Professional Practice Models in Nursing: Successful Health System Integration

“Rarely is there a comprehensive work of this magnitude produced to provide intense and practical direction.…This work…is a must read for those nurse leaders following in our footsteps. It will enable them to increase their knowledge of the systems and processes required to implement, sustain, and measure professional nursing practice while providing a strategic framework to guide their plans for their organizations in the future.” —Karen S. Hill, DNP, RN, NEA-BC, FACHE, FAAN, Editor-in-Chief, The Journal of Nursing Administration, Chief Operating Officer/Chief Nursing Officer, Central Baptist Hospital, From the Foreword “Dr. Joanne Duffy is an authority in developing practice models.…This text effectively creates a blueprint for how to make this process as meaningful as possible regardless of the model chosen or the type of organization.…One of the highlights that is often missed and that Dr. Duffy clearly illustrates is the critical importance of evaluation.… The principles, rationale, best-practice examples, and reflective questions include crucial information needed to fully integrate professional practice models. The author delivers one of the most important works on this topic to date.” —Karen Cox, RN, PhD, FACHE, FAAN, Executive Vice President/Co-Chief Operating Officer Children’s Mercy Hospitals and Clinics, From the Foreword This is the first resource to demonstrate to nurse leaders, administrators, and staff how to develop, apply, and successfully integrate a professional practice model into a health system. It delivers best practices for creating, implementing, evaluating, adapting, adopting, and revising professional practice models that contribute to improving patient outcomes. Consolidating a wealth of information in one place, the text describes a coordinated and consistent approach that generates an in-depth understanding of professional practice models, including their implementation and evaluation. Distinguished by its focus on the “how to” of successful enculturation—a common obstacle for many nursing professionals—the text guides nurse leaders and educators in the process of integrating professional practice models into clinical workflow, advancing nursing practice, improving the quality of patient care, and facilitating Magnet® designation. Specific methods and implementation strategies are delineated along with tipping points and milestones. Real-life examples offer relevant lessons from others who have encountered problems and created successful solutions along the way. They describe approaches, resolutions to problems, unique insights, and meaningful revisions. Opportunities for reflection and case analysis are presented and chapters—each with comprehensive, concise, evidence-based content—include learning objectives, key summary points, reflective exercises, illustrations, charts, and “learning from the field” insets. KEY FEATURES: Encompasses essential information for developing, applying, and diffusing a professional practice model Provides comprehensive, concise, and evidence-based content Written by a renowned nurse leader, educator, and researcher with expertise in the enculturation of professional practice models Addresses one of the criteria necessary for Magnet® designation Includes a strong disciplinary perspective with a focus on professionalism and demonstrating value

Table of Contents:
Contents Contributors Foreword Karen S. Hill, DNP, RN, NEA-BC, FACHE, FAAN Foreword Linda Burnes Bolton, DrPH, RN, FAAN Foreword Karen Cox, PhD, RN, FACHE, FAAN Preface Acknowledgments PART I. FROM AWARENESS TO COMMITMENT 1. Professional Practice Models: Raising Awareness Learning From the Field: What Are Professional Practice Models? Lois M. Stalling-Weldon, Cherona Hajewski, and Maria R. Shirey Learning From the Field: Consistency Between a Specialty’s Recommendations for Advancing Professional Practice and a Nursing Theoretical Model Susan Chasson and Jennifer Pierce-Weeks 2. The Importance of Professional Practice Models: Appreciating Significance Learning From the Field: The Value of Professional Practice Models Linda Q. Everett 3. Professionalism, Interprofessionalism, and Leadership: Commitment Learning From the Field: Building the Case for Nursing Professional Capital Sue Lasiter PART II. FROM DESIGN TO ENCULTURATION 4. Components of Professional Practice Models: Design Learning From the Field: Building the Patient Care Delivery System Based on the Professional Practice Model—A Journey of Synergistic Development Barbara Summers 5. Application of Professional Practice Models: Implementation Learning From the Field: Importance of the Chief Nurse Executive During Implementation Janet Fansler Learning From the Field: Innovative Implementation Calls Polly Roush 6. Assessing the Success of Professional Practice Models: Evaluation Learning From the Field: How Unit-Level Formative Data Improved Implementation Progress Joanne R. Duffy Learning From the Field: Communication of Outcomes Data Using Graphical Displays Eileen Caulfield 7. Refining the Professional Practice Model Within a Health System: Adaptation Learning From the Field: How a Professional Practice Model Together With a Spirit of Inquiry Led to a Practice Adaptation Martha Sleutel, Janet Larrimore, and Malika Qureshi 8. Translating a Professional Practice Model Into Everyday Practice: Adoption Learning From the Field: Individual Adoption of the Quality-Caring Model© Shauna Bendix 9. Values and Behaviors Associated With Exemplary Professional Practice: Enculturation Learning From the Field: How Our Professional Practice Model Became a Magnet® Exemplar Mary Teague, Debbie Manns, and Martha Sleutel PART III. FROM APPLICATION TO IMPACT 10. Enduring Professional Practice Models: Sustainment Learning From the Field: Professional Practice Model Sustainability Judy E. Davidson 11. Spreading Lessons Learned and Best Practices: Dissemination Learning From the Field: An Interview With Two Vice Presidents on “Scaling Up” Alice Siehoff and Susan Okuno-Jones 12. Power of Professional Practice Models: Impact Learning From the Field: Impact of a Living Professional Practice Model on a Patient’s Question—“How Long Would It Take to Die?” Pamela Duncan and Chantel Fusco Afterword Appendix A. Example: Values Clarification Workshop Appendix B. Example: Implementation Booster Sessions Appendix C. Example: Organizational Assessment of Professional Practice Model Integration Index

About the Author :
Joanne R. Duffy, PhD, RN, FAAN, is the executive vice president and senior consultant at QualiCare in Winchester, Virginia, adjunct professor at the Indiana University School of Nursing in Indianapolis, Indiana, and a member of the graduate faculty at the University of Missouri, Kansas City, MO. Her ex-tensive career encompasses clinical, administrative, and academic roles. Dr. Duffy has directed 5 graduate nursing programs in critical care nursing, care management, nursing administration, executive leadership (DNP), and a PhD program. Formerly, she was a cardiovascular clinical specialist, a university department chair, interim associate dean for research, and endowed chair for research and evidence-based practice. Dr. Duffy regularly participates as a member of DNP and PhD committees.