.
• To articulate professional roles and relationships of nurses and advanced practice nurses in a changing environment.

Main Methods:

• Formation of a nursing care model task group.
• Collaborative development of a professional practice model by experienced renal nurses.
• Networking and partnership building across hospital corporations.
• Implementation of the integrated nursing professional practice model after two years.

Main Results:

• An integrated nursing professional practice model was developed, emphasizing accountability, continuity, and therapeutic relationships.
• Acknowledgement of the collaborative nature of the multidisciplinary team was incorporated.
• Enhanced networking and partnerships across corporations.
• Establishment of a city-wide Renal Nursing Professional Practice Council for model evaluation.

Conclusions:

• The developed model successfully integrates nursing practice, emphasizing key values and collaboration.
• The model's implementation and impact on patient care and staff collaboration require ongoing evaluation.
• Future planning may involve a multidisciplinary focus for the practice council.