2.50
Hdl Handle:
http://hdl.handle.net/10755/161370
Type:
Presentation
Title:
Exploring the Home Healthcare Nursing Practice Environment
Abstract:
Exploring the Home Healthcare Nursing Practice Environment
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Tullai-McGuinness, Susan, PhD, RN r
Title:Assistant Professo
Contact Address:SON, 2121 Euclid Ave.- RT 926, Cleveland, OH, 44115-2214, USA
Co-Authors:Elizabeth A. Madigan, PhD, RN, Associate Professor, Associate Dean
Faced with a nursing shortage and reimbursement change, home healthcare administrators are evaluating the effectiveness of their nurse practice models (NPMs). However, there is little evidence in the home healthcare literature to guide their decision-making. For this descriptive correlational study, professional ideals and Donabedian's Structure Process Outcomes framework formed the conceptual model depicting how the nursing value of autonomy is translated into the NPM. The purposes of the study were to describe the exercise of autonomous practice EAP )which included control over decisions related to practice and the practice setting and to describe the relationship between structural attributes of RN characteristics (certification, education, and experience) and EAP. The instruments for EAP included Anthony’s(1997) Participation in Decision Activities Questionnaire (PDAQ) and a visual analog scale to measure global appraisal of autonomous practice (GAP). A convenience sample of 82 home healthcare RNs from 11 agencies was obtained. Findings: Autonomy for practice decisions (PDAQ M=4.99, SD=.53 and GAP M=86.0, SD=11.65) was higher than for practice setting decisions (PDAQ M=2.44, SD=.89 and GAP M=44.8, SD=27.9). There was only one small, yet significant relationship between certification and control over practice decisions as measured by the GAP (r=-.21, p=.05). No relationships were found between nurse characteristics and the PDAQ measures. The findings of non-significant relationships between nurse characteristics and EAP may be, in part, attributed to a sample in which over 75% of RNs had over five years of home healthcare experience. Findings describing a practice environment in which RNs have little control over practice setting decisions are concerning because studies in acute care provide evidence that when autonomy is translated into a professional practice model through the EAP, nurse satisfaction and nurse retention improve.
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.titleExploring the Home Healthcare Nursing Practice Environmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/161370-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Exploring the Home Healthcare Nursing Practice Environment </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">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tullai-McGuinness, Susan, PhD, RN r</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professo</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 2121 Euclid Ave.- RT 926, Cleveland, OH, 44115-2214, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Elizabeth A. Madigan, PhD, RN, Associate Professor, Associate Dean</td></tr><tr><td colspan="2" class="item-abstract">Faced with a nursing shortage and reimbursement change, home healthcare administrators are evaluating the effectiveness of their nurse practice models (NPMs). However, there is little evidence in the home healthcare literature to guide their decision-making. For this descriptive correlational study, professional ideals and Donabedian's Structure Process Outcomes framework formed the conceptual model depicting how the nursing value of autonomy is translated into the NPM. The purposes of the study were to describe the exercise of autonomous practice EAP )which included control over decisions related to practice and the practice setting and to describe the relationship between structural attributes of RN characteristics (certification, education, and experience) and EAP. The instruments for EAP included Anthony&rsquo;s(1997) Participation in Decision Activities Questionnaire (PDAQ) and a visual analog scale to measure global appraisal of autonomous practice (GAP). A convenience sample of 82 home healthcare RNs from 11 agencies was obtained. Findings: Autonomy for practice decisions (PDAQ M=4.99, SD=.53 and GAP M=86.0, SD=11.65) was higher than for practice setting decisions (PDAQ M=2.44, SD=.89 and GAP M=44.8, SD=27.9). There was only one small, yet significant relationship between certification and control over practice decisions as measured by the GAP (r=-.21, p=.05). No relationships were found between nurse characteristics and the PDAQ measures. The findings of non-significant relationships between nurse characteristics and EAP may be, in part, attributed to a sample in which over 75% of RNs had over five years of home healthcare experience. Findings describing a practice environment in which RNs have little control over practice setting decisions are concerning because studies in acute care provide evidence that when autonomy is translated into a professional practice model through the EAP, nurse satisfaction and nurse retention improve.</td></tr></table>en_GB
dc.date.available2011-10-26T23:20:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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