Embedding the Kaiser Permanente Vision, Values and Professional Practice Model

at Kaiser Westside Medical Center

Cindy Davis, RN, BSN, MBA, NEAChief Operating Officer/ Chief Nursing Executive

Julie Anne Harris, RN

MPU UBT Labor Co-Lead

Kaiser Westside Medical CenterHillsboro, Oregon

• Opened August, 2013• 120 licensed beds• 400 nurses

Vision

• Kaiser Permanente nurses advance the art and science of nursing in a patient-centered healing environment through our professional practice and leadership.

Making the vision real

Extraordinary Nursing Care•What does this need to look like?

• Nurses recognized as leaders in the organization• Nurses own their practice environment• Nurses recognized as the subject matter expert

InspirationInspiration

Professional Practice begins with the end in mind

Nurse Empowerment means we need to look at the way we are practicing nursing at Westside Medical Center very differently than we look at it now.

Goal: amplify nursing’s impact at Westside Medical Center

Need to articulate to others who we are and what we are able to contribute.

Inspiration

InfrastructureInfrastructure

• Need to be able to articulate to others who we are and what we are able to contribute.

• Posed the question to the professional development council.

• Council endorsed “beginning small.”

• Portfolio • Speaks to both the individual and the organization.• Addresses the original goal.

Infrastructure

Professional Practice Council determined it would be best to pilot on one unit

• Introduced to MPU Co-Leads in December, 2014.

• Educator and Co-Leads placed together an introduction of the pilot for the MPU UBT.

• Consensus was gained in January, 2015.

Infrastructure

The professional practice climb

InfrastructureInfrastructure

Phase I•Formulated personal professional statements

•Defined the tools

•Established goals

•The career ladder served to energize and motivate the staff.

•Identified champions

InfrastructureProfessional Practice Statement

The Kaiser Nursing Professional Practice Model serves as a foundation for the Professional practice statement.

Thereby internalizing the professional practice model.

Infrastructure Professional Portfolio Contents

Contents: The Kaiser Nursing Professional Practice Model

Professional Practice StatementWhat is a Professional Practice Model ?Why do we need a Professional Practice Model?What is a Care Delivery Model (RBC)?OSBN Scope of Practice ANA Standards of Practice ANA Code of Ethics for Nurses Kaiser Westside Nursing Strategic Plan

Professional Portfolio Contents- continued

Professional Resume Professional Certifications/memberships Committees, preceptor activity Professional Presentations/CE’s Publications/Research/Innovation/Outreach Nursing Exemplars Nursing Grand Rounds

Infrastructure

Phase 2•March, 2015 UBT Meeting

•Introduced the nursing pathways website and tools.•Introduced template for the exemplar.

•April, 2015 UBT •Discussed the professional practice model application.

Infrastructure

Phase 3•Future UBT Meeting

• Recognition and sharing of personal exemplars.

• Support staff in evolving personal exemplars to Clinical Nursing Grand Rounds

• Brain storm next steps as a unit• Define quality and safety focus points/metrics• Evidence Based Nursing Practice• Identify research projects

Professional Practice Climb

2015

2015

2016

2017

Education

• Implementation across the organization• Annual Nursing Summit in October,

2015• Professional Expectation• Avenue to implement the Kaiser

nursing professional practice model

• Prepare the team who will lead the Summit

Kaiser Westside

Medical Center Nursing Summit

October, 2015

“The Profession

al Practice Climb”

EducationHardwiring professional practice 2015/2016

•Educators follow up on units after Summit.•Exemplars go to Professional Development Council for recognition.

• Choose exemplars to present to the Integration Council.

• Evolve exemplar format to Nursing Grand Rounds through support from peers and mgmt.

• Develop a platform for nurses to present their exemplars and research.

Evaluation of current process

Kaiser Westside Medical Center MPU Professional Portfolio Pilot Results

Prof

essi

onal

Pra

ctic

e Clim

b

Evaluation of ongoing process

Metrics Goals

Nursing Summit evaluationQualitative staff feed-back

Pre and post questionnaire

Percentage of nurses on Career Ladder 60% by 2017

Total number of nurses with certifications in nursing practice

Identify method to track

Percentage of nurses with BSN, Masters or other advanced degrees.

80% by 2020

Total number of posters presented by nurses at local and national conferences

At least 5 abstracts by 2016

Total number of research projects and nursing publications.

At least 3 IRB approved nursing research projects

Nursing Satisfaction Survey through Advisory Board

Focus on professional practice questions.

What we have learned

The Voice of Nursing advances professional practice.

• Starting small with the professional portfolio allowed for testing and refinement.

• Administrative support removed barriers.• Champions are integral to maximized momentum.• Establishing this as a professional expectation helped

ease the way.

• Going Forward• More foundational explanation of the Kaiser

Professional Nursing Model in Phase I.

Conclusion

• Kaiser Permanente nurses advance the art and science of nursing in a patient-centered healing environment through our professional practice and leadership.