Nursing Vision: Excellence in Nursing
To create an exceptional patient experience and to fully recognize our tremendous potential to positively impact patient experience and outcomes and inspire others to do the same. To make a difference with the smallest acts of kindness and compassion through excellence in nursing practice, leadership, research, education, innovation and caring.
The theoretical/practice framework stylized within the nursing services at MHTWH is structured upon Imogene King’s theory of Goal Attainment and Patricia Benner’s Novice to Expert theory as a foundational design. Both theorists have a profound effect on the patient centered care provided by MHTWH nurses.
Nursing Theorist: Imogene King
The Division of Nursing adopted and approved Imogene King’s theory of Goal Attainment as a foundation for nursing practice at MHTWH. King’s theory is congruent with the philosophy of patient and family-centered care. According to King’s theory, the goal of nursing is to help individuals and groups attain, maintain, and restore health. It involves the nurse and the patient mutually communicating information, establishing goals, and taking action to obtain goals. This is accomplished by nurses and patients working together, through an exchange of information, to establish goals and plan how best to meet those goals.
Memorial Hermann The Woodlands Professional Nursing Practice Model
The Professional Nursing Practice Model encompasses the nursing theory, phenomenon or system that depicts how nurses practice, collaborate, communicate and develop professionally. A Care Delivery System delineates nurses’ authority and accountability for clinical decision making and outcomes.
Professional Nursing Practice Model:
The Professional Nursing Practice Model at Memorial Hermann The Woodlands Hospital (MHTWH) encompasses the nursing theory, phenomenon or system that depicts how nurses practice, collaborate, communicate and develop professionally; including evidence based practices, nursing research, professional development and overall improvement and excellence in nursing performance. Nursing care at MHTW is grounded upon the nursing process in accordance with regulatory standards, ANA Scope and Standards for Professional Nursing, Professional Standards of Patient Care and Nursing Practice, and clinical evidence.
Professional Nursing and Interdisciplinary Practice Components; maintaining focus on the Patient and Family at the core of our care; support direct care initiatives and outcomes for clarity, good communication, care and dignity through these practices: shift huddles; bedside reporting; rounding with a purpose; individualized patient plan of care, care delivery model – Patient & Family Centered care; and Partners in Caring philosophy – “treating others with the same dignity and respect as you would like to be treated”.
Professional Practice Shared Governance & Shared Decision Making Model At the CORE of MHTW’s Shared Governance-Shared Decision Making Model is the various nursing and interdisciplinary councils. They are circular in design and connect with a purpose to depict how we are integrated, connected and collaborative at the core of our shared decision making framework. The middle band identifies the individual committees and special interest “task forces” which included direct care nurses and multi-disciplinary team members who work together for a common interest, special project or initiative. These “task forces” primarily focus on quality and safe patient care delivery; thus support best outcomes for our patient population. The outer rim represents our UNIT based or department specific councils: Transforming Care At the Bedside (TCAB) councils bring forward and develop initiatives which directly impact patient care on individual unit(s); thus supporting care and practice concerns derived from the patient and family at the bedside and unit level.
Care Delivery Model: Patient and Family Centered Care
A Care Delivery System (CDS) delineates nurses’ authority and accountability for clinical decision making and outcomes. At Memorial Hermann The Woodlands Hospital (MHTWH), we foster Patient and Family Centered Care Delivery and incorporate both into the care decisions, with the patient’s permission. We support the patient by encouraging the family members to remain with the patient as much as possible. All of our patient rooms are private and accommodate overnight stay(s) with family so that the patient feels comfortable during their hospitalization.
Care Delivery Model
Nurses are actively involved in decision making at Memorial Hermann System Hospitals. The shared governance model provides a framework that ensures shared decision making processes. At the heart of this model are the patient and family.
Patient and Family Centered
At Memorial Hermann The Woodlands Hospital (MHTW), we foster Patient and Family Centered Care Delivery and incorporate both into the care decisions, with the patient’s permission. We support the patient by encouraging the family members to remain with the patient as much as possible. All of our patient rooms are private and accommodate overnight stay(s) with family so that the patient feels comfortable during their hospitalization.
Direct care nurses and nurse leaders collaborated to develop a new Professional Practice Model schematic description of nursing practice within MHTWH in 2013. The Patient and Family are at the “center” of all we do. The cultural components within the diagram depict how the Memorial Hermann culture supports and aligns with the Nursing Mission and the outer ring and its star-like design demonstrates how MHTW creates and sustains a professional nursing work environment; how nurses are developed professionally and promote excellent care which leads to Positive patient outcomes and a Positive work environment.
Nursing Professional Framework Model: Patricia Benner: Novice to Expert
Our Clinical Ladder is based on Patricia Benner’s Model: Stages of Clinical Competence – The Novice to Expert Model. This model is based on the Dreyfus model of skills acquisition found in chess players and airplane pilots: novice, advanced beginner, competent, proficient, and expert. Benner’s Model clearly describes the characteristics for each level of skill acquisition.
Stage 1: Novice (Graduate Nurse)
Stage 2: Advanced Beginner (RN I)
Stage 3: Competent (RN II)
Stage 4: Proficient (RN III)
Stage 5: The Expert (RN IV)
The nursing staff is educated in the necessary disciplines to meet the diversified needs of the patient population served. Education is provided through individualized employee orientation and continuing education and in-service programs under the direction of the Staff Development department, hospital/unit-based councils and management teams. Individual professional nursing development at MHTWH is encouraged via Clinical Ladder advancement program, based on Benner’s Novice to Expert model and a generous tuition reimbursement program that promotes and supports advanced education.