title: Implementation of a nursing professional practice model of care in a pediatric hospital.
abstract: Professional nursing practice models provide a theoretical and conceptual framework that nurses can use as a foundation for practice. The utilization of a practice model helps establish professional identity and improves quality outcomes. A freestanding children's hospital sought to identify and adopt a professional practice model to optimize outcomes for patients and families, the nursing staff, and the organization. Once a model was selected, two subgroups formed and focused on revising job descriptions and educating the nursing staff. Various strategies were used to implement the model and sustain the culture change. Examples include providing periodic education, incorporating the model into nursing procedures, and assisting nurses in using the model at the bedside. The model of care has been successfully implemented in both the inpatient and outpatient areas of this pediatric hospital.
authors.affiliation: Pediatric Intensive Care Unit, The Children's Medical Center of Dayton, Dayton, OH, USA.
authors.forename: Jodi E
authors.initials: JE
authors.lastname: Mullen
authors.forename: Lucinda M
authors.initials: LM
authors.lastname: Asher
mesh_terms: D001291:Attitude of Health Personnel; D019985:Benchmarking; D002648:Child; D004509:Education, Nursing, Continuing; D004650:Employee Performance Appraisal; D007722:Health Knowledge, Attitudes, Practice; D006776:Hospitals, Pediatric / Q000458:organization & administration; D006801:Humans; D007587:Job Description; D016294:Models, Nursing; D020380:Needs Assessment; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009820:Ohio; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration*; D010687:Philosophy, Nursing; D011361:Professional Competence / Q000592:standards; D016730:Program Development; D012944:Social Support; D017749:Total Quality Management / Q000458:organization & administration