Background
Banner Health is a private not-for-profit healthcare system in the western United States located in 7 states, including 23 hospitals and medical centers, home care, hospice, outpatient surgical centers, medical offices, and long-term care facilities. Of the 23 facilities, 9 are critical-access hospitals. The original intent of Banner Health was to seek Magnet recognition for the Arizona region, a total of 10 hospitals, through the process of system designation. With a system designation, the organization needed to assess what components were needed at the system level to achieve success. One critical component was the adoption of a professional practice framework. Although some Banner Health facilities had chosen a nursing theorist, there had been issues with the adoption and incorporation of theory into practice. Based on system Magnet eligibility requirements, sources of evidence required standardization in many elements across all facilities such as the same performance improvement methodology, peer review, and performance appraisals. Nursing leadership believed that to create standardization, a single practice framework, as opposed to a nursing theory, was needed to bring together all the elements of nursing practice in the system.
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