A Validated, Model-Specific Tool to Measure the Developmental Stage of a Shared Governance, Professional Practice Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/163376
Category:
Abstract
Type:
Presentation
Title:
A Validated, Model-Specific Tool to Measure the Developmental Stage of a Shared Governance, Professional Practice Model
Author(s):
Bokovoy, Joanna; Hitchings, Kim; Capuano, Terry; Houser, Janet
Author Details:
Joanna Bokovoy, RN, DrPH, Director, Healthcare Resarch, Lehigh Valley Health Network Patient Care Services, Allentown, Pennsylvania, USA, email: Joanna.Bokovoy@lvh.com; Kim Hitchings, RN, MSN; Terry Capuano, RN, MSN, MBA CNA; Janet Houser, RN, PhD
Abstract:
Purpose: Lehigh Valley Hospital, a Magnet Hospital, initiated an interdisciplinary shared governance, professional practice model (PPM) in 1985. A recent innovation has been development of a valid and reliable model-specific tool to measure the PPM's developmental stage. Theoretical Framework: The PPM is based upon the Forces of Magnetism values and beliefs. The structure incorporates principles of Porter-O'Grady. Values and beliefs prompt identification and continuous revision of key care delivery components staff are empowered to effect: clinical practice; quality; research; professional excellence; operations; and, collegial review and recognition. Methods (Design, Sample, Setting, Measures, Analysis): The PPM Status Assessment Tool uses a Likert scale to assess aspects of the key components. Staff indicate their perception of what "best describes the current status of the PPM" in their unit/department. The tool was sent in January, 2005 to a 40% random sample (404) of full- and part-time staff. A 48% response rate was achieved. Concurrent validity assessment was completed by unit/department leadership and verified by designated individuals. Inter-rater agreement on the validation instrument was 96.6%. Internal reliability was assessed via Cronbach's alpha, the Guttman split-half statistic, and test-retest correlation coefficient. Validity was assessed with content validity analysis, face validity and concurrent validity. Utilizing staff responses, a weighted PPM performance index was calculated using a model considering the relative contribution of each item towards successful PPM implementation. The final index is based on a weighted total score for the instrument, with index values based on percentile ranks. Results: The primary outcome is a valid and reliable, model-specific tool to measure the developmental stage of each patient care unit's and ancillary department's PPM. Conclusions and Implications: Staff are using the results to develop action plans to enhance their PPM. Attention to the state of a unit/department PPM is necessary to create the ideal interdisciplinary practice environment, thus promoting quality patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Validated, Model-Specific Tool to Measure the Developmental Stage of a Shared Governance, Professional Practice Modelen_GB
dc.contributor.authorBokovoy, Joannaen_US
dc.contributor.authorHitchings, Kimen_US
dc.contributor.authorCapuano, Terryen_US
dc.contributor.authorHouser, Janeten_US
dc.author.detailsJoanna Bokovoy, RN, DrPH, Director, Healthcare Resarch, Lehigh Valley Health Network Patient Care Services, Allentown, Pennsylvania, USA, email: Joanna.Bokovoy@lvh.com; Kim Hitchings, RN, MSN; Terry Capuano, RN, MSN, MBA CNA; Janet Houser, RN, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/163376-
dc.description.abstractPurpose: Lehigh Valley Hospital, a Magnet Hospital, initiated an interdisciplinary shared governance, professional practice model (PPM) in 1985. A recent innovation has been development of a valid and reliable model-specific tool to measure the PPM's developmental stage. Theoretical Framework: The PPM is based upon the Forces of Magnetism values and beliefs. The structure incorporates principles of Porter-O'Grady. Values and beliefs prompt identification and continuous revision of key care delivery components staff are empowered to effect: clinical practice; quality; research; professional excellence; operations; and, collegial review and recognition. Methods (Design, Sample, Setting, Measures, Analysis): The PPM Status Assessment Tool uses a Likert scale to assess aspects of the key components. Staff indicate their perception of what "best describes the current status of the PPM" in their unit/department. The tool was sent in January, 2005 to a 40% random sample (404) of full- and part-time staff. A 48% response rate was achieved. Concurrent validity assessment was completed by unit/department leadership and verified by designated individuals. Inter-rater agreement on the validation instrument was 96.6%. Internal reliability was assessed via Cronbach's alpha, the Guttman split-half statistic, and test-retest correlation coefficient. Validity was assessed with content validity analysis, face validity and concurrent validity. Utilizing staff responses, a weighted PPM performance index was calculated using a model considering the relative contribution of each item towards successful PPM implementation. The final index is based on a weighted total score for the instrument, with index values based on percentile ranks. Results: The primary outcome is a valid and reliable, model-specific tool to measure the developmental stage of each patient care unit's and ancillary department's PPM. Conclusions and Implications: Staff are using the results to develop action plans to enhance their PPM. Attention to the state of a unit/department PPM is necessary to create the ideal interdisciplinary practice environment, thus promoting quality patient care.en_GB
dc.date.available2011-10-27T11:06:27Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:27Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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