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UWHC,

Nursing,

Departments & Programs,Programs and Initiatives,Magnet Recognition Program,Magnet Model

Exemplary Professional Practice

Exemplary Professional Practice - Departments & Programs, Programs and Initiatives, Magnet Recognition Program, Magnet Model

Focus

Exemplary Professional Practice UWHC Example

University of Wisconsin Hospital and Clinics (UWHC) nurses are dedicated professionals, committed to delivering exemplary care. Guided by the nursing Professional Practice Model, the Primary Nursing delivery model, the patient- and family-centered care model, and the organization’s Interdisciplinary Model of Care, UWHC nurses deliver culturally congruent care that is individualized to the patient and family. Safety, quality, and confidentiality are always at the forefront of clinical nursing practice at UWHC. As nursing professionals, UWHC nurses maintain accountability, competence, and autonomy through the practice of self-evaluation and peer feedback.

Exemplary Professional Practice Overview

The true essence of a Magnet organization stems from exemplary professional practice within nursing. This entails a comprehensive understanding of the role of nursing; the application of that role with patients, families, communities, and the interdisciplinary team; and the application of new knowledge and evidence. The goal of this Component is more than the establishment of strong professional practice; it is what that professional practice can achieve.

Exemplary Professional Practice Sources of Evidence

Professional Practice Model

EP1: Clinical nurses are involved in the development, implementation, and evaluation of the professional practice model.

EP2EO: Clinical nurses are involved in the development, implementation, and evaluation of the professional practice model.

Provide one example, with supporting evidence, of an improvement resulting from a change in clinical practice that occurred because of clinical nurses’ involvement in the implementation or evaluation of the professional practice model. Supporting evidence must be submitted in the form of a graph with a data table that clearly displays the data.

EP3EO: Unit or clinic level nurse (RN) satisfaction data outperform the mean or median of the national database used.

Note: Benchmark used must be one to which the organization contributes data. 

Nurse (RN) satisfaction survey must include questions related to the following seven categories. Data must be submitted on your choice of four of the seven categories.

  1. Autonomy
  2. Professional development (education, resources, etc.)
  3. Leadership access and responsiveness (includes nursing administration/CNO)
  4. Interprofessional relationships (includes all disciplines)
  5. Fundamentals of quality nursing care
  6. Adequacy of resources and staffing
  7. RN-to-RN teamwork and collaboration

Care Delivery Systems

EP4: Nurses create partnerships with patients and families to establish goals and plans for delivery of patient-centered care. 

AND

EP5: Nurses are involved in interprofessional collaborative practice within the care delivery system to ensure care coordinational and continuity of care. 

EP6: Nurses incorporate regulatory and specialty standards/guidelines into the development and implementation of the care delivery system. 

EP7EO: Nurses systematically evaluate professional organizations’ standards of practice, incorporating them into the organization’s professional practice model and care delivery system. 

EP8EO: Nurses use internal and external experts to improve the clinical practice setting. 

OR

Staffing, Scheduling and Budgeting Processes 

EP9: Nurses are involved in staffing and scheduling based on established guidelines, such as ANA’s Principles for Nurse Staffing, to ensure that RN assignments meet the needs of the patient population. 

EP10: Nurses use trended data in the budgeting process, with clinical nurse input, to redistribute existing nursing resources or obtain additional nursing resources. 

EP11EO: Nurses participate in recruitment and retention assessment and planning activities. 

OR

Interprofessional Care 

EP12: Nurses assume leadership roles in collaborative interprofessional activities to improve the quality of care. 

EP13EO: Nurses participate in interprofessional groups that implement and evaluate coordinated patient education activities. 

Accountability, Competence, and Autonomy 

EP14: Resources, such as professional literature, are readily available to support decision-making in autonomous nursing practice. 

EP15: Nurses at all levels engage in periodic formal performance reviews that include a self-appraisal and peer feedback process for assurance of competence and continuous professional development. 

AND

Note: The CNO and nurse educators are included in nurse leaders. 

EP16: Nurse autonomy is supported and promoted through the organization’s governance structure for shared decision-making. 

AND

Ethics, Privacy, Security and Confidentiality 

EP17: Nurses use available resources to address ethical issues related to clinical practice and organizational ethical situations. 

OR

Culture of Safety 

EP18EO: Workplace safety for nurses is evaluated and improved. 

EP19EOL: Nurses are involved in the facility- or system-wide approach focused on proactive risk assessment and error management. 

EP20EO: Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level. 

EP21EO: Nurses are involved in implementing and evaluating national or international patient safety goals. 

EP22EO: Unit- or clinic-level nurse-sensitive clinical indicator data outperform the mean or median of the national database used. 

For an acute care organization with or without ambulatory/outpatient services, six nurse-sensitive clinical indicators are required. The required indicators for both include falls with injury, hospital-acquired pressure ulcers stages 2 and above, central line-associated bloodstream infection, and catheter-associated urinary tract infection. The remaining two nurse-sensitive clinical indicators must be selected from the list in Table 5.  

Organizations seeking Magnet designation must submit the following:

Quality Care Monitoring and Improvement 

EP23EO: Unit- or clinic-level patient satisfaction data (related to nursing care) outperform the mean or median of the national database used. 

Note:  Pediatric and ambulatory patient satisfaction data are required for organizations with these services in place. Ambulatory data may be compared to internal goals and presented for each indicator until February 2016. Starting February 2016: ambulatory data, compared to national benchmarks, must be presented. 

Content reflects Magnet Application Addendums through June 2014.