Professional Practice Model

Relationship Based Care

At Exeter relationship based care is the philosophical and operational framework that guides all patient encounters. This model recognizes that healthcare is provided through relationships. The activities of care are organized around the needs and priorities of patients and their families.

All care practices visibly demonstrate the mission and values of the organization, including those of clinician and staff members from all disciplines, departments and services.
We believe that each individual has a right to ask questions and make informed choices for their health and future. The nurse's primary commitment is to the patient, whether an individual, family, group or community. The nurse promotes, advocates for and strives to protect the health, safety and rights of the patient.

Technology

Exeter nurses benefit from the hospital's sophisticated Clinical Information Systems (CIS), which provides access to cutting-edge technology designed to enhance the quality of patient care. The Information Systems enable nurses to visualize a patient's plan of care based on orders, thus significantly reducing paper charting and providing an electronic medical record. Medications and interventions may be documented at the bedside on portable devices, or at a desktop based PC. Internet and intranet access to pertinent clinical resources, including journals and reference databases, are also available on patient units.

Clinical Practice Partnership Model

The Clinical Practice Partnership model is based on the belief that healthcare professionals working closely with patients are in the best position to make decisions related to clinical practice. It supports a framework of staff and managers working collaboratively to deliver multidimensional care. Within this framework, professional staff lead decision making and all clinical staff are empowered to participate.

Clinical Practice Councils

Members for each council determine the scope of the charter for which it will be responsible. Membership includes staff from varying disciplines across the organization, supporting a system of shared accountability and decision making to ensure the highest quality of patient care and satisfaction. The cooperative environment will promote critical thinking, process improvements and patient safety through evidence-based practice. There are five councils that guide nursing practice at Exeter:

• Nursing Leadership
  
• Nursing Quality
  
• Clinical Research
  
• Patient Care Standards
  
• Professional Nursing Development