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
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
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
TMC Nursing Philosophy and Belief Statements
The patient and their support system is the center of our professional
Our approach to patient centered care is grounded in relationship-based care
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
- Attention to Detail
- Presence/Being There
- Comfort Measures
- Adjusting The Environment
The provision of patient centered care encompasses the interdisciplinary
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
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 health care 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.