Philosophy & Values
Relationship- Based Care Model
Services at Mid Coast Hospital embraces
a passion for excellence in patient care
and nursing practice. We are here for the
patient; it is all about the patient. This
is achieved through creating an outstanding
professional practice environment for clinical
nurses. This professional practice environment
is accomplished through a commitment to
excellent leadership and management practices
and our shared governance philosophy, and
is guided by the use of evidenced-based
practice, a robust ongoing education program
and support of clinical inquiry and research.
Relationship-Based Care is the professional
model that guides our practice. Nurses recognize
that their purpose is to care for patients
and families. Attention to the needs of
patients and their families contributes
to successful outcomes. Outstanding outcomes
are achieved when patients feel safe within
a trusting relationship. The nurse-patient
relationship is strengthened through continuity
of care and collaboration of interdisciplinary
teams. Strong, collaborative relationships
improve satisfaction for both the patient
and the staff. Our framework is comprised
of seven elements.
Caring and Healing Environment
- Caring is the foundation of our practice
and is the basis for developing the nurse-patient
- We care for and nurture patients and
their families with respect, empathy,
- We advocate for patient rights and
- We provide an environment that is physically,
spiritually and emotionally healing.
- We believe that caring for ourselves
and supporting each other is primary in
our ability to care for others.
- Our leaders create caring and healing
cultures and a positive work environment.
- Nurse leaders exist at every level
of our organization.
- Leadership practices are guided by
the principles of shared governance.
- We believe all members of our team
contribute their unique knowledge and
skills, which are commensurate with their
established levels of responsibility,
authority and accountability.
- We promote trust and positive interpersonal
relationships by valuing open communication
and honoring diversity.
- We honor unified, collaborative interdisciplinary
teams that learn together and create the
interdependence required for well coordinated,
high quality patient care delivery and
Professional Nursing Practice
Our professional nursing practice exists
to provide safe, quality, holistic and
compassionate care to individuals and
families, by using professional standards
to achieve and maintain optimal health
outcomes, comfort, and dignity.
Martin RN, Med-Surg nurse with a
- We embrace nursing research and incorporate
evidence-based practice in our care of
patients and our leadership practices.
- We demonstrate responsibility, authority,
and accountability for our own independent
- We support and celebrate individual
attainment of professional and educational
goals and achievements.
- We believe that expert practice should
be honored, recognized and rewarded.
- We enthusiastically support the provision
of clinical experiences to nursing students
and the advancement of nursing practice.
Patient Care Delivery
- We establish therapeutic relationships
among nurses, patients, and families to
ensure patient- and family-centered care.
- We believe in continuity of care and
ensure staffing levels that meet patient
and family needs.
Resource Driven Practice
- We maximize all available resources
in the interest of achieving desired outcomes
and safe-guarding patient care.
- We embrace new technology
- We care about and respond to the needs
of the community and the organization
of Mid Coast Hospital
- We support the need to consider the
overall impact of healthcare costs on
the delivery system, and participate in
ways to improve access and quality while
reducing barriers, disparities and waste.
- We ensure safe and high quality care
for our patients by continually striving
for improvement and excellence in our
Philosophy Statement, (2008), Mid Coast
Hospital, Brunswick, ME.
Koloroutis, M. ed. (2004) Relationship-Based
Care: A model for Transforming Practice.
CHCM, Minneapolis, MN.
Nursing: Scope and Standards of Practice,
(2004) American Nurses Association, Silver
American Nurses Association Bill of Rights
for Registered Nurses, (2001), ANA website: