jump to navigation

The Premier Primary Nursing Hospital in the United States July 23, 2013

Posted by mariemanthey in Creative Health Care Management.
Tags: , , , , , ,

In early May I had the privilege of visiting The James Cancer Center, a division of Ohio State University Hospital. My colleagues at CHCM, particularly Susan Wessel and Janet Weaver, have been working with them for some time and had been telling me of the great progress in developing a highly professional practice model the James had been achieving.

What I saw was like a dream come true for me. I saw staff nurses free and motivated to creatively solve patient’s care problems! This isn’t about unusual staff nurses; they are basically the same as staff nurses everywhere. It is about leadership based on common sense and a cultural infrastructure of safety for the risk-taking of creative problem solving. It thoroughly convinced me that Primary Nursing can be done….and MUST be done. Our patients deserve this level of care and our nurses deserve this kind of high-trust, high-integrity institutional environment.

Here is an email I received today from Jamie Ezekeilian at the James (addressed to Susan Wessel and myself):

Dear Susan and Marie,

We did indeed complete our three-day Magnet site visit last Friday, and I couldn’t help thinking that you would have been so proud.  At the checkout session with our three appraisers they said that they wanted to share what they thought were our “double-WOWs,” and the first thing they listed was our Professional Practice Model, Care Delivery System, and Relationship-Based Care!  Some of their observations:

  • We are living all aspects of RBC throughout the organization
  • They were amazed that professionals beyond nursing (including physicians) could speak articulately about our PPM and RBC
  • That Primary Nursing was so enculturated in all practice settings— they thought it unheard of for surgical services (periop) to be practicing Primary Nursing
  • They were quite impressed with our communication across the continuum of care and of our care coordination
  • They said that staff clearly felt cared for by each other and that is how they continue to do the difficult work of oncology nursing
  • That all were focused on patients!
  • That we have “clearly done this right”
  • That staff throughout the organization are so excited to attend the RBC Symposium in September—”we heard about it everywhere we went”

I wanted to share this with you as an affirmation of your professional work and your passion for Relationship-Based Care. I am so grateful to you for your wisdom and so thankful that we have had the opportunity to work together.

With heartfelt gratitude,



1. As it happens: RBC Symposium Day 2_ Tuesday, June 20 | Marie Manthey's Nursing Salon - June 20, 2017

[…] written about The James previously on this blog – along with UC-Davis they hold a pre-eminent position in US critical […]

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: