Embedding the Kaiser Permanente Vision, Values
and Professional Practice Model
at Kaiser Westside Medical Center
Cindy Davis, RN, BSN, MBA, NEA
Chief Operating Officer/ Chief Nursing Executive
Julie Anne Harris, RN
MPU UBT Labor Co-Lead
Kaiser Westside Medical Center
Hillsboro, Oregon
• Opened August, 2013
• 120 licensed beds
• 400 nurses
Vision
• Kaiser Permanente nurses
advance the art and science of
nursing in a patient-centered
healing environment through
our professional practice and
leadership.
Making the vision real
Extraordinary Nursing Care
• What does this need to look like?
• Nurses recognized as leaders in the organization
• Nurses own their practice environment
• Nurses recognized as the subject matter expert
Inspiration
Professional Practice begins with the end in mind
Nurse Empowerment means we need to look at the way we are practicing nursing at
Westside Medical Center very differently than we look at it now.
Goal:
amplify nursing’s impact at Westside Medical Center
Need to articulate to others who we are and what we are able to contribute.
Inspiration
How do we
amplify nursing’s impact at Westside Medical Center?
Infrastructure
• Need to be able to articulate to others who we
are and what we are able to contribute.
• Posed the question to the professional
development council.
• Council endorsed “beginning small.”
• Portfolio
• Speaks to both the individual and the organization.
• Addresses the original goal.
Infrastructure
Professional Practice Council determined it would be best
to pilot on one unit
•
•
•
Introduced to MPU Co-Leads in
December, 2014.
Educator and Co-Leads placed
together an introduction of the
pilot for the MPU UBT.
Consensus was gained in January,
2015.
Infrastructure
The professional practice
climb
Phase IV
• EBP and Research
Phase III
Phase II
Phase I
• Professional Practice
Statement
• Binder
• Combined with career
ladder
• Recognized the need for
more foundational work.
• Introduced the nursing
pathways website and
tools.
• Introduced template for
the exemplar
• Exemplar Building
• Nursing Grand Rounds
Infrastructure
Phase I
• Formulated personal professional
statements
• Defined the tools
• Established goals
• The career ladder served to energize
and motivate the staff.
• Identified champions
Infrastructure
Professional Practice Statement
The Kaiser Nursing Professional
Practice Model serves as a
foundation for the Professional
practice statement.
Thereby internalizing the
professional practice model.
Infrastructure
Professional Portfolio Contents
Contents: The Kaiser Nursing Professional
Practice Model








Professional Practice Statement
What is a Professional Practice Model ?
Why do we need a Professional Practice Model?
What is a Care Delivery Model (RBC)?
OSBN Scope of Practice
ANA Standards of Practice
ANA Code of Ethics for Nurses
Kaiser Westside Nursing Strategic Plan
Professional Portfolio Contents- continued
 Professional Resume
 Professional Certifications/memberships
 Committees, preceptor activity
 Professional Presentations/CE’s
 Publications/Research/Innovation/Outreach
 Nursing Exemplars
 Nursing Grand Rounds
Infrastructure
Phase 2
• March, 2015 UBT Meeting
• Introduced the nursing pathways website and tools.
• Introduced template for the exemplar.
•
April, 2015 UBT
• Discussed the professional practice model application.
Infrastructure
Phase 3
• Future UBT Meeting
• Recognition and sharing of personal exemplars.
• Support staff in evolving personal exemplars to
Clinical Nursing Grand Rounds
• Brain storm next steps as a unit
• Define quality and safety focus points/metrics
• Evidence Based Nursing Practice
• Identify research projects
Professional Practice Climb
2017
2016
Phase IV
• EBP and Research
2015
2015
Phase I
• Professional Practice
Statement
• Binder
• Combined with career
ladder
Phase II
• Recognized the need for
more foundational work.
• Introduced the nursing
pathways website and
tools.
• Introduced template for
the exemplar
Phase III
• Exemplar Building
• Nursing Grand Rounds
Education
• Implementation across the organization
• Annual Nursing Summit in October, 2015
• Professional Expectation
• Avenue to implement the Kaiser
nursing professional practice model
• Prepare the team who will lead the Summit
“The
Professional
Practice
Climb”
Kaiser
Westside
Medical Center
Nursing
Summit
October, 2015
Education
Hardwiring professional practice 2015/2016
•
•
Educators follow up on units after Summit.
Exemplars go to Professional Development Council for
recognition.
•
Choose exemplars to present to the Integration
Council.
•
Evolve exemplar format to Nursing Grand Rounds
through support from peers and mgmt.
•
Develop a platform for nurses to present their
exemplars and research.
Evaluation of current process
Kaiser Westside
Medical Center MPU
Professional Portfolio
Pilot Results
100% career Ladder
Over 50% of nurses
involved in committees
First Level 5 UBT
Evaluation of ongoing process
Metrics
Goals
Nursing Summit evaluation
Qualitative staff feed-back
Pre and post questionnaire
Percentage of nurses on Career Ladder
60% by 2017
Total number of nurses with certifications in
nursing practice
Identify method to track
Percentage of nurses with BSN, Masters or other
advanced degrees.
80% by 2020
Total number of posters presented by nurses at
local and national conferences
At least 5 abstracts by 2016
Total number of research projects and nursing
publications.
At least 3 IRB approved nursing
research projects
Nursing Satisfaction Survey through Advisory Board
Focus on professional practice
questions.
What we have learned
The Voice of Nursing advances professional
practice.
• Starting small with the professional portfolio allowed for
testing and refinement.
• Administrative support removed barriers.
• Champions are integral to maximized momentum.
• Establishing this as a professional expectation helped ease
the way.
• Going Forward
• More foundational explanation of the Kaiser Professional
Nursing Model in Phase I.
Conclusion
• Kaiser Permanente nurses advance the art and science of nursing
in a patient-centered healing environment through our
professional practice and leadership.
Phase IV
•EBP and Research
Phase III
Phase II
Phase I
•Professional Practice
Statement
•Binder
•Combined with career
ladder
•Recognized the need for
more foundational work.
•Introduced the nursing
pathways website and
tools.
•Introduced template for
the exemplar
•Exemplar Building
•Nursing Grand Rounds