Center of Nursing Excellence Jackson Health System

Nursing Practice Models

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Professional Practice Model

Nursing practice at Jackson Health System is guided by the tenets encapsulated in our model and includes Relationship-Based Care, Patient and Family Centered Care, Leininger's Theory of Culture Care Diversity and Universality, the Jackson Values, and the JHS Nursing Vision, Mission, and Philosophy.

Relationship-Based Care (RBC)Relationship Based Care

Relationship-Based Care (RBC) is an overarching philosophy that focuses on three relationships for the provision of humane and compassionate care - the nurse's relationship with patients and families, colleagues, and self, engendering a culture of patient and family centered care. We believe that if we support the values, rights, and beliefs of those in our patients and families, we will achieve excellence in patient care.

  • RBC is a culture of caring where the patient and family are the central focus.
  • The nurse and other team members of the health care team strive to understand what is most important to the individual patient, and actively engage them in all aspects of care.
  • It is a culture that supports healing and caring.

JHS Nursing Theory

Madeleine Leininger's Theory of Transcultural Nursing provides the foundational, theoretical framework for nursing practice at Jackson Health System.

Why was Leininger's theory selected?
Our world has become globally multicultural. Within a large metropolitan county, JHS strives to provide excellent health care to multicultural and multiethnic individuals. We believe that because of our diverse patient population and employee mix, Leininger's theory can provide a strong framework that is appropriate, relevant, and adaptable to all areas of JHS nursing including clinical, research, leadership, and education. In addition Leininger's theory is congruent with our organizational values.

What is Transcultural Nursing?
Dr. Leininger was the first professional nurse with graduate preparation to complete a Ph.D. in anthropology. She brought nursing and anthropology together by establishing the discipline of transcultural nursing as an essential formal area of study, research, and practice. She coined the term transcultural nursing to focus nursing worldwide on comparative cultural caring, health, and nursing phenomena. Transcultural nursing is directed toward holistic, congruent, and beneficial health care based on culturally-sensitive beliefs, values, and practices. Simply stated, transcultural nursing is how professional practice interfaces with the concept of culture.

Group Practice Model

Jackson Health System Nursing Services has created a patient care delivery model, Group Practice, which is guided by its vision and principles. The primary focus of this model is continuity of patient care and building strong collaborative relationships. The implementation of the care delivery model is being driven by individual unit practice councils throughout JHS.

The goals of the care delivery model are as follows:

  • Maintain a consistent, effective approach of care delivery throughout JHS
  • Provide continuity of care to each patient
  • Establish excellent relationships between patient, staff and physicians
  • Ensure nursing is practiced as an intellectual discipline
  • Provide an effective orientation and transition for new staff
  • Increase recruitment and retention of qualified staff
  • Promote patient safety outcomes
  • Implement appropriate skill mix of staff

Transformational Leadership
Transformational leaders create vision for nursing practice and engage staff, establishing mutual goals and fostering trusting relationships. Our shared governance structure empowers staff to be innovative, participate in hospital affairs, establish, accomplish and sustain desired goals.

Teamwork
Health care team members collaborate to provide safe, proficient, and compassionate care with quality outcomes. Leaders support professional practice by creating an environment conducive to safe and effective care.

Professional Nursing
Professional nursing practice at JHS involves the execution of six primary roles for patients: Sentry, Guide, Healer, Collaborator, Teacher, and Leader. Effective execution of these roles requires technical and interpersonal skills, leadership skills, cultural competence, critical thinking, caring, commitment to quality, ethical practice, evidence-based practices, and ongoing learning.

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