Framework for Professional Nursing
Banner Health is committed to the enhancement of the professional practice of nursing. Professional nursing practice is critical to delivering excellent patient care in a safe environment.
The Professional Nursing Practice and Development Framework was created to provide a structure for nurses that describes various evidenced-based concepts that are necessary to support and develop professional nursing practice and promote excellent patient care experiences.
Nursing at Banner Health is defined based on the American Nurses Association (ANA) Social Policy Statement as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.”
Our framework, consisting of three concentric circles around the patient, enhances the nurse’s understanding of expectations as a professional nurse regardless of their practice setting. This framework also will guide the strategic planning, program development, and nursing practice within Banner Health. The American Nurses Credentialing Center (ANCC) expects that nurses will have a professional model of care.
A patient-centric focus is emphasized in our nursing framework. The patient is placed in the center based on the Code of Ethics for Nursing which states, “the nurse’s primary commitment is the patient, whether an individual, family, group, or community” and to reflect the Banner Health mission of “making a difference in people’s lives through excellent patient care.”
The Dimensions of Quality are identified and emphasized within the organization and beyond based on the Institute of Medicine’s (IOM) research that identifies six dimensions of quality care that are imperative for all--safe, timely, efficient, effective, equitable, and patient-centered care. These Dimensions of Quality are noted in the outer circle and the core.
Our contribution to the patient
Closest to the patient core are the ANA Standards of Practice, which demonstrate the critical-thinking model known as the nursing process, for effective patient care.
Our contribution to the nursing profession
The middle circle represents the ANA Standards of Professional Performance that represent our investment in professional development and the profession itself. This development is an expectation of both the organization and the individual nurse and includes a “significant emphasis on orientation, in-service education, continuing education, formal education, and career development as well as personal and professional growth and development.”
Our contribution to society
While nursing focuses on the outcomes of the patient at the core of our framework, the responsibility to quality and safety, as identified by the IOM’s dimensions, extends beyond the individual patient and into the community. Nurses affect not only the health of individuals, but of the collective as well.