Professional practice model for a hospital network: Nursing methodology research
DOI:
https://doi.org/10.15649/cuidarte.4348Keywords:
Nursing Methodology Research, Leadership, Nursing Theory, Education, Nursing, Patient Safety, Patient-Centered Care, CompassionAbstract
Highlights
- Changes in service delivery structures require nursing to follow common guidelines to achieve its purposes.
- Professional nursing practice models are important guides for making caring visible and focused.
- The development of models for teaching hospital networks requires the involvement of both care practice and teaching.
- The developed professional practice model strengthens leadership and compassionate and safe nursing care.
Introduction: The emergence of hospital networks requires nursing models to guide practice and research. Objective: To develop a professional practice model to guide nursing care practice, teaching, and research in a teaching hospital network. Materials and Methods: This study involved Nursing Methodology Research conducted within an academic-service partnership over three years in a hospital network in Colombia. It followed a humanistic theoretical framework and a collective construction technique with guideline-based development and analysis. It included four consecutive phases: 1) Identification of the need for the model within the Hospital Network, 2) recognition of nursing metaparadigm concepts for practice, 3) formulation and prioritization of the assumptions required to achieve nursing mission and vision, and 4) consolidation, sharing, and validation of the model. A total of 156 out of the 185 nurses in the organization participated. Results: The model developed for the Hospital Network consists of three essential components: compassion, safe care, and nursing leadership. Discussion: The collective participation of the nursing staff and the work made within the academic-service partnership facilitated the adoption of the model. This development responds to the Hospital Network's strategic guidelines for quality of care, includes internal and external validation, and adheres to international standards. Conclusion: The "Leadership in Compassionate and Safe Care" nursing practice model guides, facilitates, and makes visible teaching and care practice and nursing research inside and outside of the Hospital Network.
How to cite this article: Torres-Acosta Doris Helena, Pulido-Barragán Sandra Patricia, Archila-Hernández Edwin Darío, Laverde-Contreras Olga Lucía, Sánchez-Herrera Beatriz. Professional practice model for a hospital network: Nursing methodology research. Revista Cuidarte. 2025;16(1):e4348. https://doi.org/10.15649/cuidarte.4348
References
World Health Organization. Prestación de servicios de salud de calidad: un imperativo global para la cobertura sanitaria universal 2019. Consulta: Agosto 08, 2023. Disponible en: https://www.who.int/es/publications/i/item/9789241513906
Juanamasta IG, Aungsuroch Y, Gunawan J. A Concept Analysis of Quality Nursing Care. J Korean Acad Nurs. 2021;51(4):430-441. https://doi.org/10.4040/jkan.21075
Thorne Sally. Routledge Handbook of Philosophy and Nursing. 1st ed. Martin Lipscomb, editor. Taylor & Francis Group; 2024.
Endeshaw B. Healthcare service quality-measurement models: a review. J Health Res. 2021;35(2)2:106–17. https://doi.org/10.1108/JHR-07-2019-0152
Niñerola A, Sánchez-Rebull MV, Hernández-Lara AB. Quality improvement in healthcare: Six Sigma systematic review. Health Policy. 2020;124(4):438–45. https://doi.org/10.1016/j.healthpol.2020.01.002
Harrison R, Fischer S, Walpola RL, Chauhan A, Babalola T, Mears S, et al. Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. J Healthc Leadersh. 2021;13:85–108. https://doi.org/10.2147/JHL.S289176
Sherwood G, Barnsteiner J. Quality and Safety in Nursing: A Competency Approach to Improving Outcomes. 3rd ed. Wiley; 2021.
Pei-Ying KO, Chen-Shie HO, Pei-Hung LIAO. The impact of a multilevel interactive nursing quality control and audit application on nursing quality management. BMC Nurs. 2021;20:1-11. https://link.springer.com/article/10.1186/s12912-021-00767-0
Foster ST, Gardner JW. Managing Quality: Integrating the Supply Chain. 7th ed. Wiley; 2022.
Ystaas LMK, Nikitara M, Ghobrial S, Latzourakis E, Polychronis G, Constantinou CS. The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review. Nurs Rep. 2023; 13(3):1271–90. https://doi.org/10.3390/nursrep13030108
Fawcett J. Thoughts About Models of Nursing Practice Delivery. Nurs Sci Q. 2021;34(3):28–30. https://doi.org/10.1177/08943184211010460
Kuşcu Karatepe H, Türkmen E. Nurse performance: A path model of clinical leadership, creative team climate and structural empowerment. J Clin Nurs. 2023,32(3–4):584–96. https://doi.org/10.1111/jocn.16419
Berger JT, Conway S, Beaton KJ. Developing and Implementing a Nursing Professional Practice Model in a Large Health System. JONA: The Journal of Nursing Administration. 2012;42(3):170–5. http://doi.org/10.1097/NNA.0b013e31824809f5
Chesak SS, Rhudy LM, Tofthagen C, Chlan LL. A practice‐based model to guide nursing science and improve the health and well‐being of patients and caregivers. J Clin Nurs. 2022;31(3–4):445–53. https://doi.org/10.1111/jocn.15837
National Library of Medicine. National Library of Medicine. Nursing Methodology Research. In: Medical Subject Headings (MeSH) [Internet]. Bethesda (MD): National Library of Medicine (US); [2024] [cited 2023 08 08]. Available from: https://www.ncbi.nlm.nih.gov/mesh/?term=nursing+methodology+research
Vieira TW, Sakamoto VTM, Moraes LC de, Blatt CR, Caregnato RCA. Validation methods of nursing protocols: an integrative review. Rev Bras Enferm. 2020;73(5). https://www.scielo.br/j/reben/a/J6N8kqf8QQDq6t9PpDPCcnP/
Kyngäs H. Qualitative Research and Content Analysis. In: The Application of Content Analysis in Nursing Science Research. Cham: Springer International Publishing; 2020. p. 3–11.
Im EO. The current status of theory evaluation in nursing. J Adv Nurs. 2015;71(10):2268–78. https://doi.org/10.1111/jan.12698
Torres-Acosta, DH, Pulido-Barragán SP, Archila Hernández ED, Laverde-Contreras OL, Sanchez-Herrera B. Modelo Liderazgo en cuidado compasivo y Seguro. 2024. Mendeley Data V1. https://doi.org/10.17632/7hdtzr8sbd.1
Markaki A, Prajankett O on, Shorten A, Shirey MR, Harper DC. Academic service-learning nursing partnerships in the Americas: a scoping review. BMC Nurs. 2021;20. https://link.springer.com/article/10.1186/s12912-021-00698-w
Pérez‐Vergara M, Cañas‐Lopera EM, Ortiz JA, Rojas NA, Laverde‐Contreras OL, Sánchez‐Herrera B. Nursing Care at the Service of Life: A model including charity, quality, and leadership. Nurs Forum. 2021;56(4):844–8. https://doi.org/10.1111/nuf.12624
Serna Restrepo A, Rojas Castañeda YA, Monroy Rubiano MP, Verbel Vergara L, Suárez Acuña CE, Sánchez-Herrera B. Modelo de práctica de enfermería para fortalecer la capacidad de cuidado de los pacientes y sus cuidadores. Cultura de los cuidados. 2021;61. http://hdl.handle.net/10045/120134
Nilsen P, Seing I, Ericsson C, Birken SA, Schildmeijer K. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses, and assistant nurses. BMC Health Serv Res. 2020;20. https://doi.org/10.1186/s12913-020-4999-8
Prezerakos PE. Nurse Managers’ Emotional Intelligence and Effective Leadership: A Review of the Current Evidence. Open Nurs J. 2018;12:86. https://doi.org/10.2174/1874434601812010086
Miles JM, Scott ES. A New Leadership Development Model for Nursing Education. 2019;35(1):5–11. https://doi.org/10.1016/j.profnurs.2018.09.009
Pursio K, Kankkunen P, Sanner‐Stiehr E, Kvist T. Professional autonomy in nursing: An integrative review. J Nurs Manag. 2021;29(6):1565–77. https://doi.org/10.1111/jonm.13282
Su JJ, Masika GM, Paguio JT, Redding SR. Defining compassionate nursing care. Nurs Ethics. 2020;27(2):480–93. https://doi.org/10.1177/0969733019851546
Coffey A, Saab MM, Landers M, Cornally N, Hegarty J, Drennan J, et al. The impact of compassionate care education on nurses: A mixed‐method systematic review. J Adv Nurs. 2019;75(11):2340–51. https://doi.org/10.1111/jan.14088
29. J Natl Med Assoc.Tehranineshat B, Rakhshan M, Torabizadeh C, Fararouei M. Compassionate Care in Healthcare Systems: A Systematic Review. J Natl Med Assoc. 2019;111(5):546–54. https://doi.org/10.1016/j.jnma.2019.04.002
Bridges J, Pickering RM, Barker H, Chable R, Fuller A, Gould L, et al. Implementing the Creating Learning Environments for Compassionate Care (CLECC) programme in acute hospital settings: a pilot RCT and feasibility study. Health Services and Delivery Research. 2018;6(33):1–166. https://doi.org/10.3310/hsdr06330
Tierney S, Bivins R, Seers K. Compassion in nursing: Solution or stereotype? Nurs Inq. 2019;26(1):e12271. https://doi.org/10.1111/nin.12271
Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? AJN, American Journal of Nursing. 2017;117(7):58–62. https://doi.org/10.1097/01.NAJ.0000520946.39224.db
Ghafourifard M, Zamanzadeh V, Valizadeh L, Rahmani A. Compassionate Nursing Care Model: Results from a grounded theory study. Nurs Ethics. 2022;29(3):621–35. https://doi.org/10.1177/09697330211051005
Rohrer JL, Weiss MJ. Teaching Compassion Skills to Students of Behavior Analysis: A Preliminary Investigation. Behav Anal Pract. 2023;16(3):763–82. https://doi.org/10.1007/s40617-022-00748-y
Raustøl A, Tveit B. Compassion, emotions, and cognition: Implications for nursing education. Nurs Ethics. 2023; 30(1):145–54. https://doi.org/10.1177/09697330221128903
Gelkop C, Kagan I, Rozani V. Are emotional intelligence and compassion associated with nursing safety and quality care? A cross-sectional investigation in pediatric settings. J Pediatr Nurs. 2022;62:e98–102. https://doi.org/10.1016/j.pedn.2021.07.020
Downloads
Published
How to Cite
Funding data
-
Universidad de La Sabana
Grant numbers 003140319
Downloads
Issue
Section
Categories
License
Copyright (c) 2024 Revista Cuidarte
This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
