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Introducing the Providence Model of Compassionate Nursing Care. Anna Van Deusen, MS, RN, BA, CNL, CMSRN Meaghan Condon, RN, BSN. Objectives. To describe components of nursing theory and professional practice models Articulate the benefit of using a model
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Introducing the Providence Model of Compassionate Nursing Care Anna Van Deusen, MS, RN, BA, CNL, CMSRN Meaghan Condon, RN, BSN
Objectives • To describe components of nursing theory and professional practice models • Articulate the benefit of using a model • Understand the development of the Providence Model of Compassionate Nursing Care • Describe the Providence Model of Compassionate Nursing Care • Get you to drink more coffee before the next exciting presentation
What is a Nursing Theory? • A nursing theory “explains, describes, and predicts phenomena of interest to the discipline of nursing”. • Four common concepts • Person • Environment • Health • Nursing
What is a Nursing Theory? • There are three levels of nursing theory: • Grand (too soft) • Abstract ideas about the global goals and structure of nursing • Mid-range (just right) • Less abstract than grand theories, yet just abstract enough to be applied to multiple nursing settings. Provides guidance for assessment and intervention. • Practice (too hard) • Provides a narrow scope of nursing interventions for a specific practice setting
What is a Model of Nursing? • A model in literal terms is a pattern or form used to make a replica… • A nursing model describes a current or future state of what nursing is, or wants to become, or how nursing will be practiced in a specific setting or community
What is a Model of Nursing? • A model can “provide a philosophy of nursing and a value base for care delivery to support assessment, planning, delivery and evaluation of care.” • Models can provide a “common language to allow nurses to discuss nursing practice” (Murphy, Williams, & Pridmore, 2010)
Why Do We Need a Professional Practice Model for Nursing? • Food for thought… • “In the multidisciplinary, community-oriented health care of today, nursing must be able to define its role, rather than leaving other disciplines, managers and policy makers to do this by proxy” (Mc Crae, 2011)
Why Do We Need a Professional Practice Model for Nursing? • To help us achieve the 5 components of the Magnet Model • Transformational Leadership • Structural Empowerment • Exemplary Professional Practice • New Knowledge, Innovation, & improvements • Empirical Quality Results
Why Do We Need a Profession Practice Model for Nursing? • To ground our local practice in theory • Define how we will care for our patients and work with other disciplines • Define how we will promote practice as People and Nurses of Providence, incorporating the unique values of our community • Articulate our relationship to the patient, community and our colleagues • Use the model as a tool for research and growth of the nursing profession in the special environment of PPMC
How Was the PPMC Professional Practice Model Developed? • Level of abstraction • Concrete, Mid-range, Abstract • Clinical utility and clarity • Fit to PPMC and PH&S philosophy, mission, vision and work • Will the theory help to • Apply existing evidence • Generate new knowledge • Contribute to the science of nursing • Lead to innovations
Two Theories • Kolkaba’s Theory of Comfort • Comfort includes relief, ease and transcendence • Physical • Psychospiritual • Environmental • Sociocultural
Two Theories • Swanson’s Theory of Caring • Caring is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility • Knowing • Being With • Doing For • Enabling • Maintaining Belief
Community Involvement • NPC • Unit meetings • Sharing with nursing leadership
Our SUPPORTS Our VISION Care for Me Our FOCUS Comfort Our APPROACH Caring Know Me Psycho Spiritual Ease My Way Being with Physical WHO WE SERVE Patient/Family/ Community Doing for Knowing Environmental Maintaining Belief Socio Cultural Empowering
Providence Model of Compassionate Nursing Care • Who we serve: Patient/Family/Community is at the center of the model
Providence Model of Compassionate Nursing Care • Our approach: Caring • Knowing, Doing for, Being with, Maintaining Belief, and Empowering
Providence Model of Compassionate Nursing Care • Our Focus: Comfort • Physical, Environmental, Psycho Spiritual and Socio Cultural Comfort
Providence Model of Compassionate Nursing Care • Our Vision: Know Me, Care for Me, Ease my Way
Providence Model of Compassionate Nursing Care • Our Supports: • Mission, Vision and Values of PH&S • Nursing Governance • Code of Ethics • ANA Bill of Rights • Patient Bill of Rights • Professional Standards of Practice • PH&S Ethics Committee • Professional Development • Oregon Nurse Practice Act • Healthy Interprofessional Teams • Nursing Staffing Plans • Advanced Practice • Evidence Based Practice