2.50
Hdl Handle:
http://hdl.handle.net/10755/157859
Type:
Presentation
Title:
Advanced Practice Nursing: Constraints to Role Fulfillment
Abstract:
Advanced Practice Nursing: Constraints to Role Fulfillment
Conference Sponsor:Western Institute of Nursing
Conference Year:2006
Author:Plager, Karen, DNSc, RNC, FNP
P.I. Institution Name:Northern Arizona University
Title:Associate Professor
Contact Address:3891 N Swiss Road, Flagstaff, AZ, 86004, USA
Contact Telephone:928-526-3884
Co-Authors:Margaret M. Conger, RN, EdD
Purposes/Aims: The purpose of this paper is to report on a secondary analysis of data obtained in an outcomes study of advanced practice nurse (APN) graduates from a university in southwest United States. The aims of the original study were to determine how graduates implemented program terminal competencies in their practice and to examine role differentiation between nurse practitioner and clinical nurse specialist graduates. The aim of this paper is to describe one theme that emerged from the data analysis: constraints to role fulfillment.
Rationale/Conceptual Basis/Background: It is important to identify constraints in APN practices so that educational programs can address these issues in a proactive manner that will prepare graduates for the realities of the practice world. Constraints to practice limit APNs' ability to practice to the full extent of their educational preparation. Methods: This study utilized a qualitative phenomenological methodology. All graduates (N=41) who were in practice at least one year following graduation from an APN program were invited to participate in a focus group or an individual interview. Five focus groups and 14 individual interviews were conducted. Seven of 10 rural health specialist (RHS) and 23 of 31 family nurse practitioner (FNP) graduates participated in the study. Audiotapes of interviews were transcribed verbatim and then reviewed for accuracy. Two researchers independently read the narrative-text analogues for themes and then discussed them to gain consensual validation of findings. Three strategies of thematic analysis and identification of exemplars and paradigm cases were used for analysis and interpretation of data.
Results: As study participants described how their graduate program terminal competencies were actualized in their individual advanced nursing practices, various constraints to role fulfillment were uncovered. These areas of constraints included role expectations of the practice setting, health delivery system issues, and legal practice issues. The paper will describe exemplars from practice in each of these areas.
Implications: These findings suggest important areas for inclusion in educational programs to better prepare graduates for the realities of practice: 1) the need for careful negotiation of job descriptions and expectations; 2) the need to be involved in policy development to reduce legal constraints to practice; and 3) understanding how to function effectively within our current health care system. Supported by Northern Arizona University Intramural Grants Program. No grant number.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAdvanced Practice Nursing: Constraints to Role Fulfillmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/157859-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Advanced Practice Nursing: Constraints to Role Fulfillment</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Plager, Karen, DNSc, RNC, FNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Northern Arizona University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3891 N Swiss Road, Flagstaff, AZ, 86004, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">928-526-3884</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">karen.plager@nau.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Margaret M. Conger, RN, EdD</td></tr><tr><td colspan="2" class="item-abstract">Purposes/Aims: The purpose of this paper is to report on a secondary analysis of data obtained in an outcomes study of advanced practice nurse (APN) graduates from a university in southwest United States. The aims of the original study were to determine how graduates implemented program terminal competencies in their practice and to examine role differentiation between nurse practitioner and clinical nurse specialist graduates. The aim of this paper is to describe one theme that emerged from the data analysis: constraints to role fulfillment.<br/>Rationale/Conceptual Basis/Background: It is important to identify constraints in APN practices so that educational programs can address these issues in a proactive manner that will prepare graduates for the realities of the practice world. Constraints to practice limit APNs' ability to practice to the full extent of their educational preparation. Methods: This study utilized a qualitative phenomenological methodology. All graduates (N=41) who were in practice at least one year following graduation from an APN program were invited to participate in a focus group or an individual interview. Five focus groups and 14 individual interviews were conducted. Seven of 10 rural health specialist (RHS) and 23 of 31 family nurse practitioner (FNP) graduates participated in the study. Audiotapes of interviews were transcribed verbatim and then reviewed for accuracy. Two researchers independently read the narrative-text analogues for themes and then discussed them to gain consensual validation of findings. Three strategies of thematic analysis and identification of exemplars and paradigm cases were used for analysis and interpretation of data.<br/>Results: As study participants described how their graduate program terminal competencies were actualized in their individual advanced nursing practices, various constraints to role fulfillment were uncovered. These areas of constraints included role expectations of the practice setting, health delivery system issues, and legal practice issues. The paper will describe exemplars from practice in each of these areas.<br/>Implications: These findings suggest important areas for inclusion in educational programs to better prepare graduates for the realities of practice: 1) the need for careful negotiation of job descriptions and expectations; 2) the need to be involved in policy development to reduce legal constraints to practice; and 3) understanding how to function effectively within our current health care system. Supported by Northern Arizona University Intramural Grants Program. No grant number.</td></tr></table>en_GB
dc.date.available2011-10-26T20:16:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:16:24Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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