Nursing

Professional Practice Model

FRHS Nursing Vision

Frederick Memorial Hospital, where patients know they are cared for in the center of nursing excellence.

FRHS Nursing Philosophy

We believe the essence of nursing practice is caring. Caring is defined as a science and an art; deliverable, teachable, researchable and accomplished with wisdom, knowledge, compassion and competence.

We believe the clinical practice of nursing is built on a scientific base. As an essential component of the interdisciplinary team, nursing is committed to an environment that fosters evidence-based practice, critical thinking and adoption of innovations that enhance patient care.

We believe nursing has the responsibility to educate ourselves and others. We believe in the importance of expanding our knowledge and expertise as well as sharing this growing body of knowledge with our diverse community.

FRHS Nursing Mission

To be a leader in providing compassionate, quality care focusing on the unique needs of our patients and their families who guide our nursing care. We are committed to fostering an environment that promotes respect, diversity, positive communication and collaboration among all members of the patient/family/healthcare team. We are committed to excellence in nursing by creating a culture of lifelong learning that integrates evidence-based practice, research and professional development.

Our practice reflects the hospital’s vision of Superb Quality. Superb Service. All The Time.

  1. Introduction - The nursing professional practice model for Nursing Services is based on multiple components that, when combined, demonstrate professional nursing practice at FRHS.
  2. A professional practice model is a visual framework that articulates the professional care provided by the nurse to achieve the highest quality outcomes. It reflects how nurses practice, collaborate, communicate, and develop professionally. It integrates vision, wisdom, values, philosophy and theories of nursing with practice. A professional practice model (PPM) is a system (structure, process, and values) that supports the registered nurses control over the delivery of nursing care and the environment in which care is delivered. (JONA. Vol. 37, No. 9. September 2007)

Professional Practice models include five components:

  • professional values,
  • professional relationships,
  • a patient care delivery model,
  • a management or governance approach
  • recognition and rewards

The professional values addressed are nurse autonomy, nurse accountability, professional development, and emphasis on high-quality care. Teamwork, collaboration, and consultation consistently appear as approaches to enhance professional relationships. (J Prof Nurs. 1996 Nov-Dec; 12(6):354-64)

“Patient-Family Centered Care” (PFCC) is our care delivery model. The value of a care delivery model is determined by the outcomes to be achieved. The Institute for Family-Centered Care defines patient-and-family-centered care as “an innovative approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among healthcare patients, families, and providers.” The core concepts of PFCC include:

  • Respect and dignity. Health care practitioners listen to and honor patient and family perspectives and choices. Patient and family knowledge, values, beliefs and cultural backgrounds are incorporated into the planning and delivery of care.
  • Information Sharing. Health care practitioners communicate and share complete and unbiased information with patients and families in ways that are affirming and useful. Patients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
  • Participation. Patients and families are encouraged and supported in participating in care and decision-making at the level they choose.
  • Collaboration. Patients and families are also included on an institution-wide basis. Health care leaders collaborate with patients and families in policy and program development, implementation, and evaluation; in health care facility design; and in professional education, as well as in the delivery of care.

  • FRHS Professional Practice Model consists of the following components:

    • Core Values: ANA code of Ethics, Responsibility, Diversity and inclusion, Honesty and Integrity, Safety
    • Standards of Behavior “Respect” : Team Stepps, Communication, Confidentiality/Privacy, Ownership/Stewardship, Professionalism
    • Shared Governance: Nursing Councils, Collaborative Leaders, Hospital committees, Open Communication, Empowerment
    • Evidenced Based Practice: Standards of Care, Bundles and Protocols, Mosby Nursing Skills, Online Resources, Nursing Research
    • Quality Outcomes: Core Measures, RN Satisfaction, Patient Satisfaction, Nurse Sensitive Indicators, Community Outreach
    • Recognition and Lifelong Learning: Expert Resources, Nurse Residency, Specialty Certification, Tuition Reimbursement and Scholarships, Clinical Ladder