title: Everyday excellence. A framework for professional nursing practice in long-term care.
abstract: RNs make measurable contributions to the health and wellness of individuals living in nursing homes. However, most nursing homes do not employ adequate numbers of professional nurses with specialized training in the nursing care of older adults to positively affect resident outcomes. As a result, many people never receive excellent geriatric nursing while living in a long-term care facility. Nurses have introduced various professional practice models into health care institutions as tools for leading nursing practice, improving client outcomes, and achieving organizational goals. Problematically, few professional practice models have been implemented in nursing homes. This article introduces an evidence-based framework for professional nursing practice in long-term care. The Everyday Excellence framework is based on eight guiding principles: Valuing, Envisioning, Peopling, Securing, Learning, Empowering, Leading, and Advancing Excellence. Future research will evaluate the usefulness of this framework for professional nursing practice.
authors.affiliation: The John A. Hartford Center of Geriatric Nursing Excellence, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242, USA.
authors.forename: Stacie Salsbury
authors.initials: SS
authors.lastname: Lyons
authors.forename: Janet P
authors.initials: JP
authors.lastname: Specht
authors.forename: Susan E
authors.initials: SE
authors.lastname: Karlman
authors.forename: Meridean L
authors.initials: ML
authors.lastname: Maas
mesh_terms: D054976:Clinical Governance / Q000458:organization & administration; D055318:Evidence-Based Nursing; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D007857:Leadership; D008134:Long-Term Care / Q000458:organization & administration*; D024802:Nurse's Role; D009735:Nursing Homes / Q000458:organization & administration*; D015399:Nursing Research; D011361:Professional Competence; D011787:Quality of Health Care / Q000458:organization & administration