Poster can be found in location 121.

Introduction: Nursing Professional Practice Models (NPPMs) illustrate how nurses practice, collaborate, and develop professionally, ensuring quality care, professional satisfaction, and healthcare professionals' engagement. Objective: This study aimed to define NPPM elements in a multisite hospital, emphasizing active involvement of nurses and midwives from the study's outset. Methods: The sample included nurses and midwives (Clinical/Leadership). Employing a mixed-method study, with an explanatory sequential design, the study encompassed four meetings, an online survey, two Workshops, a World Café with nursing leaders, and a Focus Group. The study’s phases used descriptive methods of quantitative data and a thematic analysis of qualitative investigations analysed by Braun & Clarke thematic analysis using NVivo®. Results: The investigations allowed describing current hospital realities. The survey (N=1312 RR=65%) identified six elements of the model, confirmed by Workshops/Focus Groups: LEADERSHIP: Focused on enhancing individual strengths, capabilities, goal-sharing. A leader uses communication skills to act as a role model, motivate others, and positively influence practice. WORK CLIMATE/ENVIRONMENT: Emphasizing dialogue, listening, and respect. A healthy work environment promotes good practices and effective nurse-patient relationships. AUTONOMY/COLLABORATION: Professionals are autonomous and accountable in relation to their competencies. Communication facilitated the collaboration. RESEARCH/INNOVATION: Promoting problem-solving and quality care through the dissemination of research and evidence-based practice.  DEVELOPMENT/RECOGNITION: Emphasis on individuality, role recognition, and professional development. CARE OUTCOMES: Nurse-patient (or family) interaction increases safety and quality at the organizational level. Conclusions: Person-centered cultures are pivotal for developing good practices through collaboration. Elements of our NPPM lay the groundwork for culture dissemination. Developing such cultures is complex, especially in a multisite context. A bottom-up approach, with active involvement of the staff from the early stages, has proven successful. Next steps: developing a new nursing care model aligned with the NPPM. Implications for Practice/Research: Developing and valuing nurses can enhance satisfaction, reduce abandonment rates, and improve patient outcomes, aligning with the evolving nursing care model.