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#11 Nurses as Teachers

#7 Quality Improvement

#4 Personnel Policies and Programs

#1 Quality of Nursing Leadership

#13 Interdisciplinary Relationships

#14 Professional Development

#3 Management Style

#6 Quality of Care

#9 Autonomy

#5 Professional Models of Care

#10 Community and the Health Care Organization

#2 Organizational Structure

#8 Consultation and Resources

#12 Image of Nursing

These include primary nursing, case management, family-centered, district, and wholistic. These provide for the continuity of care and take into consideration that patients have unique care needs.

The nurse provides actions and judgment based on assessment using competency, knowledge, and experience.

The nurses engage in interdisciplinary team work.

Nursing leaders are continually involved in staff and patient advocacy. Staff and patient educational programs are developed and utilized by the nurse leaders.

Nurses are seen as a pivotal part of the health care team.

Programs that promote formal education, professional certification, and career development are evident

Opportunities for career growth are available to staff. Salaries and benefits are competitive. Nursing staff is involved in staff policy changes.

The organization has a way to measure quality and a process to increase the quality of care/service.

The organization has sufficient resources and utilizes experts, including advance practice nurses. Nurses are involved in professional organization (ex. American Nurses Association).

Nurses in the organization have partnerships with community organizations.

This is the driving force behind the entire organization. Nurses are responsible for a positive influences on patient outcomes.

Generally flat, rather than tall, and decision making is shared. There is a strong nursing presence in committees and help make policy and procedural change. Nursing leaders serve at the executive level of the facility.

Education is important in the organization including patient education and nurse to nurse education (student nurses, new graduate nurses, and experience nurses).

Nursing leaders are accessible and communicate with staff in order to assist in resolving issues. Leaders round and speak to staff to hear ideas about improvement.