The OHSU Nursing Professional Practice Model – The OnSomble Model of the Professional Role

The OHSU Nursing Professional Practice Model – The OnSomble Model of the Professional Role

At OHSU, we use the OnSomble Model of the Professional Role as a framework for understanding professional practice responsibilities.

A profession is defined as an occupation with special power and prestige granted by society because of the occupation’s competence in esoteric bodies of knowledge that are linked to the central needs and values of the social system.


Professional Role: The performance in a profession that is associated with a set of expectations based on the tenets of that profession, professional standards of that practice, legal scope of practice, expectations that produce an individual who had the capacity to be self-directed, use theory, transfer knowledge, and provide care. (O’Rourke, 2006)

Professional Role Accountability: a set of expectations associated with the individual in a profession which are based on the basic tenets of a profession, professional standards of practice, legal scope of practice and that produce an individual who has the capacity to:

Self Direct (Leader)

Leader: Seeking and synthesizing information, thinking critically, question the current patient information and plan of care, and identify how self or other team members could be a risk to the patient’s recovery…. DO all this in order to make a self-directed, independent decision about the patient’s risks, problems, and evidence-based plan for recovery.

Use Theory (Scientist)

Scientist: develop and contribute to an evolving body of knowledge specific to each discipline’s social contract = questioning, developing new hypotheses, testing, and identifying new evidence-based practices that are translated into practice when you are PRACTITIONING. (Uncertainty theory… knowing is never static…e.g. remember “the world is flat”!)

Nursing’s Social Contract
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population. –Nursing’ Social Policy Statement, 2nd ed


Transfer Knowledge (Knowledge Transferor)

Transfer or of Knowledge: Collegiality, Hand-offs, Continuity of Care

Provide Service (Practitioner)

Practitioner: Actual performance, doing practice… have to observe in action to evaluate