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Elements of a nursing professional practice model

N Hoffart1, C Q Woods

  • 1University of Kansas School of Nursing, Kansas City 66160-7502, USA.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|November 1, 1996
PubMed
Summary
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Professional practice models (PPMs) empower nurses by structuring care delivery systems. Analysis reveals key components like autonomy, teamwork, and rewards are crucial for effective nursing practice and high-quality patient care.

Area of Science:

  • Nursing Science
  • Healthcare Management
  • Organizational Behavior

Background:

  • Defining a professional practice model (PPM) as a system encompassing structure, process, and values.
  • Highlighting registered nurse control over nursing care delivery and the practice environment.
  • Identifying the five subsystems of a PPM: values, professional relationships, patient care delivery, management, and compensation/rewards.

Purpose of the Study:

  • To analyze existing professional practice models (PPMs) in nursing literature.
  • To identify common themes and components within these models.
  • To offer recommendations for implementing and evaluating PPMs.

Main Methods:

  • Literature analysis of five described professional practice models.

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  • Examination of the subsystems within each model.
  • Identification of frequently addressed professional values and approaches.

    • Main Results:

    • Common professional values include nurse autonomy, accountability, professional development, and high-quality care.
    • Teamwork, collaboration, and consultation are key for professional relationships.
    • Primary nursing and case management are prevalent care delivery systems.
    • Management subsystems often feature decentralized decision-making and expanded nurse manager roles.
    • Compensation systems recognize professional achievement and contributions.

    Conclusions:

    • Professional practice models provide a framework for enhancing nursing autonomy and accountability.
    • Effective PPMs integrate values, relationships, care delivery, management, and rewards.
    • Recommendations are provided for the successful implementation and evaluation of PPMs in healthcare settings.