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Toward an integrative model of professional practice
1School of Nursing, University of Minnesota, Minneapolis.
Summary
Nursing has historically been subordinate, but is ready for a collaborative stage. A new model proposes differentiated roles based on education levels for direct client responsibility.
Area of Science:
- Nursing Practice
- Healthcare Administration
- Professional Development
Background:
- Nursing practice has historically struggled with consistent direct professional responsibility to clients.
- The nursing profession has experienced cycles of growth marked by subordination to hospital administration and medicine.
- Current trends suggest nursing is poised for an integrative and collaborative developmental stage.
Purpose of the Study:
- To propose a new professional practice model for nursing.
- To define differentiated roles for various nursing education levels.
- To advocate for an organizational structure enhancing direct client responsibility.
Main Methods:
- Review of nursing practice and historical professional development.
- Analysis of existing professional models and organizational structures.
- Development of a trilevel professional practice model.
Main Results:
- Nursing's historical subordination has hindered effective client-centered practice.
- A trilevel model differentiating roles for graduate, baccalaureate, and associate degree nurses is proposed.
- An organizational structure placing clinicians directly responsible to clients is suggested.
Conclusions:
- Nursing is ready to transition to an integrative, collaborative stage of professional development.
- Differentiated roles based on education levels can support direct client responsibility.
- Reorganizing nursing to prioritize direct client accountability is crucial for addressing health concerns effectively.