Nursing Leadership

Nursing Leadership 15(4) November 2002 : 21-25.doi:10.12927/cjnl.2002.19162

A Multi-disciplinary Professional Practice Model: Supporting Autonomy and Accountability in Program-Based Structure

Bette Davis, Olga Heath and Patrick Reddick


This article addresses the challenge of maintaining high quality patient care in a large, diverse health care organization as it merged and moved from a dunctional to a program-based management structure. The article describes the Professional Practice Model (PPM) which was developed to address the professional issues inherent in a program-based management structure. The operationalization of the PPM, including the committee structures which were put in place to support it, are discussed. The final section of the article highlights the strengths and challenges which have arisen through the development and implementation of the Professional Practice Model.

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