Professional Practice Models in Nursing

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Professional Practice Models in Nursing

SKU# 9780826126436

Successful Health System Integration

Author: Joanne R. Duffy PhD, RN, FAAN


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“Rarely is there a comprehensive work of this magnitude produced to provide intense and practical direction.…This work…is a must read for those nurse leaders following in our footsteps. It will enable them to increase their knowledge of the systems and processes required to implement, sustain, and measure professional nursing practice while providing a strategic framework to guide their plans for their organizations in the future.”

Karen S. Hill, DNP, RN, NEA-BC, FACHE, FAAN, Editor-in-Chief, The Journal of Nursing Administration, Chief Operating Officer/Chief Nursing Officer, Central Baptist Hospital, From the Foreword

“Dr. Joanne Duffy is an authority in developing practice models.…This text effectively creates a blueprint for how to make this process as meaningful as possible regardless of the model chosen or the type of organization.…One of the highlights that is often missed and that Dr. Duffy clearly illustrates is the critical importance of evaluation.… The principles, rationale, best-practice examples, and reflective questions include crucial information needed to fully integrate professional practice models. The author delivers one of the most important works on this topic to date.”

Karen Cox, RN, PhD, FACHE, FAAN, Executive Vice President/Co-Chief Operating Officer Children’s Mercy Hospitals and Clinics, From the Foreword

This is the first resource to demonstrate to nurse leaders, administrators, and staff how to develop, apply, and successfully integrate a professional practice model into a health system. It delivers best practices for creating, implementing, evaluating, adapting, adopting, and revising professional practice models that contribute to improving patient outcomes. Consolidating a wealth of information in one place, the text describes a coordinated and consistent approach that generates an in-depth understanding of professional practice models, including their implementation and evaluation.

Distinguished by its focus on the “how to” of successful enculturation—a common obstacle for many nursing professionals—the text guides nurse leaders and educators in the process of integrating professional practice models into clinical workflow, advancing nursing practice, improving the quality of patient care, and facilitating Magnet® designation. Specific methods and implementation strategies are delineated along with tipping points and milestones. Real-life examples offer relevant lessons from others who have encountered problems and created successful solutions along the way. They describe approaches, resolutions to problems, unique insights, and meaningful revisions. Opportunities for reflection and case analysis are presented and chapters—each with comprehensive, concise, evidence-based content—include learning objectives, key summary points, reflective exercises, illustrations, charts, and “learning from the field” insets.


  • Encompasses essential information for developing, applying, and diffusing a professional practice model
  • Provides comprehensive, concise, and evidence-based content
  • Written by a renowned nurse leader, educator, and researcher with expertise in the enculturation of professional practice models
  • Addresses one of the criteria necessary for Magnet® designation
  • Includes a strong disciplinary perspective with a focus on professionalism and demonstrating value

Product Details 

  • Publication Date January 14, 2016
  • Page Count 320
  • Product Form Paperback / softback
  • ISBN 13 9780826126436

About The Author(s) 

Joanne R. Duffy, PhD, RN, FAAN, is an adjunct professor at the Indiana University School of Nursing, Indianapolis, Indiana, and executive vice president and senior consultant at QualiCare in Winchester, Virginia. Dr. Duffy’s extensive career encompasses clinical, administrative, and academic roles. She has directed four graduate nursing educational programs, and has been a department chair, interim associate dean for research, and, most recently, a named endowed evidence-based practice and research professor. Dr. Duffy has held various administrative positions directing medical, rehabilitation, critical care, emergency, and transplantation nursing services at both community and academic medical centers. She also directed a nurse-led center for outcomes analysis, dedicated to improving the quality of cardiovascular services. She was a cardiovascular clinical nurse specialist with clinical experience in critical care and emergency nursing. Dr. Duffy has published extensively across the nursing literature, but is best known for her work in maximizing patient outcomes. She was the first to link nurse caring to patient outcomes, and has designed and tested multiple versions of the Caring Assessment Tool (CAT). She developed the Quality-Caring Model ©, a middle-range theory used in more than 45 U.S. health systems.

Dr. Duffy was the recipient and principal investigator for two federally funded demonstration projects:Relationship-Centered Caring in Acute Care and Improving Safety and Quality in Vulnerable Acute Care Patients Through Interprofessional Collaborative Practice, and has been the principal investigator on externally funded studies of hospitalized older adults, those with heart failure, tool development, nurses’ caring competencies, evidence-based practice, and academic–service partnerships. She has also consulted on studies related to organizational leadership and management of critical care units, patients’ perceptions of safety, health literacy, and alarm safety. Dr. Duffy was a consultant to the American Nurses Association (ANA) in the development and implementation of the National Database of Nursing Quality Indicators (NDNQI), and was the former chair of the National League for Nursing’s (NLN) Nursing Educational Research Advisory Council. Dr. Duffy is the author of numerous publications, including two books and several book chapters. Her book Quality Caring in Nursing: Applying Theory to Clinical Practice, Education, and Research received the American Journal of Nursing (AJN) Book-of-the-Year award in 2009. She is a former Commonwealth Fund Executive Nurse Fellow, a recipient of several nursing awards, a fellow of the American Academy of Nursing, and she serves on several editorial review boards. Dr. Duffy currently teaches graduate-level nursing research and data analysis for clinical and administrative decision making; regularly consults with health systems regarding evidence-based practice, research, and professional practice model integration; and is a frequent guest speaker.

Table of Contents 



Foreword Karen S. Hill, DNP, RN, NEA-BC, FACHE, FAAN

Foreword Linda Burnes Bolton, DrPH, RN, FAAN

Foreword Karen Cox, PhD, RN, FACHE, FAAN




1. Professional Practice Models: Raising Awareness

Learning From the Field: What Are Professional Practice Models?
Lois M. Stalling-Weldon, Cherona Hajewski, and Maria R. Shirey

Learning From the Field: Consistency Between a Specialty’s Recommendations for Advancing Professional Practice and a Nursing Theoretical Model
Susan Chasson and Jennifer Pierce-Weeks

2. The Importance of Professional Practice Models: Appreciating Significance

Learning From the Field: The Value of Professional Practice Models
Linda Q. Everett

3. Professionalism, Interprofessionalism, and Leadership: Commitment

Learning From the Field: Building the Case for Nursing Professional Capital
Sue Lasiter


4. Components of Professional Practice Models: Design

Learning From the Field: Building the Patient Care Delivery System Based on the Professional Practice Model—A Journey of Synergistic Development
Barbara Summers

5. Application of Professional Practice Models: Implementation

Learning From the Field: Importance of the Chief Nurse Executive During Implementation
Janet Fansler

Learning From the Field: Innovative Implementation Calls
Polly Roush

6. Assessing the Success of Professional Practice Models: Evaluation

Learning From the Field: How Unit-Level Formative Data Improved Implementation Progress
Joanne R. Duffy

Learning From the Field: Communication of Outcomes Data Using Graphical Displays
Eileen Caulfield

7. Refining the Professional Practice Model Within a Health System: Adaptation

Learning From the Field: How a Professional Practice Model Together With a Spirit of Inquiry Led to a Practice Adaptation
Martha Sleutel, Janet Larrimore, and Malika Qureshi

8. Translating a Professional Practice Model Into Everyday Practice: Adoption

Learning From the Field: Individual Adoption of the Quality-Caring Model©
Shauna Bendix

9. Values and Behaviors Associated With Exemplary Professional Practice: Enculturation

Learning From the Field: How Our Professional Practice Model Became a Magnet® Exemplar
Mary Teague, Debbie Manns, and Martha Sleutel


10. Enduring Professional Practice Models: Sustainment

Learning From the Field: Professional Practice Model Sustainability
Judy E. Davidson

11. Spreading Lessons Learned and Best Practices: Dissemination

Learning From the Field: An Interview With Two Vice Presidents on “Scaling Up”
Alice Siehoff and Susan Okuno-Jones

12. Power of Professional Practice Models: Impact

Learning From the Field: Impact of a Living Professional Practice Model on a Patient’s Question—“How Long Would It Take to Die?”
Pamela Duncan and Chantel Fusco


Appendix A. Example: Values Clarification Workshop

Appendix B. Example: Implementation Booster Sessions

Appendix C. Example: Organizational Assessment of Professional Practice Model Integration