Adopting a Common Nursing Practice Model Across a Recently Merged Multi-Site Hospital – Canadian Health Services Research Foundation – 2011

Posted on August 30, 2011. Filed under: Nursing | Tags: |

Adopting a Common Nursing Practice Model Across a Recently Merged Multi-Site Hospital – Canadian Health Services Research Foundation – 2011

Extract from the executive summary.

Background

Many health care organizations have recently undergone extensive reorganization and administrative change. Combined with the additional stresses of ongoing budget restraints, increasing patient acuity and shortages in nursing staff, it is likely that these organizations will continue to experience even more change in the future. With nursing care serving as the cornerstone of most patients’ hospital experience, this study examined the multi-faceted impact of introducing a new model of nursing care on several key outcomes related to patients, nurses and health care organizations.

The study was a multi-faceted evaluation of the impact of introducing a new standardized model of nursing clinical practice at three sites of a previously merged tertiary care hospital. Each former hospital site within the merged structure had previously been using either one predominant nursing model of care throughout the hospital or a mixture of models within different sub-components of the hospital, creating a situation whereby a multitude of approaches to nursing care existed across the newly merged hospital. A local committee, the Model of Nursing Care Work Group, composed of multidisciplinary staff from The Ottawa Hospital, developed a new clinical practice model using resources and personnel from within their own organization, thereby ensuring a high degree of applicability and appropriateness across the sites. The new model has a strong emphasis on “direct” nursing care and uses a set of guiding principles to emphasize continuity of care for patients as well as the provision of clinical experts for nursing staff. Our project provided The Ottawa Hospital with the independent resources and expertise required to complete such an evaluation, in order to contribute important knowledge to the evidence base on the effects of changes to patient care delivery within the health care system.

… continues

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