2.50
Hdl Handle:
http://hdl.handle.net/10755/182928
Category:
Abstract
Type:
Presentation
Title:
Influence of Specific Professional Practice Model Elements on Outcomes
Author(s):
Houser, Janet L.; Hitchings, Kim; Bokovoy, Joanna
Author Details:
Janet L. Houser, PhD, RN, Regis University, HSAM Dept, Denver, Colorado, USA, email: jhouser@regis.edu; Kim Hitchings, MSN, RN, CNAA; Joanna Bokovoy, DrPH, RN
Abstract:
Paper Presentation: This study examined the association between specific Professional Practice Model (PPM) elements and unit performance indicators. A model-specific assessment, previously tested for reliability and validity, was used to measure implementation of the PPM on 42 patient care units at this Magnet hospital. A weighted index was developed that reflected unit achievement. Outcome indicators were patient and employee satisfaction, turnover, vacancies, and hours per patient day. Multivariate analysis was used to measure predictive ability of the scores. The PPM index was a significant predictor of overall employee satisfaction (r2 = .366). Professional involvement and participation beyond the unit predicted patient satisfaction. Research, budget, defined committees, and staff involvement predicted employee satisfaction. Research and staff involvement were also associated with lower turnover. Staff involvement in processes - via practice-based research, committee involvement, or involvement in the organization, appears to have the greatest return in terms of employee satisfaction. Patient satisfaction also benefits from involvement in decision-making. This study is unique in two ways. First, while many instruments are available for measuring the work environment for professional practice, this instrument was specifically developed to measure the PPM elements in this facility, providing information that is directly relevant to practice. Second, while there are studies that reflect an association between a professional practice environment and outcomes, this study enabled quantification of the influence of specific PPM elements. This study enables action in prioritizing the elements of the professional practice model that have the most impact, and provides an empirical basis for decision-making about resource application. References: Aiken, J.H. & Patrician, P.A. (2000) Measuring organizational traits of hospitals: The revised nursing work index. Nursing Research, 49(3):146-53. Havens, D.S. & Aiken, L.H. (1999) Shaping systems to promote desired outcomes: The Magnet hospital model. Journal of Nursing Administration, 29(2):14-20.Ingersolll, G.S., Witzel, P.A., Smith, T.C. (2005) Using organizational mission, vision, and values to guide professional practice model development and measurement of nurse performance. Journal of Nursing Administration. 35(2):86-93. O'Rourke, M.S. (2003) Rebuilding a professional practice model: The return of role-based practice accountability. Nursing Administration Quarterly, 27(2):95-105.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.
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.titleInfluence of Specific Professional Practice Model Elements on Outcomesen_GB
dc.contributor.authorHouser, Janet L.en_US
dc.contributor.authorHitchings, Kimen_US
dc.contributor.authorBokovoy, Joannaen_US
dc.author.detailsJanet L. Houser, PhD, RN, Regis University, HSAM Dept, Denver, Colorado, USA, email: jhouser@regis.edu; Kim Hitchings, MSN, RN, CNAA; Joanna Bokovoy, DrPH, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182928-
dc.description.abstractPaper Presentation: This study examined the association between specific Professional Practice Model (PPM) elements and unit performance indicators. A model-specific assessment, previously tested for reliability and validity, was used to measure implementation of the PPM on 42 patient care units at this Magnet hospital. A weighted index was developed that reflected unit achievement. Outcome indicators were patient and employee satisfaction, turnover, vacancies, and hours per patient day. Multivariate analysis was used to measure predictive ability of the scores. The PPM index was a significant predictor of overall employee satisfaction (r2 = .366). Professional involvement and participation beyond the unit predicted patient satisfaction. Research, budget, defined committees, and staff involvement predicted employee satisfaction. Research and staff involvement were also associated with lower turnover. Staff involvement in processes - via practice-based research, committee involvement, or involvement in the organization, appears to have the greatest return in terms of employee satisfaction. Patient satisfaction also benefits from involvement in decision-making. This study is unique in two ways. First, while many instruments are available for measuring the work environment for professional practice, this instrument was specifically developed to measure the PPM elements in this facility, providing information that is directly relevant to practice. Second, while there are studies that reflect an association between a professional practice environment and outcomes, this study enabled quantification of the influence of specific PPM elements. This study enables action in prioritizing the elements of the professional practice model that have the most impact, and provides an empirical basis for decision-making about resource application. References: Aiken, J.H. & Patrician, P.A. (2000) Measuring organizational traits of hospitals: The revised nursing work index. Nursing Research, 49(3):146-53. Havens, D.S. & Aiken, L.H. (1999) Shaping systems to promote desired outcomes: The Magnet hospital model. Journal of Nursing Administration, 29(2):14-20.Ingersolll, G.S., Witzel, P.A., Smith, T.C. (2005) Using organizational mission, vision, and values to guide professional practice model development and measurement of nurse performance. Journal of Nursing Administration. 35(2):86-93. O'Rourke, M.S. (2003) Rebuilding a professional practice model: The return of role-based practice accountability. Nursing Administration Quarterly, 27(2):95-105.en_GB
dc.date.available2011-10-28T15:46:26Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:46:26Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.en_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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