The nursing division at TMC is committed to creating a culture of excellence that supports our mission, vision, values and nursing strategic plan. We embrace shared decision making and empower TMC nurses to practice with autonomy and accountability through our shared governance structure. Professional practice encompasses life long professional development, evidence based practice, diverse learning opportunities, working with interdisciplinary teams, and a well-rounded stimulating work environment.
Our nurses work in collaboration with the healthcare team to drive practice changes, develop policies and procedures, and quality improvements. Truman nurses have a voice at the table. Our professional nursing environment is positive and we offer competitive pay, excellent benefits, flexible scheduling, tuition reimbursement, and a wealth of educational programs.
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Professional Practice Model
The TMC Nursing Professional Practice Model (PPM) is a visual representation of the conceptual framework for TMC professional nursing practice. The model describes how nurses practice, collaborate, develop professionally, and provide high quality patient centered relationship based care. The PPM connects all nurses through a shared mission, vision, values, and trans-cultural caring behaviors.
TMC Nursing Philosophy and Belief Statements
The patient and their support system is the center of our professional practice model.
Our approach to patient centered care is grounded in relationship-based care (Koloroutis, 2004).
The work of Mary Koloroutis (2004), Patricia Benner (1984), Madeleine Leininger (1994) and Hoffart & Woods (1996) serve as the theoretical framework of our professional practice model.
Caring is the heart of our professional nursing practice and nursing incorporates the 10 universal caring behaviors (Leininger, 1994) into the care delivery system:
• Attention to Detail
• Presence/Being There
• Comfort Measures
• Adjusting The Environment
The provision of patient centered care encompasses the interdisciplinary team.
The RN accepts the responsibility, authority and accountability for his/her competent professional practice.
Transformational leaders and shared governance support our professional nursing practice and promote autonomy.
We value and support the quest for knowledge; the practice of lifelong learning and continual professional development (Benner, 1984).
We provide high quality, evidence based and outcomes driven care to the patient while recognizing the inherent worth, dignity, and uniqueness of each individual.
Journey to Nursing Excellence
Truman Medical Center is a Magnet-aspiring organization. We are two years into our five year planned journey to recognition for nursing excellence. The Magnet Recognition Program®, administered through the American Nursing Credentialing Center (ANCC), was established in 1990 and since has become known as the ''Nobel Prize of Nursing.''
Magnet designation means a hospital or healthcare setting that employs registered nurses has met stringent requirements both organizationally and within nursing services. The new Magnet model developed in 2008 is our guide for our continued journey in the months and years ahead. The model provides a framework for nursing practice and research which drives exemplary professional practice, new knowledge, innovations, and quality outcomes. TMC shares a training affiliation with the University of Missouri-Kansas City nursing programs. TMC serves as the school's primary adult clinical setting. Whether students are pursuing a BSN or MSN, TMC offers a stimulating learning experience.
Nursing Orientation and Nursing Residency Program
Nursing Orientation: Nursing orientation is a structured process that is individualized to assist both experienced nurses and new graduates to successfully integrate into the work setting. Working in concert with nursing leadership, the unit based educators assist with unit-specific competency based education. The unit educator partners with the new hires to ensure a successful transition into independent practice.
Nurse Residency Programs: Truman Medical Centers' nurse residency programs provide a structured 3 to 6 month clinical and classroom program that provides the new graduate nurse or inexperienced RN with the opportunity to increase knowledge, education, technical skills and professional behaviors. Built on Benner's model from ''Novice to Expert'' the clinical nurse resident will be able to demonstrate competency in direct patient care through a formulated and supervised clinical experience. Residency programs are available in Med-Surg, Perinatal, Critical Care, Emergency Nursing, and Behavioral Health.
Clinical Affiliations: As an academic medical center, TMC partners with strong nursing programs across the greater Kansas City area. We share training affiliations with several schools including the University of Missouri-Kansas City, William Jewell School of Nursing, Penn Valley Community College, and University of Central Missouri. Whether students are pursuing an ADN, BSN or MSN, Truman Medical Centers offers a stimulating learning experience.
Continuing Education: Nursing Workforce Development Department supports many continuing education programs, including Basic Cardiac Life Support, ACLS, Neonatal Resuscitation, and Intermediate Fetal Monitoring. Most classes are free or offered at a nominal charge to employees. Ongoing educational opportunities are based on the results from the Annual Educational Assessment. Most of the offerings include nursing continuing education credit.
Tuition Reimbursement and Scholarships: Tuition reimbursement and nursing scholarships are available to full-time employees enrolled in accredited nursing programs. To support ongoing professional growth and lifelong learning opportunities, the Corporate Academy offers a variety of onsite education and training experiences.
Nursing Career Development: We believe in providing our nursing team with innovative ways to obtain a higher education. Truman Medical Centers has both onsite and on-line educational opportunities for the LPN wishing to obtain an Associate Degree in Nursing. Additionally, registered nurses wishing to obtain an MSN/MBA degree may pursue their education onsite through our partnership with the University of Mary, while continuing employment at TMC.
The Clinical Ladder program recognizes and rewards our expert clinical nurses with the opportunity for career development and advancement while maintaining a clinical focus. Promotion occurs as the nurses advances up the clinical ladder from ''Clinical Nurse'' through sequential progression to Clinical Nurse II, III, and IV. Each step on the ladder represents increased accountability and competency, along with a promotion in increase of base pay. There is a two-year requirement of maintenance of the promotion during each step of advancement or maintenance of the Clinical Ladder.
TMC places high value on people and relationships. This is evidenced by the adoption of the Relationship Based Care (RBC) model which places the patient and family in the center of the TMC environment. RBC is a culture shift to welcoming, appreciating, valuing, and empathizing and demonstrating these behaviors to the patients, family, and our colleagues. Nurses are called to model these behaviors in our everyday interactions. Patient and nursing satisfaction is a one of the goals of RBC. Truman Medical Center partners with Press Ganey to provide our patients with a voice. We want to be the hospital of choice for Kansas City, and patient satisfaction is the key to achieving this goal. Through the active use of caring behaviors by TMC nurses we are confident patient and nursing satisfaction scores will continue to rise.
Who Are TMC Nurses?
It's hard to believe that I have been at TMC almost 25 years!
I can remember how overwhelmed I was when I first started on the Fourth Floor. The patients had such complicated health conditions. If it had not been for the mentoring and nurturing of some really awesome med-surge nurses, I'm sure I would not have lasted through my six months probation. Not only did they share their expertise, they demonstrated the "heart" of TMC.
A different kind of nursing journey began when I transferred to the Infectious Disease Clinic. It was in this clinic when nursing became "not just a job," but a career and a passion. And, again, it is a journey that was only possible because of the nurses who guided me and mentored me.
One of the highlights of my career was being nominated for the Heart of Healthcare award. That a fellow nurse that I hold in high esteem would nominate me is the greatest honor. Receiving the award and sharing it with my colleagues is now a treasured memory. However, I would never have made it to this point without the guidance of so many nurses.
Rose Farnan, RN, BSN, ACRN
TMC New Graduates:
Graduating from nursing school and taking boards are two very big steps in a new RN's life, and for many, including myself, are very stressful. Taking a job at an urban, academic ICU rivals those two stressors -- hands down.
Walking in that first day, I was so proud that I had earned my navy blue scrubs and was able to move on from my UMKC alma mater of royal blue scrubs. The feeling of accomplishment was quickly replaced with the very real feeling that I had peoples' lives in my hands, and that the responsibility our jobs demanded was intense.
My first summer, there were countless nights I laid in bed wide awake pondering the next day's challenges and going over the checklist of things I had learned in orientation.
One of the big things I had to get used to wasn't talked about in nursing classrooms: the idea of teamwork. My biggest obstacle was building the confidence that it was "OK" to ask for help, and that our staff and co-workers are there to help each other. I have learned to not only count on and trust my peers' clinical knowledge and skills, but also to realize that we are a team that will be there for each other, whether for a code blue or for turning a patient.
As the fear of the unknown and the ICU abated, I have realized that there is vast knowledge to be learned after school and that so much of your education occurs after graduation.
Having just completed my first year of working at TMC, I'm able to look back and see how far I've come. I've gone from being a green new grad whose heart skipped a beat every time my patient looked at me wrong to a more seasoned ICU nurse who knows what to expect from my patients, families, and the staff with whom we work.
As a new grad, I encourage you to ask questions, respect the advice of those with experience, and remember that, in a matter of time, your comfort level will grow. And you won't always be the new kid on the block.
Drew Gooden, RN, BSN