Implementation challenges of a renal nursing professional practice model.
A city-wide steering-committee developed and introduced a program wide renal nursing professional practice model (PPM) using a variety of strategies. The PPM outlines values, practice guidelines, professional relationships, and the care delivery model. Challenges are inherent when implementing changes on multiple sites amidst a city-wide merger. Key challenges included maintenance of the model and measurement of its impact on practice. This paper summarizes the leadership team s learning regarding both the support required to successfully implement the model and the developments that competed against a successful implementation. The authors also discuss qualitative evaluation of the nurses experiences during model implementation.
Harwood
Lori
L
Renal Program, Victoria Campus, London Health Sciences Centre, London, Ontario.
Lawrence-Murphy
Julie Ann
JA
Ridley
Jane
J
Malek
Phyllis
P
Boyle
Lorraine
L
White
Sharon
S
D003266:Continuity of Patient Care; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration; D006801:Humans; D007674:Kidney Diseases / Q000451:nursing*; D016294:Models, Nursing; D009398:Nephrology; D024802:Nurse's Role; D009736:Nursing Process; D010348:Patient Care Team; D018794:Problem-Based Learning / Q000379:methods; D016730:Program Development / Q000379:methods; D015397:Program Evaluation; D011787:Quality of Health Care; D013041:Specialties, Nursing