Glossary
OO - Organizational Overview

OO11: Describe the Professional Practice Models and Care Delivery Systems of the Organization

Professional Practice Model: Patient Centered Family Focused

Professional Practice Model: Patient Centered Family Focused

The schematic above represents the Jersey CityMedicalCenter’s shared governance structure, mission, vision, values, pillars and clinical practice models. The Liberty crown’s band reads Shared Governance, with seven spikes each representing a council or quality: Leadership, Professional Practice, Research, Quality & Safety, Executive Councils, Retention & Satisfaction, and Unit Practice Councils. The crown is flanked by the Liberty Health values of communication, trust, teamwork, excellence, and accountability.

The Professional Practice Model supports seven nursing councils which are integrated and interactive to meet the primary goal of excellence in patient care. The councils serve to facilitate communication, leadership, information sharing and decision-making processes, all of which guide and support the nursing process. The councils are further discussed below.

Seven nursing councils

Seven nursing councils

Seven nursing councils

Nursing Theorists & Frameworks:

Nursing practice at Jersey CityMedicalCenter incorporates the tenets of the nursing theorist Jean Watson and the Theory of Human Caring. Through this conceptual model, nursing provides an authentic caring relationship which requires nurses to go beyond “self” and remain open to others. Through this model, nurses are present to support positive and negative feelings. Watson’s premises include the following:

  • The person is made of three spheres-mind, body and spirit
  • The healing space and environment created by nurses expands the patients awareness and conscious and promotes healing
  • The patient’s room is a soothing, healing, sacred place
  • All of this leads to a higher degree of health

Additionally, the work of Patricia Benner From Novice to Expert: Excellence and Power in Clinical Nursing Practice (1984) is used to guide the training of new nurses and the evaluation of existing staff. Upon completion of nursing orientation, new nurses are evaluated from novice to expert on a Likert-style scale. They are reevaluated annually by their managers using the scale, in addition to during competency skills validation. This assists in tracking nurse development, and transition into practice.

JCMC-Patient Centered Family Focused Care Practice Model:

The Professional Practice Model at Jersey CityMedicalCenter is patient-centered; family focused, and is based on our core values of trust, accountability, communication, excellence and teamwork. We believe that the family is integral to the care and well-being of our patients. The foundation of our Professional Practice Model is evidence-based practice, which supports the framework within which nurses make decisions essential to the care of the patient. Evidence-based practice incorporates the clinician’s expertise, the patient’s values, standards of care and other recognized sources of nursing knowledge.

Patient Family Community

Our Patient Centered-Family-Focused Care Model supports the following concepts:

  • Patient, Family, Community -Our primary focus is the patient which includes the family or significant other
  • Autonomy -Refers to autonomy of nurses to make practice decisions
  • Accountability -Each nurse is responsible for their clinical practice and patient outcomes
  • Trust -Nurses work to foster trust in nursing practice and the interdisciplinary healthcare team through honesty
  • Communication -Positive and timely communication to ensure that all persons are treated with dignity and respect
  • Excellence -The provision of continuing and ongoing excellence in nursing care through evidence-based and caring practices to improve outcomes for the patient, family, and community
  • Teamwork -Utilization of teamwork to accomplish overall outcomes and to develop a culture of caring
  • Professional Development -Development of clinical nurses to assume roles in practice, leadership, education and research.

Care Delivery Systems

Our Care Delivery Systems consist of the following:

Synergy

This model describes nursing practice based on eight patient characteristics: resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision-making and predictability. The model continues to describe eight nurse competencies: clinical judgment, advocacy and moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning and clinical inquiry. Nursing care reflects an integration of knowledge, skills, experience and attitudes needed to meet the needs of the patients and families.

Team Nursing

In team nursing the registered nurse coordinates care for a specific group of patients. The goal of team nursing is to reduce fragmented care. The team members participate in decision-making and contribute their own expertise.

Modular Nursing

Modular Nursing is a modification of the team nursing approach. The patient care unit is divided into modules or units and the RN is the team leader. The unit is geographically orchestrated to accommodate specialty groups of patients together. The goal is to have the same team of caregivers assigned to the same geographic area. This model tends to increase RN involvement in patient care.

Total Patient Care

The nurse is responsible for planning. Organizing and performing all care. One RN completes all the care for the patient.

Care Coordination

Care Coordination is a multidisciplinary approach to the care of the patient. Coordination is necessary when participants are dependant upon each other to carry-out activities of patient care. Integration of care activities has the goal of facilitating appropriate delivery of health care services.