From Blank Canvas to Masterwork: Creating a Professional Practice Model at a Magnet Hospital

Table 2

PPM domains and subdomains.

Domain	Domain definition	Subdomains
Caring	Caring is the essence of nursing in an affective (emotional) demonstration of commitment to patients and families	(i) A holistic approach; (ii) Caring is acknowledged through affirmation; (iii) Connection; (iv) Time; (v) Trust
Knowing	Knowing was the art and science of nursing, an essential attribute to the success of nurses and the safe delivery of patient care. Knowing is the translation of embodied knowledge into evidence-based clinical decisions, actions, and scholarship	(i) “Seeing the big picture”; (ii) Competence; (iii) Critical thinking; (iv) Intuition; (v) Life-long learning; (vi) Nursing as a profession
Navigating	Navigating characterizes the nurse’s role on the team guiding patients and team members through the complexities of the health care experience. It is the nurse having the ultimate responsibility and accountability for establishing the link between all health care team members to navigate on behalf of patients. Team function is highly dependent on adequate support, time, and resources and the nurse’s facilitation of effective communication processes among team members to keep patients informed	(i) Advocacy; (ii) Communication; (iii) Being the hub; (iv) “Making a difference”; (v) “Master of all trades”; (vi) Support; (vii) Teamwork; (viii) Time
Leading	Leading is organizing people and processes. Organizational and community leadership is charting new directions and having a vast sphere of influence on patients, families, and the nursing profession	(i) Affirmation; (ii) Global vision; (iii) “Making a difference”; (iv) Nurses as professionals; (v) Respect; (vi) Support