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Practice Climate Effects on Nurse Practitioner Role Function and Patient Outcomes in Ambulatory Care
Başlık:
Practice Climate Effects on Nurse Practitioner Role Function and Patient Outcomes in Ambulatory Care
Yazar:
Romjue, Pauline Wang, author.
ISBN:
9780438003149
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (96 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Joyce Verran Committee members: Amy Barton; Kenneth Miller; Denise Smith.
Özet:
The NP workforce is needed to help fill the gap created by an imminent physician shortage. A supportive practice climate is crucial for NPs to meet this expectation. Yet, it is unclear which practice climate attributes can affect NPs' practice. The purpose of this study is to explore the degree of influence the practice climate has on NPs' role function and NPs' effect on patient outcomes in ambulatory care using the Ambulatory Research Model (ARM). The six specific aims of this study are to explore: (a) the extent of managerial support attributes on the practice climate; (b) the extent of managerial support attributes on NPs' role function; (c) the effect of the practice climate on the NPs' role function; (d) the influence of the NPs' role function on patient outcomes; (e) which practice climate and managerial support attributes have significant effects on NP role function; and (f) which practice climate and managerial support attributes have significant effects on patient outcomes in ambulatory care. Using an exploratory descriptive cross-sectional design with the Dillman et al. (2009) survey method, a convenience sample of 47 NPs from a population of 180 NPs, who work at 8 ambulatory clinic facilities belonging to the Southern California Corporate Office, completed the 74-item electronic survey in REDcap. The results showed managerial support attributes have the most influence on the practice climate and NP role function. In examining the practice climate's influence on NP role function, only organizational support subscale had a significant influence on NP role function, while the other two subscales of the practice climate did not. The NP role function had insignificant influence on patient outcomes. The practice climate and managerial support have insignificant influence on NP role function and patient outcomes. Administrator ignorance of NP scope of practice, unequal treatment of NPs compared with physicians are some of the issues plaguing the practice climate and NP role function. Additional Alternative streamlined methods for psychometric driven research studies are needed to enhance subject recruitment and to illuminate the relationship of these predictor variables with NP role function and patient outcomes respectively.
Notlar:
School code: 1639
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(680983.1) | 680983-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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