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#5 Professional Models of Care

#14 Professional Development

#12 Image of Nursing

#13 Interdisciplinary Relationships

#10 Community and the Health Care Organization

#7 Quality Improvement

#11 Nurses as Teachers

#4 Personnel Policies and Programs

#2 Organizational Structure

#8 Consultation and Resources

#3 Management Style

#6 Quality of Care

#9 Autonomy

#1 Quality of Nursing Leadership

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

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.

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

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.

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

Nurses in the organization have partnerships with community organizations.

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.

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.

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

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