Nurses' perceptions of the impact of a renal nursing professional practice model on nursing outcomes, characteristics of practice environments and empowerment -- Part I.

A transformational nursing professional practice model (PPM) was developed and implemented in the London Health Sciences Centre's renal program. The purpose of this study was to examine the impact of a renal nursing PPM on nurses' perceptions of empowerment, characteristics of practice environments,...

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Publicado en:CANNT Journal Vol. 17; no. 1; pp. 22 - 30
Autores principales: Harwood L, Ridley J, Lawrence-Murphy JA, Spence-Laschinger HK, White S, Bevan J, O'Brien K
Formato: tables/charts Journal Article
Publicado: Canadian Association of Nephrology Nurses & Technologists Jan-Mar2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Canadian Association of Nephrology Nurses & Technologists
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        atl: Nurses' perceptions of the impact of a renal nursing professional practice model on nursing outcomes, characteristics of practice environments and empowerment -- Part I.
      aug:
        au:
          Harwood L
          Ridley J
          Lawrence-Murphy JA
          Spence-Laschinger HK
          White S
          Bevan J
          O'Brien K
        affil: Adam Linton Hemodialysis Unit, Victoria Hospital, London Health Sciences Centre, London, Ontario
      sug:
        subj:
          Empowerment
          Nephrology Nursing
          Nursing Outcomes
          Nursing Practice
          Adult
          Audiorecording
          Coefficient alpha
          Conceptual Framework
          Content Analysis
          Convenience Sample
          Correlation Coefficient
          Data Analysis Software
          Descriptive Statistics
          Female
          Hemodialysis
          Inferential Statistics
          Male
          Middle Age
          Nurse Attitudes
          Paired T-Tests
          Perception
          Professional-Patient Relations
          Quality of Nursing Care
          Quantitative Studies
          Scales
          Semi-Structured Interview
          Surveys
          Work Environment
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: A transformational nursing professional practice model (PPM) was developed and implemented in the London Health Sciences Centre's renal program. The purpose of this study was to examine the impact of a renal nursing PPM on nurses' perceptions of empowerment, characteristics of practice environments, and nursing outcomes. Quantitative and qualitative methodologies were used in this study. This paper will focus primarily on the quantitative results. The qualitative results are presented in Part II (Harwood, Ridley, Lawrence-Murphy, White, Laschinger, Bevan, & O'Brien, in press). A 'then-and-now' design was used. There was a significant (p=.005) improvement post-PPM implementation in the nursing foundations for quality of care subscale of the Nursing Worklife Index-Practice Environment Scale (NWI-PES) and organizational relationships (p =.016) measured by the Conditions of Work Effectiveness II (CWEQ-II) Questionnaires. This study provides evidence for PPMs and primary nursing as effective frameworks to positively impact nursing and patient outcomes in a hemodialysis unit.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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