Conclusion
During the development and incorporation of the model, restructuring occurred at Banner Health, which changed the goal of seeking Magnet designation as a system. However, the facility CNOs and nurses felt strongly about the success and need for the standardized framework and have continued to incorporate and use it to guide their professional nursing and individual Magnet journeys. It is the expectation of the Banner Health system leaders that the individual facilities continue forward in their Magnet journeys.
In addition, several changes were made to the ANA Scopes and Standards of Practice and Professional Performance in 2010, and the model has been updated to reflect uniformity with the professional organization as approved by the system CNOs and, for the first time, the system Professional Nursing Congress. The Professional Nursing Congress is a systemwide nursing shared leadership council developed after the original framework was developed. The revisions to the framework made it necessary to reprint the framework posters to repost on all units, as well as necessary revisions of any supporting documents or education were completed to remain in line with the new framework version.
"The mindful use of theory separates the technical from the professional worker."12(p427) The PNPDF was created to provide a structure for nurses that describes various evidenced-based concepts that are necessary to support and develop professional nursing practice and promote excellent patient care experiences. This framework enhances the nurse's understanding of expectations as a professional regardless of his/her practice setting and serves as a guide for strategic planning, program development, and clinical practice for nursing at Banner Health.
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