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What is The Ottawa Hospital Model of Nursing Clinical Practice (TOH MoNCP©)?

TOH MoNCP© is a guide to organize the delivery of nursing care among different categories of nursing personnel such as Registered Nurses (RN), Registered Practical Nurses (RPN), and Unregulated Care Providers (UCP). The model incorporates the expertise of each category of nursing personnel with consideration given to the values and beliefs of the organization.

Recognized as a leading practice by Accreditation Canada, TOH MoNCP© is a set of descriptive Guiding Principles that allow nurses to reflect on how nursing practice is organized on their unit and plan for change. They are organized around several themes:

  • Direct Nursing Care principles focus on the patient, family, and the provider of clinical care.
  • Supportive Structure to Direct Nursing Care principles
    • Clinical Day-to-Day principles focus on support for the novice nurse and valuing the clinical expertise of each staff member.
    • Organizational Day-to-Day principles focus on clerical support and departmental support such as material resources and hotel services (e.g. linen, housekeeping).
    • Educational Support principles focus on individual learning needs as well as the unit needs for orientation, policies and procedures, career counselling and professional development.
  • Management Support to Direct Nursing Care principles focus on the immediate management support required by the direct care providers.
  • The Culture and Structure of TOH Support to Direct Nursing Care principles focus on the organizational effort to support Clinical Managers and recognize the professional contributions of nurses.

MoNCP Diagram