MemorialHermann-Texas Medical Center
Established in 1925, the hospital provides 24-hour emergency andtrauma care to more than 40,000 patients a year. It is ageneral medical and surgical facility that also functionsas a teaching hospital for The University of Texas Medical School atHouston. After expansion and the opening of a 30-floor building, thehospital now has 1,082 licensed beds including 278 for children, 68for women, 589 for adults and 147 reserved for heart & vascularinstitute. The hospital is part of a 13 hospital network underMemorial Hermann operating in the larger Houston area.
The hospital nursing phsiosophy as follows: “The philosophy fornursing at the Memorial Hermann-Texas Medical Center is to create andmaintain an environment that ensures the success of the professionalnurse by providing the resources for them to exercise clinicaljudgment, decision-making, assessment, planning, intervention andevaluation to administer treatment and coordinate patient care”(The Memorial Mermann Texas Medical Center 2016).
This philosophy is centered on the multiple roles played by nurses asleaders, teachers, clinicians, innovators, collaborators andadvocates. The numerous roles played by these nurses corresponds withScott, PMatthews and Kirwan (2014) who say that a nursing philosophyis important in the 21st century for nurses who have liveup to increased expectations as the role of the nurses evolve. Asclinicians, nurses are expected to utilize clinical and technicalskills to offer wholesome service. As advocates, nurses are expectedto represent and push for the concerns of patients, family, and thecommunity in healthcare settings. As collaborators, nurses shouldencourage and motivate one another to achieve optimal and realisticgoals in their career. As innovators, Memorial Herman encouragesnurses to question and evaluate nursing practices in line withevidence-based practice. Nurses as teachers should also promotelearning for self, colleagues, patients, and colleagues. With suchvalues, the facility seeks to provide a guideline on the provision ofservices, improvement of care, and personal development of nurses toenable nurses provide superior nursing care services.
Jupiter Medical Center is a not-for-profit 327-bed regional medicalcenter located in Jupiter, Florida. The hospital was formerly part ofthe Salhaven retirement community. It was established in December1956 but the hospital started operations in 1979 and currently serves108,000 patients annually. As a not for-profit hospital, it iscapable of setting minimum charges for patients and hence the highnumber of patients served. The hospital currently has a team of1,500, 575 physicians and 640 volunteers. The larger Memorial Hermannhas 24,000 employees and 5,500 affiliated physicians.
“We believe that Nursing is the protection, promotion andoptimization of health and abilities, prevention of illness andinjury, alleviation of suffering through the diagnosis and treatmentof human response and advocacy in the care of individuals, families,communities, and populations” (Jupiter Medical Center 2016).
The hospital’s philosophy can be broken down into several factorsas explained. First, the concept of all round care is emphasized. Thehospital believes in all round care comprising of attending tospiritual, emotional, psychological, social, cultural as well asphysical needs. This in line with Holt’s (2013) view of a nursingphilosophy as an approach that should guide all aspects involved innursing from delivery of care to personal development.
In delivering care, the facility is guided by the American NursesAssociation Nursing, the Boykin & Schoenhofer’s Nursing asCaring, and American Association of Critical Care Nurses SynergyModel of Care. Furthermore, the facility emphasizes on therelationship based case to increase quality of care in the community.In support of research and continuing education, the facilitysupports shared decision making as well as supporting collaborationand participation.
The Memorial Hermann-Texas Medical Center follows a very differentphilosophical approach to nursing care from Jupiter medical center. Ideally, the Memorial Hermann-Texas Medical Center’s philosophycenters on the professional aspect of nurses. The hospital believesthat enabling nurses to work in a professional environment will allowthem to work optimally. If this is the case, it shows that nurses areall well trained and hence they only need an enabling environment todeliver. In contrast, Jupiter Medical Center recognizes the need forcontinuous education for nurses in its nursing philosophy. Thehospital supports hared decision making that encourages criticalthinking and further research as required by evidence-based practice.
At the same time, the Jupiter Medical Center seeks to serves theunder privileged members of the community as a non-profit whichallows it a chance to serve more patients. The hospital thuspositions itself as hospital that offers warmth and all round care.On the contrary, Memorial Hermann-Texas Medical Center highlights onthe professionalism of the staff. Such an approach is best suited toattract patients willing to pay premium charges for premium service.
Despite the difference, both nursing philosophies capture theessential aspect of nursing in providing quality healthcare services.For one, both philosophies recognize that the role of nurses ischanging with time. The traditional idea of nursing as fulfilling thedoctors’ orders is gradually changing and nurses are more empoweredin decision making and more professional all round.
The MemorailMermann Texas Medical Center. Retrieved from,
Jupiter MedicalCenter. Retrieved from,
Holt, J. (2013).Nursing in the 21st century: is there a place for nursing philosophy?Nursing
Scott, P.,Matthews, A. & Kirwan, M. (2014). What is nursing in the 21stcentury and what does
the 21st centuryhealth system require of nursing? Nursing Philosophy 15(1):23-24.