Published by the State of Queensland (Metro South Health), May 2020

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Nursing Professional Practice Model

Contents

INTRODUCTION 4

Our Mission 4

Our Vision 4

Our Values 4

OUR PPM SCHEMATIC 5

The Meaning of our Professional Practice Model Schematic 5

PROFESSIONAL PRACTICE MODEL COMPONENTS 6

POSITIVE PRACTICE ENVIRONMENT 6

Element 1: Positive Patient Experience 7

Element 2: Shared Decision Making – taking a leadership approach 7

Element 3: Interprofessional Relationships – nurses independent and collaborative practice 7

Element 4: Development, Recognition and Reward 8

Element 5: Practice Environment- patient care delivery systems 8

Summary 8

References 9

Metro South Addiction and Mental Health Services Professional Practice Model

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Introduction

The Metro South Addiction and Mental Health Services (MSAMHS) Nursing Professional Practice Model (PPM) is symbolic of our journey to enhance nursing development, provide excellence in patient care, whilst reflecting the ideals and values of the MSAMHS nursing workforce. The PPM is the result of extensive consultation and collaboration with our staff.

Our Mission

To provide kind, respectful addiction and mental health nursing care, promoting and enhancing the health and

wellbeing of the community through acceptance, collaboration and hope.

Our Vision

To be recognised leaders in addiction and mental health nursing, providing innovative and evidence-based

care that is holistic, safe and therapeutic.

Our Values

Nurses wanted to be guided by the following values. Hope is listed last because our nurses felt this grounded

and underpinned all other values and interactions with colleagues, consumers, their families and community.

• Kindness

• Respect

• Courage

• Compassion

• Honesty

• Integrity

• Hope

Metro South Addiction and Mental Health Services Professional Practice Model

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Our PPM Schematic

The Meaning of our Professional Practice Model Schematic

The design of the PPM schematic is representative of all the key elements nurses at Metro South Addiction

and Mental Health Services (MSAMHS) said were integral to nursing practice. It identifies the values and

components that enable person-centred care and recovery-oriented practice and identifies what makes

Addiction and Mental Health Nursing different from other areas of care across the service.

The words encircled in the purple outer circle represent the values held by MSAMHS’ nurses. These values

are recognised as the building blocks to addiction and mental health nursing and inform our practice with

patients and the way we relate to one another as part of a team.

The components in the blue circle represent the five key elements that provide structure to our practice and

create a positive environment where both our patients and staff can participate, thrive and develop.

The central design depicts:

• The Hope man illustrates person-centred care.

• The leaves represent the capacity for growth and the importance of a connection to loved ones and

community.

• The foundation of HOPE is essential to our practice and our patients’ journey to healing and recovery.

• Acknowledging the courage and use of self (as a therapeutic tool) is fundamental in addiction and mental

health (AMH) nursing.

The colours used are a representation of growth, creativity, autonomy, harmony and hope across all cultures.

Metro South Addiction and Mental Health Services Professional Practice Model

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Professional Practice Model components

The PPM consists of five components, surrounded by the nursing values which guide Addiction and Mental

Health Nursing Services at Metro South Health. The components are discussed below with concepts that

enhance understanding.

Positive practice environment

A positive practice environment is achieved through the merging of essential elements, which in turn supports

team function and creates a positive patient experience.

Please note throughout this document the term patient and consumer are used interchangeably.

Shared decision making

Inter-professional relationships

Development,Recognition

& Reward

POSITIVE PATIENT

EXPERIENCE

PR

AC

TIC

E E

NV

IRO

NM

EN

T

Metro South Addiction and Mental Health Services Professional Practice Model

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Element 1: Positive Patient Experience

Concepts:

• AMH nurses respect the individual and their choices

• AMH nurses work in partnership with consumers, carers, family and community

• AMH nurses hold hope for recovery and advocate for the rights of their patients

• AMH nurses use self as a therapeutic tool

• AMH nurses acknowledge and value diversity and inclusion

The patient experience is central to all that (AMH) nurses’ do. Engagement with each person is respectful of

the individual, their choices and expectations of health care. AMH nurses work in partnership to hold hope and

understand the significance of connections to family and community. AMH Nurses’ use of self as a therapeutic

tool supports self-reflection and growth. This holds space for people to believe in themselves through their

recovery journey. AMH nurses strive to deliver care that demonstrates integrity, compassion, accountability,

respect, engagement and excellence.

Element 2: Shared Decision Making – taking a leadership approach

Concepts:

• AMH nurses have an equal voice that is valued within the multidisciplinary team

• AMH nurses demonstrate accountability and leadership at all layers

AMH nurses can create an environment to support and empower nurses

• AMH nurses believe empowerment is achieved through shared decision making

• AMH nurses value the lived experience, noting patients as experts in their own recovery

Nursing involvement in shared decision making is valued and AMH nurses have an equal voice in influencing

patient care. Nurses are encouraged to lead nursing and inter-professional opportunities through participation

and encourage others to reach their potential. AMH nurse’s role model shared decision making in partnering

with consumers and interprofessional colleagues. This is supported by collaboration, communication and

acknowledging the patient as the expert in their own recovery.

Element 3: Interprofessional Relationships – nurses independent and collaborative practice

Concepts:

• AMH nurses value agency, autonomous practice and professional accountability

• AMH nurses believe nursing practice is enhanced through speciality skills and scope of practice

• AMH nurses believe best patient outcomes are achieved through commitment to collaboration,

effective communication and teamwork

• AMH nurses’ value shared learning, personal and professional growth

Nurses practice both independently and collaboratively to enhance the patient experience. Every team member is recognised as being important to person centred care. Nurses work collaboratively by building relationships which are underpinned by respectful and effective communication. AMH nurses value the ability to work both autonomously and within a team framework. Personal and professional growth is achieved through shared learning and self-reflection. Patients benefit positively from enhanced working relationships.

Metro South Addiction and Mental Health Services Professional Practice Model

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Element 4: Development, Recognition and Reward

Concepts:

• AMH nurses recognise that job satisfaction is based on intrinsic and extrinsic factors / clinical

supervision / self-care considerations, individual attitudes and beliefs

• AMH nurses understand the importance of professional growth and value lifelong learning

• AMH nurses recognise that informal and formal recognition is linked to nurses feeling valued and

quality outcomes

• AMH nurses understand a culture of nursing excellence, acknowledges the experience nurses hold

within the service

Ongoing professional development, recognition and reward is promoted within MSAMHS nursing. The PPM

serves as a framework for building and sustaining a positive practice environment where the experience of

nurses is held and valued. Informal and formal recognition of nurses and nursing practice is linked to the

provision of quality patient care outcomes and staff recruitment and retention. AMH nurses recognise these

are all essential components in building a culture of nursing excellence.

Element 5: Practice Environment- patient care delivery systems

Concepts:

AMH nurses value a culture of quality and safety, and believe this is underpinned by:

• Evidence based practice

• Delivery of care (timely, accessible, equitable, affordable, acceptable)

• Flexibility to work practices / staffing and resource adequacy to meet patients’ needs

• Acknowledgement of individual contributions to the culture of the practice environment

The practice environment promotes a safe and healthy workplace where team function flourishes and the

patient and staff experiences are enhanced. Standards of practice guide and enable AMH nurses to work to

their full scope and potential. AMH nurses understand that positive contributions to the practice environment

are linked to the retention of nurses and enhance the quality of the nurse patient relationship.

Summary

The PPM reflects the standards of excellence for which its nursing staff will become known. It represents the

fundamental concepts and values that underpin professional nursing practice and patient care provision at

Metro South Addiction and Mental Health.

Metro South Addiction and Mental Health nurses practice recovery focused care that encompasses the person

and their significant others, recognising the uniqueness of the individual, their needs and expectations of

health care and treatment. Our nurses are future focused with a commitment to lifelong learning.

Our practice and interactions with all people including patients, families and colleagues is strengthened by the

foundation of the values in the PPM.

Metro South Addiction and Mental Health Services Professional Practice Model

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Acknowledgments

Veronica Casey, Executive Director of Nursing and Midwifery Services, Metro South Health and Executive

Director Nursing Services Princess Alexandra Hospital

Liz Powell, Director of Nursing (Chief Nursing Officer, CNO) Metro South Addiction and Mental Health

Services, Metro South Health.

Beth Matarasso (Facilitator) Assistant Director of Nursing, Centre of Nursing Excellence, Princess Alexandra

Hospital

Bernadette Clarke (Co-facilitator), Nurse Manager, Centre of Nursing Excellence, Princess Alexandra Hospital.

Participants at the Inaugural Metro South Addiction and Mental Health Inaugural Clinical Nursing Summit

September 2016:

Addiction & Mental Health Nursing Services, Professional Practice Model Forum participants & Working Group

2019.

Gabrielle Vilic, Director of Social Inclusion and Recovery Addiction and Mental Health services, 2019.

References

American Nurse Credentialing Center. 2016. Pathway to Excellence Application Manual. American Nurses

Credentialing Center. Silver Spring, MD.Author.

Princess Alexandra Hospital, Nursing Services, Professional Practice Model, 2016

Queen Elizabeth 11 Jubilee Hospital, Professional Practice Model, 2016