Academic journal article Creative Nursing

Use of a Professional Practice Model to Illuminate the Importance of Relationships

Academic journal article Creative Nursing

Use of a Professional Practice Model to Illuminate the Importance of Relationships

Article excerpt

At the Ohio State University Comprehensive Cancer Center-James Cancer Hospital and Solove Research Institute (OSUCCC-James), implementation of relationship-based care (RBC) and primary nursing (PN) along with enculturation of the James Nursing professional practice model (PPM), have improved patient and nurse satisfaction. This article describes the importance of relationships with self, colleagues, patients and f amilies, and the community. Best practices and outcomes are shared to inspire others who seek to transform professional practice environments and organizational cultures by focusing on patients and families and engaging frontline leaders in the change process.

Keywords: relationship; professional practice model; transformation; organizational culture; change processes

Transformation happens from the inside out. Substantive change comes from within each individual, and as individuals own the change to Relationship-Based Care, the work culture begins to transform into a community of people devoted to caring relationships.

-Mary Koloroutis (Koloroutis, Manthey, Felgen, & Person, 2004, p. 250)

OUR VISION

At The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC-James), our vision is creating a cancer-free world, one person, one discovery at a time. This clearly articulates the shared passion and commitment that unifies our James "family." Furthermore, the vision boldly proclaims the dream of more than 900 James nurses. We believe it is our profound privilege to care for patients and families facing cancer. We walk as trusted companions with those taking an unplanned journey. Every day, in diverse roles and settings, we serve as enablers of hope.

OUR CONCEPTUAL FRAMEWORK

In 2004, members of our Philosophy Workgroup invited staff to describe in one word what it meant to them to be a James nurse. These words were used to create our vision, mission, philosophy, and WE CARE values-World Class, Empowered, Compassionate, Accountable, Respectful, and Excellent. In reviewing the American Nurses Credentialing Center (ANCC) 2003-2004 Magnet Recognition Program® standards (ANCC, 2003), workgroup members realized that we also needed a con- ceptual framework. The group considered various theorists but struggled to find one that resonated with our vision of cancer nursing. Fortunately, during this time, while attending an Oncology Nursing Society Leadership Development Institute Fellowship gathering, Jamie Ezekielian heard an inspiring keynote presentation by Marie Manthey, founder of Creative Health Care Management (CHCM).

Marie mentioned that CHCM was poised to release a new publication- Relationship-Based Care: A Model for Transforming Practice. The book combines beau- tiful prose with practical strategies. Relationship-Based Care (RBC) provides a philosophical foundation and operational framework for transforming organiza- tional culture while guiding professional practice. RBC highlights three crucial relationships: relationship with patients and families, relationship with colleagues, and relationship with self. RBC is grounded in the caring theories of Jean Watson and Kristin Swanson (Koloroutis et al., 2004). Because RBC affirms our values and aspirations, James nurses selected it as our conceptual framework. A launch event was held during Oncology Nursing Month in May 2005 with a grand rounds and book signing by CHCM consultant Colleen Person.

Five years later, James nurses expressed concern that RBC momentum had not been sustained. Based on staff feedback and corroborating patient satisfaction survey results, Colleen Person was invited back to conduct a formal Appreciative Inquiry organizational assessment in June of 2010. Jamie Ezekielian, Director of Professional Practice, partnered with CHCM to develop a robust infrastructure for RBC at The James. She assumed the RBC Implementation Leader role in Septem- ber and took action to establish primary nursing (PN) as our patient care deliv- ery system. …

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