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Citation Manager Abstract Ensuring that nurses can practise according to the philosophical underpinnings of their profession is recognized as an important factor in job satisfaction and is therefore a key element of retention and recruitment of the nursing workforce.
Creating a culture of excellence requires making explicit a set of values and performance expectations to which all nurses can subscribe and that influences practice behaviours.
The vice president and chief nursing officer of a large health region in Western Canada therefore sought to establish a foundation for building such a culture of excellence, through the creation of a mission, vision and Professional Practice Framework for the region's nurses.
The author describes the development of the nursing Professional Practice Framework for this health region, presents the results of a participatory approach to promoting nurses' ownership of the model and discusses plans for assessing the impact of the framework on nurses' practice and patient care.
The past decade in healthcare has been characterized by hospital restructuring, with mergers of previously independent organizations and their associated cultures into larger, regionalized entities.
Concurrently, cutbacks due to fiscal constraints during the s contributed to heavy workloads, long hours and reported difficulty by nurses in carrying out their professional roles Baumann et al. Recognizing the importance of practice environments that conform to the philosophy of care held by the nursing profession Baumann et al.
A task force was struck, with a mandate to complete a first draft of the framework by Nursing Week May This paper describes the process used to solicit input into the development of the framework and presents results of the participatory approach to obtaining ownership of the model by nurses.
It concludes with a brief commentary on plans for assessing the impact of the framework on nurses' practice and on patient care. Literature Support Ensuring that nurses can practise according to the philosophical underpinnings of their profession is recognized as an important factor in job satisfaction and hence is critical to retention and recruitment of the nursing workforce Baumann et al.
Employers share responsibility with nurses, professional associations and others for promoting environments that support quality professional practice Canadian Nurses Association Achieving high-quality healthcare requires that we make explicit the expectations related to professional nursing practice Ferguson-Pare et al.
Nurses' effectiveness in achieving the outcomes for which they are accountable is inextricably tied to the extent to which they can exercise control over the delivery of care for which they are responsible Hoffart and Woods Professional practice models generally address nurses' need for autonomy and accountability and are considered important to organizational empowerment of nurses and to the creation of effective work teams Spence Laschinger and Havens A set of values and performance expectations to which all nurses can subscribe and that influences practice behaviours is essential to creating a culture of excellence Kramer Achieving excellence in nursing practice was the aim in development of the Calgary Health Region Professional Practice Framework.
Through the development of this vision, it became apparent that a mission for nursing was also essential. As this work progressed, an evident need emerged to establish a definition of professional practice and a guideline or framework that nurses could utilize on a daily basis to achieve the vision and mission of nursing in the Region.
This foundational work is described in Figure 1. Vision and mission for nursing, Calgary Health Region Our vision for nursing: Excellent healthcare through professional nursing practice. We are committed to professional nursing practice that promotes quality, family-centred care and efficient and effective delivery of integrated services provided in collaboration with community partners and members of the multidisciplinary healthcare team.
The mission and vision formed the foundation on which development of the Professional Practice Framework was based. An important first step was to articulate clearly, in concise terms, the meaning of "professional nursing practice.
Professional nursing practice is a commitment to compassion, caring and strong ethical values; continuous development of self and others; accountability and responsibility for insightful practice; demonstrating a spirit of collaboration and flexibility.
One of the main concerns of the task force mandated with the development of the Professional Practice Framework was that all nurses be given the opportunity for involvement in its development.
Hence, a participatory approach was used to solicit nurses' input. A number of focus groups were held, which were offered at different times of the day on various days of the week and at various sites across the Region.
Subsequent to analysis of the focus group data, questionnaires to validate the focus group findings were distributed in hard copy at all regional sites and simultaneously placed on the internal website to increase access for nurses in the Region and to invite them to complete the survey.
Purpose and Objectives The purpose of the focus groups was to obtain nurses' views about the defining elements of professional nursing practice within the Region.
Three questions were asked of participants in the focus groups, only the first of which is addressed in this paper: How would you describe an exemplary "professional" nurse? In light of those attributes, what do you think is the current status of professional nursing practice in the Calgary Health Region?
What can the Region do to support and promote professional nursing practice?
Methodology and Limitations Eighteen focus groups were held from early January to late Februarywith a total of participants in attendance. Three of these focus groups were considered "expert" groups, two with the Regional Nursing Council and one with representatives of the clinical nurse educators.
The remaining 15 groups were composed of nurses primarily registered nurses, with a few licensed practical nurses working in a variety of practice settings e.
All focus groups were moderated by one of two facilitators who were employees of the Region.
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Group discussions were either audiotaped and later transcribed, or summarized directly onto a laptop computer by one of the group moderators.
Subsequent to the focus groups, a questionnaire was constructed and a Region-wide survey conducted with nurses to validate the components of the Professional Practice Framework. Statements on the questionnaire were derived from the themes that had emerged during focus group consultations.
These included eight statements focusing on the art of nursing, eight related to competence, eight dealing with attributes of practice and 10 with personal commitment.Provides access to the full text of nursing and allied health journals, plus a wide variety of personal health information sources.
Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way.
How to Write a Reflection Paper. Reflection papers allow you to communicate with your instructor about how a specific article, lesson, lecture, or experience shapes your understanding of class-related material.
Reflection papers are. Nursing Essay and Research Paper It is an open secret that these are the nurses who run the medical field. Nurses are the ones who are always there for the patients and their need.
The Role of Nursing Leadership in Integrating Clinical Nurse Specialists and Nurse Practitioners in Healthcare Delivery in Canada Nancy Carter, Ruth Martin-Misener, Kelley Kilpatrick, Sharon Kaasalainen, Faith Donald, Denise Bryant-Lukosius, Patricia Harbman, Ivy Bourgeault and Alba DiCenso.
The American Association of Colleges of Nursing (AACN) is the national voice for baccalaureate and graduate nursing education. AACN works to establish quality standards for nursing education; assists schools in implementing those standards; influences the nursing profession to improve health care; and promotes public support for professional nursing .