Nursing philosophy and practice model

A team of nurses collaborated with nurse leadership to establish a formal model of care for Fred Hutchinson Cancer Center. The goal was to honor the distinct institutional history of oncology care, as well as to emphasize the excellence of present-day care delivery and embrace the future trajectory of oncology nursing care.

nursing practice model diagram

Title: Theory-Informed Models: Application to Nursing Practice

Authors: Amelia Sherinski, BN, RN, OCN®[SP1] ; Annette English, BSN, RN, OCN®; Diane Heye, BSN, RN, OCN®; Phuong Huynh, BSN, RN, OCN®; Sherry Joseph, BSN, RN, OCN®; Linda Ross, BSN, RN, OCN®; Kathleen Shannon Dorcy, PhD, RN, FAAN

Purpose: To create a nursing model of care representative of the specific institutional history, the present state and the future of oncology patient-centered care at Fred Hutch.

Background and process: A task force was established in accordance with the vision of the Oncology Nurse Society (ONS) “to advance excellence in oncology nursing and quality cancer care…and excellence in the…care of patients.” Swanson’s Caring Theory (1993) was chosen and modified to reflect Fred Hutch’s oncology nursing practice. Core values and the unique characteristics of Fred Hutch oncology nurses were refined into four key concepts: expertise, innovation, collaborative, respectful.

Roll-out of model: The practice model was critiqued and socialized by frontline staff to perfectly encompass the philosophy and practice of our oncology nurses: “Better Together.” The model was presented by the team at the ONS 2019 Congress.

Read more about the development of Fred Hutch’s nursing practice model in the Clinical Journal of Oncology Nursing.