The Transformational Model

for Professional Nursing

Practice
Michelle Stimson
Ferris State University

Objectives
Describe the Transformational Model for Professional
Nursing Practice (TMPNP) and associated concepts
Explain how the TMPNP aligns with the mission and
vision of Sparrow Health System (SHS)
Critique the business and interdisciplinary aspects of
the model
Introduce an a revised model that aligns more closely
with nursings values of caring and compassion

Nursing Models of Care

Schematic description or roadmap
Explain how things work
Help make sense of complex
relationships and processes
Help meet the demands of an everchanging healthcare landscape

Sorensen Marshall, 2011

Wolf & Greenhouse, 2007

Professional Practice
Models

Professional
Recognition
and Rewards

Governance

Erickson & Ditomassi,

2011
Hoffart & Woods, 1996
Latta & Davis-Kirsch, 2011
Wolf & Greenhouse, 2006

Care Delivery
System

Professional
Relationships

Professional
Values

Transformational Model for

Professional Practice

Retrieved from: http://www.sparrow.org/upload/

docs/about%20sparrow/sparrow%20nursing
%20annual %20report%202014.pdf
BIIPC, 1998

Wolf, Boland & Aukerman,

1994b

The Professional Practice

Component
Succession
Succession Planning
Planning
Shared
Shared Governance
Governance
Mentoring
Mentoring

RN
RN to
to BSN
BSN
EBP
EBP Fellowship
Fellowship
Clinical
Clinical Ladder
Ladder

Transformatio
Transformatio
nal
nal

Profession
Profession
al Growth
Growth
al

Leadership
Leadership

P
Care
Care
Delivery
Delivery
System
System
Resource
Resource Utilization
Utilization
Standards
Standards of
of Care
Care
Nurse
Autonomy
Nurse Autonomy

Collaborati
Collaborati
ve
ve Practice
Practice
Expert
Expert Nurse
Nurse
Consultants
Consultants
Interdisciplinary
Interdisciplinary Rounds
Rounds
Team
Team Approach
Approach

BIIPC, 1998
Wolf, Boland & Auckerman,
1994a
Wolf, Boland & Aukerman, 1994b

Process and Outcomes

Components

Unique Patient Needs

Professional
Recommendations
Effective Resource
Management

Process

Primary
Outcomes
Quality
Quality Care
Care
Patient
Satisfaction
Patient Satisfaction
Caregiver
Caregiver
Satisfaction
Satisfaction

Consumer
Organizational
Professional Health

Strategic
Outcomes

BIIPC, 1998

Good for Business?

Innovation
Creativity
Professional
Development
Cultural identity
Organizations values &
goals
Succession planning
Quality
Accountability

Promotes

Job satisfaction
Decreased turnover
Increased patient
satisfaction
Increased business
stream
Improved patient
outcomes and quality
measures
Flexibility and
adaptability

Results
BIIPC, 1998
Latta & Davis-Kirsch, 2011
Wolf, Boland & Aukerman, 1994a

The Sparrow Way

Retrieved from: http://www.sparrow.org/upload/

docs/about%20sparrow/sparrow%20nursing
%20annual %20report%202014.pdf

Retrieved from: http://www.sparrow.org/?id=1540&sid=1

Graban, 2009, SHS, n.d., SHS, 2014
Sorensen Marshall, 2011

Relationships Matter
Independent
and dependant
nursing
functions

Delegation
and shared
responsibilitie
s

Interdisciplinar
y rounds &
team approach
to care

SHS, 2014
Wolf, Boland & Aukerman, 1994a

Revised Model

Retrieved from: http://www.valleycare.

com/about-nursing-caredelivery-system.aspx

Retrieved from: https://www.urmc.

rochester.edu/Highland/departmentscenters/nursing/nursing-philosophy/
professional-practice-model.aspx

Retrieved from: http://

www.valleyhealth.com/
NursingAtValley.
aspx?id=4904

SHS, n.d., Sorensen Marshall, 2011

Wolf, Boland & Aukerman, 1994a
Wolf & Greenhouse, 2007

ng
ro
St

un
ity

Revised Model
Co
m

Transformational Leadership

es
of

Patient
.
+
RN

He
a

Professional
Development

Care
Delivery
System

on Patient
si Satisfaction

Caregiver lth
Satisfaction y

Pr

Healthy Work Environement

Collaborative
Practice

re
Quality of Ca

Vibrant Organization

Wolf & Greenhouse, 2006

Wolf & Greenhouse, 2007
Wolf, Boland & Aukerman, 1994b

Conclusion
Mission, Vision & Values

Aligned with Nursing Excellence

Structures & Processes
Strong Patient, Caregiver &
Organizational Outcomes

SHS, n.d.
Sorensen-Marshall, 2011
Wolf & Greenhouse, 2007

References

The Beckwith Institute for Innovation in Patient Care [BIIPC]. (1998). The transformational model
for professional practice in healthcare organizations. Retrieved from
http://www.patientadvocatetraining.com/wp-content/themes/patientadvocate/ static/pdf/
The_Tranformational_Model_for_Profesionals_Pracice_in_HC.pdf

Erickson, J. I, & Dittomassi, M. (2011). Professional practice model: Strategies for translating models
into practice. Nursing Clinics of North America, 46(1), 35-44. doi: 10.1016/j.cnur.2010.10.011

Graban, M. (2009). Lean Hospitals. New York, NY: Taylor & Francis Group.

Hoffart, N., & Woods, C. (1996). Elements of a nursing professional practice model. Journal of
Professional Nursing, 12(6), 354-364.

Latta, L. C., & Davis-Kirsch, S. (2011). Developing a robust professional practice model using a
shared governance approach. Journal of Pediatric Nursing, 26(6), 580-585.

Sorensen Marshall, E. (2011). Transformational leadership in nursing (1st ed.). New York, NY:
Springer Publishing Company, LLC.

References

Sparrow Health System [SHS]. (n.d.). About Sparrow. Retrieved from

http://www.sparrow.org/aboutsparrow

Sparrow Health System [SHS]. (2014). Sparrow nurses: 2014 annual report. Retrieved from
https://www.sparrow. org/upload/docs/about%20sparrow/sparrow% 20nursing%20annual
%20report%202014.pdf

Wolf, G. A., Boland, S., & Aukerman, M. (1994a). The transformational model for the practice
of professional nursing: Part 1, the model. Journal of Nursing Administration, 24(4), 51-57.

Wolf, G. A., Boland, S., & Aukerman, M. (1994b). The transformational model for the practice
of professional nursing: Part 2, implementation of the model. Journal of Nursing
Administration, 24(5), 38-46.

Wolf, G. A., & Greenhouse, P. K. (2006). A roadmap for creating a magnet work environment.
Journal of Nursing Administration, 36(10), 458-462.

References

Wolf, G. A., & Greenhouse, P. K. (2007). The blueprint for design: Creating models
that direct change. Journal of Nursing Administration, 37(9), 381-387.