Nursing Practice Model
Our nursing practice model is the overarching framework for nurses and
nursing practice at Bozeman Health. It is a detailed depiction of how
nurses practice, collaborate, communicate, and develop professionally.
It unifies our identity as nurses and provides a description of the theories
from which to base practices and performance.
Patient and Family Centered Care is built upon the belief that care should
be designed to meet the unique needs of each individual patient and family.
The care provider conveys an unwavering respect and personal concern for
the patient, strives to understand what is most important to a particular
patient and family, safe guards their dignity and well-being, and actively
engages them in all aspects of care.
Using multiple caring theories from Jean Watson, Kristen Swanson, Madeline
Leiniger, and Sharon Dingman, we believe there can be no curing without
caring. Establishing caring, therapeutic relationships with the patient
and family, with our colleagues, and with ourselves will fully allow us,
as nurses, to provide a healing environment and deliver excellent patient
care (Koloroutis, 2004).
The nurse at Bozeman Health believes the major components for practicing are:
Transformational Leadership is the ability to contribute to the creation of a caring and healing environment.
All nurses are unique leaders who believe-in and inspire others to take
ownership of their practice. Leaders help align followers’ individual
goals and objectives with the mission and vision of the organization and
the Division of Nursing. Leaders focus on making patients, families and
staff their highest priority.
Evidence-based Care and Outcomes means nurses translate and integrate best possible research and evidence
combined with clinical expertise and patient preferences to achieve measurable,
Resource Driven Practice is achieved by all levels of nursing and other staff working together
to provide quality patient care while sharing responsibility, authority,
and accountability to maximize the efficient use of all resources, including
systems, staff, finances, time, and equipment.
Professionalism integrates the art and science of nursing and holds nurses accountable
and responsible for ensuring quality, effective practice. Professional
nurses actively seek opportunities for growth and development to meet
the needs and demands of the evolving healthcare system.
Interdisciplinary Collaboration occurs when diverse members from all disciplines combine expertise and
effort with the shared purpose of assuring safe, competent, compassionate
care. Teamwork and collaboration depend on an atmosphere of trust, mutual
respect, consistent and visible support and open and honest communication.
Patient Care Delivery
System promotes continuous, consistent, efficient, and accountable delivery of
nursing care (see care delivery system description below).
Care Delivery System
Integrated within our Nursing Practice Model, our Care Delivery System
is an evidence based model that promotes a seamless continuum in the delivery
of nursing care. This model depicts an infrastructure that promotes accountable,
consistent and efficient care delivery ensuring nurses create a healing
environment for patients and their families.
The professional nurse at Bozeman Health consistently functions within
the Care Delivery System to provide direct patient care utilizing these
Total Patient Care Delivery: The registered nurse is responsible and accountable for the majority of
direct care to patients (Koloroutis, 2004).
Seamless Care Coordination: Coordination of care transition through the life span.
Healing Environment: The provision of holistic relationship-based, patient and family centered care.
Accountability in Outcomes: Exercising shared authority to improve patient care and outcomes.
Koloroutis, M., (Ed.). (2004).
Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Health Care Management.