The Center for Nursing Excellence

Abstract

An innovative Center for Nursing Excellence model that supports structural empowerment and the achievement of exemplary nursing, patient, and organizational outcomes was implemented in 2 separate health systems in the western United States. Formal leadership roles for nursing practice, research, professional education, and Magnet® continual readiness are aligned to ensure that Magnet designation is attained and maintained in system hospitals.

Development, implementation and evaluation of a Professional Practice Model: A scoping review

“…Fourteen studies measured the development and/or implementation and/or evaluation of a PPM (Arroyo‐Marlés et al, 2018 ; Bloemhof et al, 2021 ; Burke et al, 2018 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020 ; Glassman, 2016 ; Holskey & Rivera, 2020 ; Keleekai‐Brapoh & Toresco, 2020 ; Mensik et al, 2017 ; Murphy et al, 2018 ; Olender et al, 2020 ; Oommen et al, 2022 ; Qu et al, 2019 ; Robbins, 2019 ). Eight of the included studies were conducted in the United States of America (Burke et al, 2018 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020; Glassman, 2016 ; Holskey & Rivera, 2020 ; Keleekai‐Brapoh & Toresco, 2020 ; Mensik et al, 2017 ; Olender et al, 2020 ), one in Columbia (Arroyo‐Marlés et al, 2018 ), one in Ireland (Murphy et al, 2018 ), one in China (Qu et al, 2019 ), one in the Netherlands (Bloemhof et al, 2021 ), one in the Uinted Arab Emirates (Oommen et al, 2022 ) and one in Scotland (Robbins, 2019 ). The characteristics of the included studies are presented in Table 1 .…”

“…Eight of the studies conducted a literature review prior to development of the model to identify existing PPMs (Arroyo‐Marlés et al, 2018 ; Oommen et al, 2022 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020; Glassman, 2016 ; Keleekai‐Brapoh & Toresco, 2020 ; Qu et al, 2019 ; Robbins, 2019 ) and four studies used brainstorming workshops (Arroyo‐Marlés et al, 2018 ; Holskey & Rivera, 2020 ; Olender et al, 2020 ; Robbins, 2019 ). A variety of models and frameworks were used to guide the development of a PPM: Roy adaption model (Arroyo‐Marlés et al, 2018 ), clinical practice model framework (Burke et al, 2018 ), Johns Hopkins evidence‐based practice model (Clavelle & Goodwin, 2016 ), Liberating structures of Lipmanowics and McCandles (Holskey & Rivera, 2020 ), Hoffart and Woods framework (Keleekai‐Brapoh & Toresco, 2020 ), Multi‐attribute Utility theory (Gentile & Marzinski, 2020 ), Careful nursing model (Murphy et al, 2018 ), Watsons theory of human caring theoretical framework (Olender et al, 2020 ) and a Shared governance approach (Robbins, 2019 ). Oommen et al ( 2022 ) used three theories to support PPM development, Virginia Henderson's Need theory, Jean Watson's theory of Human Caring and Psychologist Abraham Maslow's Hierarchy of Needs.…”

“…The models chosen in the studies varied in size: two elements (Murphy et al, 2018 ), four elements (Arroyo‐Marlés et al, 2018 ; Clavelle & Goodwin, 2016 ; Keleekai‐Brapoh & Toresco, 2020 ; Olender et al, 2020 ), three elements (Gentile & Marzinski, 2020 ; Mensik et al, 2017 ), five elements (Bloemhof et al, 2021 ; Glassman, 2016 ; Holskey & Rivera, 2020 ; Robbins, 2019 ) and 10 elements (Burke et al, 2018 ; Oommen et al, 2022 ; Qu et al, 2019 ). Collaboration, research and innovation; development and recognition; independent practice; leadership; and healthy work environments were the most cited elements used in the included studies.…”

“…Model evaluation was discussed in 13 of the 14 articles (Arroyo‐Marlés et al, 2018 ; Bloemhof et al, 2021 ; Burke et al, 2018 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020; Glassman, 2016 ; Keleekai‐Brapoh & Toresco, 2020 ; Mensik et al, 2017 ; Murphy et al, 2018 ; Olender et al, 2020 ; Oommen et al, 2022 ; Qu et al, 2019 ; Robbins, 2019 ). Arroyo‐Marlés and colleagues ( 2018 ) undertook validation of the initial model with patients, their family care givers, nursing personnel of the institution and other institutions.…”

“…Burke et al ( 2018 ) similarly undertook evaluation midway through implementation to access the attitudes of nurses toward the practice model and to identify strengths and weakness of the model. Clavelle and Goodwin ( 2016 ) identified qualitative and quantitative improvements in the evaluation phase. These improvements included nursing engagement, nursing certification and patient experience scores.…”