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Professional practice for the extended care environment: learning from one model and its implementation.

M L Maas

    Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
    |March 1, 1989
    PubMed
    Summary
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    A professional nursing governance model in long-term care improved patient welfare. Nursing education requires updates to enhance autonomy, critical reasoning, and decision-making skills for registered nurses.

    Area of Science:

    • Nursing
    • Healthcare Administration
    • Long-Term Care

    Background:

    • Describes a professional nursing governance model implemented in a large, 800-bed long-term care facility.
    • Details the staffing structure, including registered nurses (RNs), ancillary staff, and other health professionals, serving diverse patient care levels.
    • Highlights the existing low RN turnover (5%) and high average tenure (7.5 years).

    Purpose of the Study:

    • To describe a professional nursing governance model and its impact on nursing education.
    • To analyze the implications of this model for curriculum development in nursing education.
    • To identify specific areas for improvement in nursing education based on the governance model's experience.

    Main Methods:

    • Implementation of a nursing governance model where RNs establish practice standards, policies, and clinical programming.

    Related Experiment Videos

  • Granting 24/7 authority and accountability to each RN for their patient caseload.
  • Data collection on patient welfare measures post-implementation.

    • Main Results:

    • The implemented governance model led to increased patient welfare.
    • The model demonstrated the need for enhanced nursing education in specific areas.
    • High RN retention rates suggest model effectiveness in supporting nursing staff.

    Conclusions:

    • Professional nursing governance models can positively impact patient welfare and staff retention.
    • Nursing education curricula must evolve to equip future RNs with greater autonomy, accountability, and advanced clinical reasoning skills.
    • The study underscores the importance of understanding organizational structures and governance mechanisms for effective nursing practice.