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Related Experiment Videos

Attaining role confirmation in nurse practitioner practice.

J Andrews1, C Hanson, S Maule

  • 1Veterans Affairs Medical Center, Augusta, GA 30904, USA. jandrews@msn.com

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|April 14, 2000
PubMed
Summary
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Nurse practitioners (NPs) in new hospital roles navigated challenges over three years. Organizational factors and NP strategies positively evolved the NP role, leading to expanded practice and better compensation.

Area of Science:

  • Nursing Practice
  • Healthcare Administration

Background:

  • Nurse practitioners (NPs) face role development phases in new settings.
  • Establishing NP roles in academic teaching hospitals presents unique challenges.

Purpose of the Study:

  • To explore the role confirmation issues for a team of NPs in a large academic teaching hospital.
  • To examine the impact of organizational characteristics and NP strategies on role evolution over three years.

Main Methods:

  • Longitudinal study over a 3-year period.
  • Qualitative exploration of role confirmation issues and strategies.
  • Analysis of organizational factors influencing NP role development.

Main Results:

  • Organizational characteristics and NP-implemented strategies favorably impacted NP role evolution.

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  • NPs successfully gained prescriptive privileges and independent practice.
  • Negotiation and marketing strategies enhanced NP personal and professional development, leading to market-place salaries.

    • Conclusions:

    • Successful integration of NPs into academic teaching hospitals is achievable through strategic planning and negotiation.
    • Organizational support and proactive NP strategies are crucial for role confirmation and advancement.
    • The evolution of the NP role in this setting resulted in significant professional and financial gains.