Cindy Davis, RN, BSN, MBA, NEA Chief Operating Officer/ Chief Nursing Executive

1. Embedding the Kaiser Permanente Vision, Values and Professional Practice Modelat Kaiser Westside Medical Center Oregon Cindy Davis, RN, BSN, MBA, NEA Chief Operating Officer/ Chief Nursing Executive Julie Anne Harris, RN MPU UBT Labor Co-Lead

2. Kaiser Westside Medical CenterHillsboro, Oregon • Opened August, 2013 • 120 licensed beds • 400 nurses

3. Vision • Kaiser Permanente nurses advance the art and science of nursing in a patient-centered healing environment through our professional practice and leadership.

4. Making the vision real Extraordinary Nursing Care • What does this need to look like? • Nurses recognized as leaders in the organization • Nurses own their practice environment • Nurses recognized as the subject matter expert

5. Inspiration Professional Practicebegins with the end in mind NurseEmpowerment means we need to look at the way we are practicing nursing at Westside Medical Center very differently than we look at it now. Goal: amplify nursing’s impactat Westside Medical Center Need to articulate to others who we are and what we are able to contribute.

6. Inspiration How do we amplify nursing’s impact at Westside Medical Center? Start small keep it simple patient focused

7. Infrastructure • Need to be able to articulate to others who we are and what we are able to contribute. • Posed the question to the professional development council. • Council endorsed “beginning small.” • Portfolio • Speaks to both the individual and the organization. • Addresses the original goal.

8. Infrastructure Professional Practice Council determined it would be best to pilot on one unit • Introduced to MPU Co-Leads in December, 2014. • Educator and Co-Leads placed together an introduction of the pilot for the MPU UBT. • Consensus was gained in January, 2015.

9. Infrastructure The professional practice climb

10. Infrastructure Phase I • Formulated personal professional statements • Defined the tools • Established goals • The career ladder served to energize and motivate the staff. • Identified champions

11. InfrastructureProfessional Practice Statement The Kaiser Nursing Professional Practice Model serves as a foundation for the Professional practice statement. Thereby internalizing the professional practice model.

12. Infrastructure Professional Portfolio Contents • Contents: The Kaiser Nursing Professional Practice Model • Professional Practice Statement • What is a Professional Practice Model ? • Why do we need a Professional Practice Model? • What is a Care Delivery Model (RBC)? • OSBN Scope of Practice • ANA Standards of Practice • ANA Code of Ethics for Nurses • Kaiser Westside Nursing Strategic Plan

13. Professional Portfolio Contents- continued • Professional Resume • Professional Certifications/memberships • Committees, preceptor activity • Professional Presentations/CE’s • Publications/Research/Innovation/Outreach • Nursing Exemplars • Nursing Grand Rounds

14. Infrastructure Phase 2 • March, 2015 UBT Meeting • Introduced the nursing pathways website and tools. • Introduced template for the exemplar. • April, 2015 UBT • Discussed the professional practice model application.

15. Infrastructure Phase 3 • Future UBT Meeting • Recognition and sharing of personal exemplars. • Support staff in evolving personal exemplars to Clinical Nursing Grand Rounds • Brain storm next steps as a unit • Define quality and safety focus points/metrics • Evidence Based Nursing Practice • Identify research projects

16. Professional Practice Climb 2017 2016 2015 2015

17. Education “The Professional Practice Climb” • Implementation across the organization • Annual Nursing Summit in October, 2015 • Professional Expectation • Avenue to implement the Kaiser nursing professional practice model • Prepare the team who will lead the Summit Kaiser Westside Medical Center Nursing Summit October, 2015

18. EducationHardwiring professional practice 2015/2016 • Educators follow up on units after Summit. • Exemplars go to Professional Development Council for recognition. • Choose exemplars to present to the Integration Council. • Evolve exemplar format to Nursing Grand Rounds through support from peers and mgmt. • Develop a platform for nurses to present their exemplars and research. “Telling their stories”

19. Evaluation of current process Kaiser Westside Medical Center MPU Professional Portfolio Pilot Results Professional Practice Climb

20. Evaluation of ongoing process

21. What we have learned The Voice of Nursing advances professional practice. • Starting small with the professional portfolio allowed for testing and refinement. • Administrative support removed barriers. • Champions are integral to maximized momentum. • Establishing this as a professional expectation helped ease the way. • Going Forward • More foundational explanation of the Kaiser Professional Nursing Model in Phase I.

22. Conclusion • Kaiser Permanente nurses advance the art and science of nursing in a patient-centered healing environment through our professional practice and leadership.