Anna Van Deusen, MS, RN, BA, CNL, CMSRN
Meaghan Condon, RN, BSN
To describe components of nursing theory
and professional practice models
 Articulate the benefit of using a model
 Understand the development of the
Providence Model of Compassionate Nursing
Care
 Describe the Providence Model of
Compassionate Nursing Care
 Get you to drink more coffee before the next
exciting presentation
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A nursing theory “explains, describes, and
predicts phenomena of interest to the
discipline of nursing”.
Four common concepts
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Person
Environment
Health
Nursing
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There are three levels of nursing theory:
◦ Grand (too soft)
 Abstract ideas about the global goals and
structure of nursing
◦ Mid-range (just right)
 Less abstract than grand theories, yet just
abstract enough to be applied to multiple
nursing settings. Provides guidance for
assessment and intervention.
◦ Practice (too hard)
 Provides a narrow scope of nursing
interventions for a specific practice setting
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A model in literal terms is a pattern or form
used to make a replica…
A nursing model describes a current or future
state of what nursing is, or wants to become,
or how nursing will be practiced in a specific
setting or community
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A model can “provide a philosophy of nursing
and a value base for care delivery to support
assessment, planning, delivery and evaluation
of care.”
Models can provide a “common language to
allow nurses to discuss nursing practice”
(Murphy, Williams, & Pridmore, 2010)
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Food for thought…
◦ “In the multidisciplinary, community-oriented
health care of today, nursing must be able to define
its role, rather than leaving other disciplines,
managers and policy makers to do this by proxy”
(Mc Crae, 2011)
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To help us achieve the 5 components of the
Magnet Model
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Transformational Leadership
Structural Empowerment
Exemplary Professional Practice
New Knowledge, Innovation, & improvements
Empirical Quality Results
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To ground our local practice in theory
Define how we will care for our patients and work
with other disciplines
Define how we will promote practice as People
and Nurses of Providence, incorporating the
unique values of our community
Articulate our relationship to the patient,
community and our colleagues
Use the model as a tool for research and growth
of the nursing profession in the special
environment of PPMC
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Level of abstraction
◦ Concrete, Mid-range, Abstract
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Clinical utility and clarity
Fit to PPMC and PH&S philosophy, mission,
vision and work
Will the theory help to
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Apply existing evidence
Generate new knowledge
Contribute to the science of nursing
Lead to innovations
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Kolkaba’s Theory of Comfort
◦ Comfort includes relief, ease and transcendence
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Physical
Psychospiritual
Environmental
Sociocultural
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Swanson’s Theory of Caring
◦ Caring is a nurturing way of relating to a valued
other toward whom one feels a personal sense of
commitment and responsibility
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Knowing
Being With
Doing For
Enabling
Maintaining Belief
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NPC
Unit meetings
Sharing with nursing leadership
Our SUPPORTS
Our VISION
Care for Me
Our FOCUS
Comfort
Our APPROACH
Caring
Being with
Doing for
WHO WE
SERVE
Patient/Family/
Community
Maintaining Belief
Empowering
Knowing
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Who we serve: Patient/Family/Community is
at the center of the model
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Our approach: Caring
Knowing, Doing for, Being with, Maintaining
Belief, and Empowering
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Our Focus: Comfort
Physical, Environmental, Psycho Spiritual and
Socio Cultural Comfort
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Our Vision: Know Me, Care for Me, Ease my
Way
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Our Supports:
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Mission, Vision and Values of PH&S
Nursing Governance
Code of Ethics
ANA Bill of Rights
Patient Bill of Rights
Professional Standards of Practice
PH&S Ethics Committee
Professional Development
Oregon Nurse Practice Act
Healthy Interprofessional Teams
Nursing Staffing Plans
Advanced Practice
Evidence Based Practice