Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-10-21
pubmed:abstractText
The purpose of this study was to explore the influence of organizational factors on the Acute Care Nurse Practitioner (ACNP) role implementation. A descriptive correlational design, incorporating quantitative and qualitative methods for data collection was used. The sample of convenience consisted of 57 ACNPs assigned to various medical and surgical programs within acute care hospitals. Ten ACNPs participated in the unstructured qualitative interviews. In addition to the interviews, data pertinent to various organizational factors, including role formalization, receptivity of the role by others, perceived autonomy, role strain, and additional factors that may interfere with role implementation, were collected through a self-report structured questionnaire. A four-diary day was completed to gather data on role implementation. Descriptive and correlational statistics were used to analyze the quantitative data. The qualitative data were content analyzed. The ACNPs engaged most frequently in activities reflective of the clinical practice component of the role and less frequently in the non-clinical components (i.e., education, administration, and research). Results of the quantitative and qualitative analyses indicated that lack of formal clear job description, conflicting demands and expectations, lack of receptivity of the role by others, lack of autonomy, and increased workload were negatively correlated with the ACNP role implementation. The ACNP role implementation varies across practice settings. This variability should be accounted for when examining outcomes of ACNP care.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:issn
1481-9643
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
28-35
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15495392-Acute Disease, pubmed-meshheading:15495392-Adult, pubmed-meshheading:15495392-Attitude of Health Personnel, pubmed-meshheading:15495392-Female, pubmed-meshheading:15495392-Health Facility Environment, pubmed-meshheading:15495392-Hospitals, Urban, pubmed-meshheading:15495392-Humans, pubmed-meshheading:15495392-Male, pubmed-meshheading:15495392-Middle Aged, pubmed-meshheading:15495392-Models, Nursing, pubmed-meshheading:15495392-Nurse's Role, pubmed-meshheading:15495392-Nurse Practitioners, pubmed-meshheading:15495392-Nursing Administration Research, pubmed-meshheading:15495392-Nursing Methodology Research, pubmed-meshheading:15495392-Ontario, pubmed-meshheading:15495392-Organizational Culture, pubmed-meshheading:15495392-Organizational Policy, pubmed-meshheading:15495392-Power (Psychology), pubmed-meshheading:15495392-Professional Autonomy, pubmed-meshheading:15495392-Prospective Studies, pubmed-meshheading:15495392-Qualitative Research, pubmed-meshheading:15495392-Questionnaires, pubmed-meshheading:15495392-Time and Motion Studies, pubmed-meshheading:15495392-Workload
pubmed:articleTitle
Organizational factors influencing nurse practitioners' role implementation in acute care settings.
pubmed:affiliation
Faculty of Nursing, University of Toronto, ON.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't