1. MUSC Nursing’s Professional Practice Model and Care Delivery System

3. What is a Professional Practice Model?
Professional Practice Model (PPM) - diagram used to demonstrate how:
Organizational goals and values relate to each other.
Professional Nursing plans, delivers, and evaluates patient care.
The organization evaluates the results for the patient.
Professional relationships impact interdisciplinary care.
Defines nursing as a profession rather than a task-based job.

4. What is a Care Delivery System (CDS)?
The Care Delivery System describes our approach to delivering patient care by:
Detailing assignments, responsibilities and authority to accomplish patient care;
Determining who is going to perform what tasks, who is responsible, and who makes decisions.
Matching numbers and type of caregivers to patient care needs.
Provides structure that:
Allows the nurse to function as a professional and a colleague
Supports the organization and effective use of resources.

5. Relationship Based Care
Nurse-Patient
Nurse-Self
Nurse-Team
Designed to strengthen or transform three critical relationships to achieve quality, financial, and organizational outcomes

6. What does all this mean in your work area?
Each unit provides patient care a little differently.

7. Collaboration
MUSC Nurses function as an equal member of a caring team that creates a healing environment and fosters trust between, clinicians, patients and the community.
Collaboration is demonstrated by a nurse’s relationship to a patient and relationship to other members of the healthcare team
A key nursing value we identified

8. How is collaboration done on your unit?
Examples:
8 East: Charge nurses collaborate with other nurses on the team. Nurses collaborate with the healthcare team during physician rounds each day- Relationship to Healthcare Team
NNICU: RN collaborates with the family to plan their neonate’s care for the shift- Relationship to Patient/Family
OR: Time Outs- Relationship to Patient/Family
Ambulatory units: ‘huddles’
IOP: ‘flash huddles’

9. Expertise
MUSC Nurses demonstrate their expertise, growing from novice to expert, as they deliver safe effective care.
Within the care delivery system, this is exemplified by a nurse’s relationship to the patient as well as to themselves.

10. How is expertise demonstrated on your unit?
Relationship to Patient:
Credentialing on badges
Use of AIDET
Relationship to Self:
Continuing Education
Certification
Competency demonstration
Formal education

11. Advocacy
At MUSC nurses demonstrate advocacy for the patient in all respects, including equity in access to healthcare
Advocacy is demonstrated through a nurse’s relationships with the patient and the health care team.

12. How is advocacy done on your unit?
Relationship to the patient:
Consultations with internal expert consultants, i.e. Ethics Team, Wound Care RN, Pain Resource RN, Lactation RN, and Psychiatric Liaison RN
Speak UP!
Lewis Blackman Act
Daisy Award
Relationship to the healthcare team:
Professional behaviors
Conflict resolution
Unit and hospital Governance Councils
Schwartz Rounds

13. Integrity
MUSC nurses demonstrate integrity by being worthy of the trust of patients, families, & colleagues.
Trust is based on the relationships they build with the patient, the healthcare team, and themselves.

14. How is integrity demonstrated on your unit?
Relationship to Patient
Involving patient in plan of care
Ethics consultation
Relationship to Healthcare Team
Managing up
Transparency in information
Relationship to Self
Following policies for double checking high alert meds
MUSC Standards of Behavior
ANA Code of Conduct

15. Innovation
As MUSC nurses we demonstrate creativity in all facets of our practice
Innovation impacts all the relationships important in our care delivery system: relationship to patient, health care team, and self.

16. How do you demonstrate Innovation in your work area?
Relationship to Patient
Individualized plan of care
Evidence Based practice
Relationship to Healthcare Team
Research
New product trials
Practice Councils
Relationship to Self
Nursing Professional Advancement Program
Staff Nurse as Leader workshop

17. Accountability
Nurses demonstrate accountability through responsiveness to outcome measures and by maintaining current knowledge/skill.
Accountability is demonstrated in nurses’ relationships to the patient, the team, and themselves.

18. How is accountability demonstrated on your unit?
Relationship to Patient:
Hourly rounding
Pain reassessment
S.K.I.N. care team & prevalence survey
Relationship to Healthcare team:
Delegation and follow up
Checklists
Documentation
Relationship to Self:
Maintaining credentials and competencies
Participating in shared governance
Professional membership and participation

19. Professional Practice and Care Delivery System Framework

20. Professional Practice Model and Care Delivery System
Unit: __________________
Professional Practice Model
Care Delivery System
Unit Representation
Collaboration
Nurse to Self
Nurse to Team
Nurse to Patient
Expertise
Advocacy
Integrity
Innovation
Accountability