The Nurse Practitioner Clinical Ladder Program: A Journey to Professional Nursing Excellence

2.50
Hdl Handle:
http://hdl.handle.net/10755/622065
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Nurse Practitioner Clinical Ladder Program: A Journey to Professional Nursing Excellence
Other Titles:
Advancing the Nurse Practitioner
Author(s):
Paplanus, Lisa M.; Bartley-Daniele, Patricia; Chibbaro, Patricia D.
Lead Author STTI Affiliation:
Upsilon
Author Details:
Lisa M. Paplanus, DNP, ACNP-BC, ANP-BC, CCRN, RN-C, Professional Experience: 2000-present, Nurse Practitioner, NYU Langone Medical Center 2012-present, Vascular NP, NP Manager- Vascular, General, Bariatric Surgical Services 2010-2012, Medicine, Surgery, Cardiothoracic, Cardiovascular, Anticoagulation NP 2003-2010, Cardiac/Vascular NP 2000-2003, Vascular Surgery NP 2010-Present, Adjunct Assistant Nursing Professor, Rutgers University, Newark, NJ, DNP Program and Continuing Education in Nursing Program 1990-1996 Critical Care Nursing Educator and Clinical Specialist, Department of Veterans Affairs Medical Center, NYC, NY 1985-1990 Critical Care Staff Nurse and Critical Care Nursing Instructor, Per Diem, Maimonides Medical Center, Brooklyn NY 1979-1984 Critical Care Charge Nurse and Critical Care Nurse Educator Nurse, Santa Barbara Cottage Hospital, Santa Barbara, Ca 1975-1979 Critical Care Staff Nurse, NY and Ca Author of systematic reviews on family witnessed resuscitation and family witnessed invasive procedures . Contributing author, systematic review for advanced nursing practice. Contributing author: anticoagulation pathway and congestive heart failure publications Author of publication on a nurse practitioner clinical ladder advancement program Author Summary: Dr. Paplanus is a doctorally prepared Nurse Practitioner. She is the NP Manager for the vascular, general surgery, and bariatric surgery services at an academic medical center. Dr. Paplanus was the chairperson of the Nurse Practitioner Clinical Ladder committee and is the Co-chairperson of the NP Mentorship Program committee. She is a member of the NPCL review committee. Dr. Paplanus is the program chairperson for the NP Association of New York (NPNY).
Abstract:

Quality Nurse Practitioner (NP) care delivery is associated with teambuilding, leadership, communication, clinical knowledge and skills, evidence-based practice, and quality outcome achievement (Cronenwett, 2012; Elliot, 2016). Yet, organizational structures and processes fostering continuous NP practice development have been infrequent (Elliot, Begley, Sheaf, & Higgins, 2016; Porter-O'Grady, 2011). In response to an organizational NP job satisfaction survey, the Nurse Practitioner Clinical Ladder (NPCL) program was developed to enhance professional excellence at a university affiliated medical center in the United States (Misener & Cox, 2001). Senior nursing leadership and administrative support were critical to the NPCL program development. The purpose is to describe professional practice journey and govenance needed for the NPCL program development, implementation, and evaluation.

Registered Professional Nurse (RN) clinical ladder program research has been associated with increased RN role development, job satisfaction, and decreased turnover (Adeniran, Bhattacharya, & Adeniran, 2012; Warman, Williams, Herrero, Fazelli, White-Williams, 2016). There was a dearth of knowledge concerning NPCL program development and outcomes. Benner's (2000) five levels of nursing practice provided a blueprint for behaviors and competencies associated with beginning, competent, proficient, and expert RNs. Benner's nursing practice levels were viewed within an advanced practice nursing lens and incorporated into the NPCL program.

Critical literature review, deliberation, and reflection by the NPCL committee members provided consensus for the NPCL program development. The organizational professional nursing practice model building blocks of caring, practice, collaboration, communication, professional development, and evidence-based practice were incorporated into the NPCL program. Three levels of NPCL practice were developed as a blueprint to foster NP role development, professional growth, evaluation, promotion, and rewards. The NPCL is reflective of the American Nurses Credentialing Center (ANCC) Magnet Model (2016), and the National Organization of Nurse Practitioner Faculties NP Core Competencies (NONPF, 2012). The NPCL practice domains and competencies included clinical practice and outcomes, academics and advanced nursing expertise, leadership and administrative support, professionalism, and community service.

Donabedian's Model of Quality Health Care (1988) guided the NPCL structure and process standards. The NPCL Structure Standard defined the program goals, NP practice levels, advancement opportunities, an incentive and reward system, and annual NP level performance appraisal components. The NPCL Process Standard described the NP promotional application requirements, professional portfolio elements, the NPCL review committee roles and responsibilities, the promotional decision-making, and the appeal process (Hespenheide, Cottingham, & Mueller, 2011). The NPCL outcome measures included the NP job satisfaction survey, job retention, and NP level promotional statistics. The need for an ongoing NP mentorship program and formalized orientation to the NP role were NPCL outgrowths. Ultimately, the NPCL can serve as a foundation for other nursing specialties to develop, implement, and evaluate their clinical practice. The NPCL program supports advanced practice nursing roles and competency development that can be translated at organizational, national, and global levels.

Keywords:
Clinical Ladder Program; Nurse Practitioner; Professional Nursing Excellence
Repository Posting Date:
24-Jul-2017
Date of Publication:
24-Jul-2017
Other Identifiers:
INRC17B17
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Nurse Practitioner Clinical Ladder Program: A Journey to Professional Nursing Excellenceen_US
dc.title.alternativeAdvancing the Nurse Practitioneren
dc.contributor.authorPaplanus, Lisa M.en
dc.contributor.authorBartley-Daniele, Patriciaen
dc.contributor.authorChibbaro, Patricia D.en
dc.contributor.departmentUpsilonen
dc.author.detailsLisa M. Paplanus, DNP, ACNP-BC, ANP-BC, CCRN, RN-C, Professional Experience: 2000-present, Nurse Practitioner, NYU Langone Medical Center 2012-present, Vascular NP, NP Manager- Vascular, General, Bariatric Surgical Services 2010-2012, Medicine, Surgery, Cardiothoracic, Cardiovascular, Anticoagulation NP 2003-2010, Cardiac/Vascular NP 2000-2003, Vascular Surgery NP 2010-Present, Adjunct Assistant Nursing Professor, Rutgers University, Newark, NJ, DNP Program and Continuing Education in Nursing Program 1990-1996 Critical Care Nursing Educator and Clinical Specialist, Department of Veterans Affairs Medical Center, NYC, NY 1985-1990 Critical Care Staff Nurse and Critical Care Nursing Instructor, Per Diem, Maimonides Medical Center, Brooklyn NY 1979-1984 Critical Care Charge Nurse and Critical Care Nurse Educator Nurse, Santa Barbara Cottage Hospital, Santa Barbara, Ca 1975-1979 Critical Care Staff Nurse, NY and Ca Author of systematic reviews on family witnessed resuscitation and family witnessed invasive procedures . Contributing author, systematic review for advanced nursing practice. Contributing author: anticoagulation pathway and congestive heart failure publications Author of publication on a nurse practitioner clinical ladder advancement program Author Summary: Dr. Paplanus is a doctorally prepared Nurse Practitioner. She is the NP Manager for the vascular, general surgery, and bariatric surgery services at an academic medical center. Dr. Paplanus was the chairperson of the Nurse Practitioner Clinical Ladder committee and is the Co-chairperson of the NP Mentorship Program committee. She is a member of the NPCL review committee. Dr. Paplanus is the program chairperson for the NP Association of New York (NPNY).en
dc.identifier.urihttp://hdl.handle.net/10755/622065-
dc.description.abstract<p><span>Quality Nurse Practitioner (NP) care delivery is associated with teambuilding, leadership, communication, clinical knowledge and skills, evidence-based practice, and quality outcome achievement (Cronenwett, 2012; Elliot, 2016). Yet, organizational structures and processes fostering continuous NP practice development have been infrequent (Elliot, Begley, Sheaf, & Higgins, 2016; Porter-O'Grady, 2011). In response to an organizational NP job satisfaction survey, the Nurse Practitioner Clinical Ladder (NPCL) program was developed to enhance professional excellence at a university affiliated medical center in the United States (Misener & Cox, 2001). Senior nursing leadership and administrative support were critical to the NPCL program development. The purpose is to describe professional practice journey and govenance needed for the NPCL program development, implementation, and evaluation.</span></p> <p>Registered Professional Nurse (RN) clinical ladder program research has been associated with increased RN role development, job satisfaction, and decreased turnover (Adeniran, Bhattacharya, & Adeniran, 2012; Warman, Williams, Herrero, Fazelli, White-Williams, 2016). There was a dearth of knowledge concerning NPCL program development and outcomes. Benner's (2000) five levels of nursing practice provided a blueprint for behaviors and competencies associated with beginning, competent, proficient, and expert RNs. Benner's nursing practice levels were viewed within an advanced practice nursing lens and incorporated into the NPCL program.</p> <p>Critical literature review, deliberation, and reflection by the NPCL committee members provided consensus for the NPCL program development. The organizational professional nursing practice model building blocks of caring, practice, collaboration, communication, professional development, and evidence-based practice were incorporated into the NPCL program. Three levels of NPCL practice were developed as a blueprint to foster NP role development, professional growth, evaluation, promotion, and rewards. The NPCL is reflective of the American Nurses Credentialing Center (ANCC) Magnet Model (2016), and the National Organization of Nurse Practitioner Faculties NP Core Competencies (NONPF, 2012). The NPCL practice domains and competencies included clinical practice and outcomes, academics and advanced nursing expertise, leadership and administrative support, professionalism, and community service.</p> <p>Donabedian's Model of Quality Health Care (1988) guided the NPCL structure and process standards. The NPCL Structure Standard defined the program goals, NP practice levels, advancement opportunities, an incentive and reward system, and annual NP level performance appraisal components. The NPCL Process Standard described the NP promotional application requirements, professional portfolio elements, the NPCL review committee roles and responsibilities, the promotional decision-making, and the appeal process (Hespenheide, Cottingham, & Mueller, 2011). The NPCL outcome measures included the NP job satisfaction survey, job retention, and NP level promotional statistics. The need for an ongoing NP mentorship program and formalized orientation to the NP role were NPCL outgrowths. Ultimately, the NPCL can serve as a foundation for other nursing specialties to develop, implement, and evaluate their clinical practice. The NPCL program supports advanced practice nursing roles and competency development that can be translated at organizational, national, and global levels.</p>en
dc.subjectClinical Ladder Programen
dc.subjectNurse Practitioneren
dc.subjectProfessional Nursing Excellenceen
dc.date.available2017-07-24T16:12:12Z-
dc.date.issued2017-07-24-
dc.date.accessioned2017-07-24T16:12:12Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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