Professional Practice in Nursing: A Framework

Girard, Francine; Linton, Noreen; Besner, Jeanne

doi:10.12927/cjnl.2005.19028

Cited by 15 publications

(19 citation statements)

References 5 publications

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“…Professional practice models facilitate staff satisfaction, the design and delivery of optimal care, and improve patient outcomes (AACN, 2002;Aiken, Clarke, & Sloane, 2008;Hoffart & Woods, 1996;Girard, Linton, & Besner, 2005). Family and Internal Medicine outpatient clinics at Tripler Army Medical Center implemented a nursing PPM guided by the Iowa Model of Evidence-Based Practice during [2009][2010][2011][2012].…”

Section: Resultsmentioning

confidence: 99%

Evaluation of a Professional Practice Model in the Ambulatory Care Setting

Siaki¹

2014

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. Design: This 2 x 3 fixed factorial design examined 32 access, continuity, staff and patient satisfaction, and quality care indices in Family (FM) and Internal Medicine (IM) clinics across three time periods. REPORT DATE (DD-MM-YYYY)Sample/Methods: Nursing staff (n=42) and patients (n=1220) were recruited using nonpurposive sampling for the satisfaction questionnaires. Aggregated quality care, access, and continuity metrics from each clinic and selected questions from the Army Provider Level Satisfaction Survey (n=2834) and the Interactive Customer Evaluation (n=4275) were analyzed using descriptive and inferential statistics. Qualitative data from questionnaires were analyzed using content analysis, identifying points of convergence, divergence, and complementarity with quantitative data. Analysis/Findings: Communication (p=.004), access/convenience (p=.001), see provider when needed (p=.039) and overall satisfaction (p=.015) improved over time. Patient satisfaction was more favorable in FM than IM (Wilk's λ = .982, p= .001). Staff satisfaction improved in FM (p<.05) only; RN/MD relationships improved (F (2, 85) = 19.2, p < .05) in both clinics. Few quality care metrics improved in either FM (n=2) or IM (n=3). Qualitatively, staff identified significant work turbulence: frequent changes, lack of resources, ineffective leadership communication, management style, staffing, and practice constraints as issues. Furthermore, Patient Centered Medical Home (PCMH) implementation eclipsed PPMs, as nursing staff felt excluded from decision-making. Staff dissatisfaction was mirrored in the patient comments, as patients felt rushed, commenting that staff needed more help. Military Nursing implications:Conduct research and EBP projects to refine nurse-sensitive, outpatient outcome measures, develop a staff satisfaction instrument for use with multilevel nursing staff and assess effects of PCMH teams on nurse-sensitive metrics. Educate leadership and staff regarding change management, effective communication, nurses practicing at the top of their education and training, and interdisciplinary collaboration in the spirit of the IO...

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Section: Resultsmentioning

confidence: 99%

Evaluation of a Professional Practice Model in the Ambulatory Care Setting

Siaki¹

2014

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“…Focus groups (FGs) have precedence in data collection [1] to develop PPMs and allowed for our nurses' voices to be heard. The study sought to understand what it means to be a RN.…”

Section: Methodsmentioning

confidence: 99%

“…Ensuring that RNs practice according to the philosophical underpinnings of their profession is an important factor in job satisfaction [1]. Many organizations have developed PPMs with the goals of empowering the nursing workforce and improving the quality of patient care [2].…”

Section: Background and Significancementioning

confidence: 99%

“…Girard et al [1] pointed out that a set of values and performance expectations to which all nurses can subscribe and that influence practice behaviors is essential to creating a culture of excellence. The American Association of Colleges of Nursing's white paper [6] described a key element of a PPM as empowered nursing clinical decision-making with authority to develop and implement nursing care orders and actions.…”

Section: Review Of the Literaturementioning

confidence: 99%

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From Blank Canvas to Masterwork: Creating a Professional Practice Model at a Magnet Hospital

Dimitroff

Tydings

Nickoley³

et al. 2016

Nursing Research and Practice

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Objective. The purpose of this study was to engage registered nurses (RNs) in the creation of a Professional Practice Model (PPM). Background. PPMs are essential as the philosophical underpinnings for nursing practice. The study institution created a new PPM utilizing the voice of their RNs. Methods. Qualitative inquiry with focus groups was conducted to explore RNs values and beliefs about their professional practice. Constant-comparative analysis was used to code data and identify domains. Results. The 92 RN participants represented diverse roles and practice settings. The four domains identified were caring, knowing, navigating, and leading. Conclusions. Nurse leaders face the challenge of assisting nurses in articulating their practice using a common voice. In this study, nurses described their identity, their roles, and how they envisioned nursing should be practiced. The results align with the ANCC Magnet® Model, ANA standards, and important foundational and organization specific documents.

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“…This consists of a commitment to ideology of impartiality, truthfulness, reverence and reliability. [41][42][43][44] Nursing professionalism stems from nurses developing their practice. 42 there are plenty of expectations with Nepalese nurses who hunt for professional practice have to bestow the finest promising quality care to all patients, despite of the circumstances or who they are.…”

Section: Need Of Professionalism Among Nursesmentioning

confidence: 99%

Perspectives of developing nursing education in Nepal

Prakash

Yadav

2018

NCOAJ

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Although nursing is well thought-out as valued and a public service leaning profession but the quality of nursing education and future of nurses remains a growing concern with International standards in Nepal. The perspective of nursing educationists reveals the scholastic, academic and practiced loom to understanding advancement in this sector. Nepal has been escalating its branches of nursing education in the Government as well as in private sectors throughout the country since 1990s. But, the development seems not to be so fruitful. The regulatory bodies and legal provisions are not so passionate towards the quality education and commercialization of nursing sector has increased drastically with numerous private nursing colleges which generate increased quantity of nursing professionals with a reduction of prospects for career and employment. The monopolies of private investors in nursing education are everincreasing day by day. The majority competent nurses desire to service in developed countries, such as the UK, North America, Australia and New Zealand due to the ineffective management strategy to hold nursing personnel in Nepal with worldwide standards. The nurse-population ratio low down in similarity to worldwide standards which definitely influences the quality of care in Nepal. There is lack in monitoring and government regulation of international nursing standards in quality education, production of effective nurses and frequently observed social and professional exploitation of nurses in Nepal. Also, nursing guidelines and policy making are not sufficient to flourish this profession. Therefore, the aim of this review is to explore the developing nursing education and examines diverse factors affecting the quality nursing education highlighting different challenges towards nursing profession and nurses in Nepal.

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Professional Practice in Nursing: A Framework

Cited by 15 publications

References 5 publications

Evaluation of a Professional Practice Model in the Ambulatory Care Setting

Evaluation of a Professional Practice Model in the Ambulatory Care Setting

From Blank Canvas to Masterwork: Creating a Professional Practice Model at a Magnet Hospital

Perspectives of developing nursing education in Nepal

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