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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.

Theoretical Beliefs

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).

Nursing Practices

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, quality outcomes.
  • 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.

Care Delivery

The professional nurse at Bozeman Health consistently functions within the Care Delivery System to provide direct patient care utilizing these components:

  • 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.