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    Professional nursing practice in medical-surgical and intensive care units : changes after implementation of an innovative practice model

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    Author
    Duff, Isabel
    Issue Date
    1994
    Keywords
    Hospital Units.
    Intensive Care Units.
    Models, Nursing.
    Nursing Staff, Hospital.
    Organizational Innovation.
    Professional Practice.
    Advisor
    Verran, Joyce
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    The purpose of this study was to describe the differences in professional practice variables and work satisfaction among medical-surgical (MS) Registered Nurses (RNs) and intensive care unit (ICU) RNs before and after implementation of an innovative nursing practice model. A two-group, cross-sectional descriptive design with a sample of 166 RNs at baseline, and 143 RNs post-baseline was utilized. Secondary analysis of self-report data gathered for the Differentiated Group Professional Practice project was conducted. ICU RNs evidenced significantly higher levels of autonomy than MS subjects only at baseline. After implementation, MS RNs reported significantly higher levels of satisfaction within organizational commitment, control over nursing practice, group cohesion, total work satisfaction, and in pay, nurse interaction and organizational policy. ICU RN means decreased in all professional practice variables, and in three of the subscales for work satisfaction over time. The findings indicate that innovative practice models work in MS units, may require a longer period of time to fully implement in ICUs, and should be studied further.
    Type
    text
    Thesis-Reproduction (electronic)
    Degree Name
    M.S.
    Degree Level
    masters
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
    Collections
    Master's Theses

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