Inside scoop from our experts: Help staff understand your care delivery model

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, September 1, 2009

This week, a reader asks about how to educate staff about the organization's care delivery model. Read the response from advisor Meryl Montgomery, RN, MSN, ANCC Magnet Recognition Program® program coordinator at the Medical Center of Central Georgia in Macon.

Q: We are in the process of developing our care delivery model and are looking for ways to roll it out effectively and clearly to the staff. Any suggestions?

A: Our models of care delivery and professional practice were developed by nurses in our shared governance councils. They were the ones who conceptualized the model-especially the schematic representation of the model, which is depicted as an antebellum house. Approving councils included council chair, practice council, operations council, and nursing executive council. The models have changed over time as we test them with case studies and in practice. As they are changed, we update our schematic representation to reflect the most current aspects of the models. We include information about our models of care in our job descriptions and thus our annual performance review process. We also use case studies in various councils-both unit specific and organizationwide-so that nurses can relate the various aspects of the models. This seems to help considerably because they can see how it works.

Since our models are represented by an antebellum home, we also had a carpenter actually build us the house, which is currently being painted and decorated. We changed our model from concentric and overlapping circles to the house and it is much easier for the nurses to understand and utilize. It just makes sense when the elements are tied to the house. For example, transformational leadership opens the door and interdisciplinary communication and collaboration lets in air and light (represented by a window). The foundation of the house is our mission, vision, values, and nursing philosophy.

The key to a successful implementation has been hardwiring it into job descriptions, orientation, and continuing education, and that we have a model that makes sense. All levels of nurses are involved in development of the model, and use of case studies to explain it.

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