Chapter 14: Professional Practice

Question 1

Practice Models

Answer 1

describes the view of professional nursing for a group or a healthcare organization (HCO)

• framework used to guide practice
• can be a verbal description, visual, or both
• driving force of nursing care
• a schematic description of a theory, phenomenon, or system that depicts how nurses practice, collaborate, communicate, and develop professionally to provide the highest-quality care for those served by the organization
• mission, vision, and values; how the organization cares for its patients; how various professions relate to one another; and how the organization develops and recognizes employees
• should support expected nursing profession standards, differentiated practice, shared governance, collaboration, leadership, EBP, teams, and ongoing staff education

Question 2

Magnet Recognition Program

Answer 2

a recognition program developed to support excellence in nursing services

• program is administered by the American Nurses Credentialing Center’s (ANCC) Commission on the Magnet Recognition Programs
• HCOs and their nursing services must meet certain criteria, Forces of Magnetism, to be recognized as a magnet organization

Question 3

Differentiated Nursing Practice

Answer 3

a philosophy that focuses on the structuring of roles and functions of nursing according to education, experience, and competence

• indicates that graduates from each program enter practice having completed a curriculum associated with a level of education and related competencies
• there is a positive impact on patient care when more RNs have BSN degrees

Question 3

Differentiated Nursing Practice

Answer 3

a philosophy that focuses on the structuring of roles and functions of nursing according to education, experience, and competence

• indicates that graduates from each program enter practice having completed a curriculum associated with a level of education and related competencies
• there is a positive impact on patient care when more RNs have BSN degrees

Question 4

Examples of Professional Practice Models

Answer 4

• Functional Nursing Structure
• Team Nursing Structure
• Total Care Nursing Structure
• Primary Nursing Structure
• Case Management Model
• Forces of Magnetism
• Synergy Model
• Innovative new professional practice models

Question 5

Model

Answer 5

offers nurses a consistent way of framing the care they deliver to patients and their families

Question 6

ANA of Critical-Care Nurse’s Synergy Model

Answer 6

• current nursing model
• core premise is closely r/t the five healthcare core competencies, particularly patient-centered care, by describing the needs of patients and families as the drivers of the characteristics and competencies of the nurse
• focuses on patients characteristics; resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision, and predictability
• focuses on nurse competencies; clinical judgment, advocacy, caring practices, collaboration, systems thinking, response to diversity, clinical inquiry, facilitation of learning, and clinical inquiry (innovator/evaluator)

Question 7

Innovative New Professional Practice Models

Answer 7

• include an elevated RN role
• greater focus on the patient; efforts to improve patient transitions and handoffs to decrease errors and make the patient more comfortable
• leveraging of technology to enable care model design; electronic medical records, robots, bar coding, cell phone communication
• greater emphasis on results or outcomes