Jupiter Medical Center Professional Practice Model

Description of the Professional Practice Model

Our professional practice model at Jupiter Medical Center is Synergy and was adapted from the American Association of Critical Care Nurses (AACN). Our professional practice model influences how we practice, collaborate, communicate and develop professionally and support our nursing core mission, vision, values, philosophy. The AACN Synergy Model core concept is that the needs or characteristics of patients and families influence and drive the competencies of nurses. Synergy resonates when the needs and characteristics of a patient, clinical unit, or system are matched with a nurse’s competencies.

 

Conceptual Framework for the Professional Practice Model

Within this framework, nurses at Jupiter Medical Center display commitment to the practice of nursing and to quality outcomes. Nurses at Jupiter practice in accordance with the following:

  • Autonomy:
    Maintaining control over nursing practice by acting according to one’s professional knowledge and judgment.
  • Competency:
    An individual’s ability to perform assigned duties and responsibilities and meet performance standards in order to promote an ethical practice.
  • Accountability:
    The obligation to demonstrate and take responsibility for one’s professional performance and agreed upon expectations. There is a difference between responsibility and accountability: responsibility is the obligation to act; accountability is the obligation to answer for an action.

 

Professional Development

As professionals, we recognize our responsibility to help others, as well as ourselves, to grow and to care for self, therefore the Nursing Department at JMC provides innovative and creative educational opportunities for nurses, which facilitate professional and personal growth, professional competence and advance career goals. Nurses at JMC are skilled, passionate providers, constantly looking for opportunities to develop professionally and improve care for their patients. Our nurses combine their education and experiences with a deep commitment to caring for others and helping others reach their potential. Nurses at JMC give voice to their patients, while finding their own voices through shared governance.  We offer programs to support and continuously challenge the abilities of our nurses.

We provide scholarships, flexible scheduling, career development and recognition programs to sustain a rewarding and well-rounded work environment. In addition, we provide support for:

  • Advancing professional formal education
  • Attaining professional certifications
  • Continuing educational opportunities
  • Determination of annual competencies
  • E-learning opportunities
  • A Clinical Ladder Program
  • Support for participation in local, state and national conferences

 

Collaboration

When patient characteristics and nurses’ competencies match, individuals move freely yet are connected by a rhythm that constitutes a collaborative structure that exists to accomplish a common mission. This common mission is living caring and enhancing personhood for those nursed through caring collaboration. Registered Nurses work in a collaborative practice with our patients, families, and interdisciplinary team that focus on professional excellence, caring, respect collegiality, and professional accountability.

At Jupiter Medical Center, we believe building strong relationships between the nurse and the patient/family is essential to our success in providing exceptional and compassionate care. It is this consistent therapeutic relationship that provides the foundation for our work with patients and families to collaboratively manage care and achieve outstanding outcomes. We also recognize relationships with colleagues and with self as essential components of our professional practice model. These relationships contribute to a caring and healing environment and directly influence the relationships we build with our patients and their families, and thus influence our success.

Collaboration forms the foundation of the professional practice model.  Collaboration is required at every level of the organization and is essential to effective communication and care delivery.  Jupiter nurses collaborate with all health care providers and team members through the following mechanisms:

  • Participation in interdisciplinary committees, councils and taskforces
  • Multidisciplinary rounds
  • Care delivery at the bedside
  • Use of internal experts for patient care (e.g., Diabetes Resources Nurses, Wound/Ostomy Nurses, IV Team, Metabolic Nutritional Support Team, among others)
  • Use of external consultants to support care
  • Participation in professional organizations
  • Participation in professional list-serves to support best practices

 

Professional Practice

The Jupiter Medical Center Nursing Professional Practice Model supports the practice of Nursing as defined by the Florida Nurse Practice Act and the American Nurses Association (ANA).  The Florida Nurse Practice Act defines nursing as follows:
"Practice of professional nursing" means the performance of those acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences which shall include, but not be limited to:

  • The observation, assessment, nursing diagnosis, planning, intervention, and evaluation of care; health teaching and counseling of the ill, injured, or infirm; and the promotion of wellness, maintenance of health, and prevention of illness of others.
  • The administration of medications and treatments as prescribed or authorized by a duly licensed practitioner authorized by the laws of this state to prescribe such medications and treatments.
  • The supervision and teaching of other personnel in the theory and performance of any of the above acts.


Likewise, in the 2010 Nursing’s Social Policy Statement, the ANA stated:
“Professional Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations.” American Nurses Association (2010) Nursing: A Social Policy Statement

 

Professional Practice Standards

  • Our practice is guided by the following professional nursing practice standards:
  • American Nurses Association Scope and Standards for Nurse Administrators
  • American Nurses Association Scope and Standards of Practice
  • American Nurses Association Code of Ethics for Nurses
  • American Nurses Association Principles of Delegation
  • American Nurses Association Principles of Staffing
  • American Nurses Association Bill of Rights for Registered Nurses
  • Nursing Specialty Specific organizational standards

 

Communication

It is within the nursing situation that nurses heed calls for nursing and formulates a nursing response. Responding in a caring manner requires continuous communication with those receiving care, colleagues, and structures that influence the nursing situation. Synergistic relationships between nurses and those nursed promote communication and enhance personhood. Nurses are empowered through a nursing governance structure to make decisions and build professional accountability. Nurses practice in an environment that supports innovation, creativity and scholarly programs.

A viable and effective Professional Practice Model and Care Delivery System demands that every health care professional makes effective communication a priority. Communication at Jupiter is intentional, professional, seeks desirable outcomes and enhances the collaborative relationship.  Common methods of communication include:

  • Face to face dialogue through meetings, rounds, and hand-offs (SBAR)
  • Email, mandatory read email, and written correspondence
  • Unit interdisciplinary communication through rounding and meetings
  • Interdisciplinary care planning
  • Electronic medical records
  • Fall Patient Safety Huddles