Our Nursing Philosophy at Texas Medical Center
The philosophy for nursing at the Memorial Hermann-Texas Medical Center is to create and maintain an environment that ensures the success of the professional nurse by providing the resources for them to exercise clinical judgment, decision-making, assessment, planning, intervention and evaluation to administer treatment and coordinate patient care.
The mission of nursing at Memorial Hermann-Texas Medical Center is to drive quality outcomes by protecting, promoting and optimizing the health and well-being of the patients we treat.
Professional Practice Model
The professional nurse at Memorial Hermann serves as the primary link between the patient and family, the physician, and the organization. They are expected to exercise autonomy and authority consistent with the standards of nursing practice and professional ethics, and apply abilities, skills and resources to achieve the mission of the memorial Hermann Healthcare System and the mission of nursing at the Memorial Hermann-Texas Medical Center campus. Nurses are the pillars of patient care.
Nurses as Clinicians
Nurses are able to demonstrate clinical knowledge and technical skills to understand the total situation and utilize the nursing process in the provision of care across the continuum.
Nurses as Advocates
Nurses work on the behalf of others and represent the concerns of the patient, family and community. They serve to identify and help to resolve ethical and clinical concerns within the clinical setting.
Nurses as Collaborators
Nurses work with others to promote and encourage each person's contributions toward achieving optimal and realistic goals. Involves intra- and interdisciplinary work with colleagues and community.
Nurses as Innovators
Nurses are involved in the ongoing process of questioning and evaluating nursing practices. They work to demonstrate that our nursing practice is grounded in reliable evidence, research and experiential learning, and share new knowledge or expertise with peers.
Nurses as Teachers
Nurses facilitate self, staff, patient and family learning. They are knowledgeable of relevant educational content and appropriate delivery methods and have the ability to communicate and facilitate relevant and effective education for learners.
Nurses as Leaders
Nurses identify a body of knowledge and tools that allow them to manage whatever environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems.
Care Delivery System
The care delivery system clarifies the authority, accountability and autonomy for clinical decision making and nursing outcomes. The model is based on the work of several theorists and the work of several nursing experts:
- The publication defining skill acquisition of the professional nurse, Novice to Expert, defines our nurse residency program and nursing clinical advancement program.
- Nursing experts who defined the healthy work environment for the professional nurse help frame the organizational environment we strive to create for our nurses to practice in.
- Work done in PBDS helps us to screen each nurse's ability for critical decision making on hire.
- The theory of Nursing as Caring contributes to the core values of our model that our nurses share the common commitment of making a difference in the life of the patient they are caring for.
The Nursing Care Delivery System defines the R.N. as being accountable for the coordination of patient care in concert with the attending physician. The R.N. is the bridge to connect the physician's treatment to the patient's goals and coordinate the work of the interdisciplinary team in the treatment plan (which includes the patient/family).