Implementation challenges of a renal nursing professional practice model.

A city-wide steering-committee developed and introduced a program wide renal nursing professional practice model (PPM) using a variety of strategies. The PPM outlines values, practice guidelines, professional relationships, and the care delivery model. Challenges are inherent when implementing changes on multiple sites amidst a city-wide merger. Key challenges included maintenance of the model and measurement of its impact on practice. This paper summarizes the leadership team s learning regarding both the support required to successfully implement the model and the developments that competed against a successful implementation. The authors also discuss qualitative evaluation of the nurses experiences during model implementation.