Over the past 15 years The Ottawa Hospital has embarked on a journey of redesign and reorganization. During this journey, four distinct models have emerged.
First, the Nursing Professional Practice Model was created between 2000 and 2002 due to major system changes in health care and education as well as progress in self regulation. The nursing professional practice environment was redesigned to provide a dynamic infrastructure with policies and processes that support and guide practice of all nurses in the four domains of practice: a) clinical, b) education, c) research, and d) management. Inclusive in this environment is the way the delivery of services, both intra- and inter-professional, is organized.
Second, nurses at the hospital asked that there be one consistent model for delivering patient care. The Model of Nursing Clinical Practice (MoNCP©) emerged between 2000 and 2002 from a systematic process, that included a literature review, an environmental scan, surveys, and consultations. Within this model of care, Registered Nurses and Registered Practical Nurses are accountable for their practice and work to full scope alongside their unregulated care provider colleagues. Implemented in over 110 units at the hospital, MoNCP is the first Canadian Model of Nursing Clinical Practice developed for the challenges of the 21st century. The hospital is currently working with many external partners to implement this model in a variety of practice environments, such as acute, transitional, long term care, and rural settings.
Third, the Model of Professional Practice with developed in 2005 following a review of the literature, professional position descriptions, and the comparator structures at bench-marked hospitals. In 2016, the model was updated to more closely align professional practice with the hospital’s strategic directions, promote inter-professional collaboration, and enhance communication among health profession and operational leaders.
Fourth, the Inter-Professional Model of Patient Care (IPMPC©) came about in 2006 at a time when inter-professional collaboration emerged as a priority on the policy agenda in Canada. This policy focus will help improve seamless care for patients and families across the continuum of care and answer the additional challenges of the health-care human resources shortage.
The hospital has developed and is implementing this innovative inter-professional practice model of patient care with over 100 teams. The hospital has also received inquiries from other health-care organizations who wish to implement MoNCP© and IPMPC©.