Evolution of the nursing Professional Practice Model (PPM)

The PPM was originally developed by a team of nurses including:

Deb Shepherd-Bates MSN, RN, CAPA, Kristen Cox RN, BSN, CRN, Laurie DeSota-Stults MSN, RN, NE-BC, Lori Dongiovanni BSN, RNC-NIC, Sharon Greer BSN, RN, Deb Hoekstra BSN, CCRN, Keverne Lehman MSN, RN-BC, Karin Markey MSN RN, Cynthia Gardiner, BSN, RN, CEN, Jeannine Nylaan MSN, RN, PMP, Christine Orcutt RN, BSN, OCN, Jeanne Putnam BSN, RN, CPAN, David Sterken MN RN CPNP, Sharon Strek MSN/Ed , RNC-OB, Marie Vanderkooi MSN, RN-BC, Jean Wysocki BSN, RN-BC, CNRN, and Kathleen Bell MSN, OCN.

Upon exploration of concepts that revolved around their experiences as professional nurses, the team identified five major elements that embodied professional nursing practice at Spectrum Health.  These five elements are presence, ownership of outcomes, inquiry, shared leadership, and professional behaviors.


Evaluation of the PPM is ongoing.  A formal review of the PPM was initiated in 2013 with the intent to reaffirm and revise content ensuring ongoing relevance and applicability to the practice of nursing.  Feedback was solicited from councils within the shared governance structure as well as additional venues.

The process reaffirmed that all elements continued to reflect Spectrum Health professional nursing practice. Opportunities were identified to enhance the descriptors of the elements, such as:

  • Addition of patient education
  • Focus on relationships that are collaborative rather than hierarchical
  • Strengthen the idea of partnership with our patients and their families
  • Stronger language on self-care
  • Influence of nursing in the development and influence of change
  • Inclusion of safety
  • Addition of incorporation of technology/innovation to enhance the practice of nursing
  • Highlight the role of leadership in the practice of nursing

A task force was assembled to address the requests.  Using guidance from a variety of sources, this team formulated statements to add or expand upon the original PPM.  Time intensive, this deliberate work included development of revisions with review and final vote from the shared governance councils.

Renee Overbeck BSN, RN, ONC; Jennifer Haynes BSN, RN, CNOR; Heather Githu ADN, RN; , Deb Roorda RN; Carrie Kent RN, CEN;  Katherine McNabnay BSN, RN, CBC; and Teresa Sterk ADN, RN, CCRN formally presented the PPM to the Magnet® appraisers, including the history, revision and relevance to their unique practice areas.  At the close of the presentation, the appraisers showered the presenters with praise and encouraged them to “take the show on the road” to inspire other nurses and hospitals in the nation considering the Journey to Magnet Excellence®.