Nurse and Patient Partnership Demonstrated in Levels of Nursing Practice Expertise

2.50
Hdl Handle:
http://hdl.handle.net/10755/160052
Type:
Presentation
Title:
Nurse and Patient Partnership Demonstrated in Levels of Nursing Practice Expertise
Abstract:
Nurse and Patient Partnership Demonstrated in Levels of Nursing Practice Expertise
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Hagle, Mary, PhD, RN, AOCN
P.I. Institution Name:Aurora Health Care - Metro Region
Title:Director
Contact Address:Center for Nursing Research, 2400 S. 90th St., Suite 306, West Allis, WI, 53227, USA
Contact Telephone:414.328.6755
Co-Authors:Barbara Bowden, MS, APRN, BC, Nurse Practitioner; Sara Grant, MS, RN, CEN, Case Manager; and Lauren Lund, MS, RN, C, Clinical Nurse Specialist, Metro Professional Development Council, RN
Current research demonstrates that partnering between patients and nurses provides better health outcomes. The concept of partnership has five steps: developing a relationship, sharing knowledge and competency, empowering patients, patient engagement and positive outcomes. These steps have yet to be explored through the actions of staff nurses. The purpose of this study was to identify examples of partnering actions by nurses at different levels of practice expertise, from advanced beginner through expert. From these examples, themes were linked to each step and the concept of partnership may be further developed. The conceptual framework was based on Benner's novice to expert theory as operationalized in an institutional setting using a well-established, validated professional practice development model. This model identifies nursing clinical expertise through the use of written narratives. Sample. From five hospitals in a midwestern healthcare system, a total of 117 nurses, from advanced beginner through expert were randomly selected and asked to participate; 77 agreed (66% response rate). The pre-existing narrative of each nurse had identifying information removed. Each narrative was coded using the five steps of partnership. The methodology was a descriptive exploratory design using a secondary qualitative analysis of the narratives. Dependability of coding was achieved through the use of two researchers. Findings. Partnership actions between nurses and patients advanced on a novice-to-expert continuum. Nurses were able to establish a partnership in short periods of time. Nurses at each level of practice expertise demonstrated most steps of partnership. As patients were empowered to be more involved in their own care, they became further engaged. All nurses and patients had positive benefits from their partnership. Recommendations include advancing a culture of nurse and patient partnership in the health care environment; identifying methods for nurses to empower patients; and, exploring partnership as a means to improve patient safety.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurse and Patient Partnership Demonstrated in Levels of Nursing Practice Expertiseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160052-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurse and Patient Partnership Demonstrated in Levels of Nursing Practice Expertise</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</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">Hagle, Mary, PhD, RN, AOCN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Aurora Health Care - Metro Region</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Center for Nursing Research, 2400 S. 90th St., Suite 306, West Allis, WI, 53227, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414.328.6755</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mary.hagle@aurora.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Barbara Bowden, MS, APRN, BC, Nurse Practitioner; Sara Grant, MS, RN, CEN, Case Manager; and Lauren Lund, MS, RN, C, Clinical Nurse Specialist, Metro Professional Development Council, RN</td></tr><tr><td colspan="2" class="item-abstract">Current research demonstrates that partnering between patients and nurses provides better health outcomes. The concept of partnership has five steps: developing a relationship, sharing knowledge and competency, empowering patients, patient engagement and positive outcomes. These steps have yet to be explored through the actions of staff nurses. The purpose of this study was to identify examples of partnering actions by nurses at different levels of practice expertise, from advanced beginner through expert. From these examples, themes were linked to each step and the concept of partnership may be further developed. The conceptual framework was based on Benner's novice to expert theory as operationalized in an institutional setting using a well-established, validated professional practice development model. This model identifies nursing clinical expertise through the use of written narratives. Sample. From five hospitals in a midwestern healthcare system, a total of 117 nurses, from advanced beginner through expert were randomly selected and asked to participate; 77 agreed (66% response rate). The pre-existing narrative of each nurse had identifying information removed. Each narrative was coded using the five steps of partnership. The methodology was a descriptive exploratory design using a secondary qualitative analysis of the narratives. Dependability of coding was achieved through the use of two researchers. Findings. Partnership actions between nurses and patients advanced on a novice-to-expert continuum. Nurses were able to establish a partnership in short periods of time. Nurses at each level of practice expertise demonstrated most steps of partnership. As patients were empowered to be more involved in their own care, they became further engaged. All nurses and patients had positive benefits from their partnership. Recommendations include advancing a culture of nurse and patient partnership in the health care environment; identifying methods for nurses to empower patients; and, exploring partnership as a means to improve patient safety.</td></tr></table>en_GB
dc.date.available2011-10-26T22:34:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:34:51Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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