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Identifying and validating the components of nursing practice models for long-term care facilities
1Adult and Gerontological Health Co-operative Unit, University of Minnesota, School of Nursing, 308 Harvard Street SE, Minneapolis, MN 55455, USA. cmueller@umn.edu
Research in Gerontological Nursing
|January 9, 2010
Summary
This study identified key components of nursing practice models (NPMs) in long-term care facilities. The developed Nursing Practice Model Questionnaire (NPMQ) reliably evaluates these models.
Area of Science:
- Nursing
- Healthcare Management
- Quality Improvement
Background:
- Nursing practice models (NPMs) are crucial for structuring nursing care delivery in long-term care (LTC) settings.
- Understanding the components of NPMs is essential for optimizing clinical goal achievement and staff organization.
- Existing frameworks for NPMs in LTC require validation and a standardized evaluation tool.
Purpose of the Study:
- To identify and validate the distinct components of NPMs specifically within LTC facilities.
- To develop and refine an instrument, the Nursing Practice Model Questionnaire (NPMQ), for describing and evaluating NPMs in LTC.
- To ensure the developed instrument possesses adequate validity and reliability for practical use.
Main Methods:
- A comprehensive literature review was conducted to identify NPM components.
- Focus groups with LTC nursing staff were utilized for component validation.
- The Nursing Practice Model Questionnaire (NPMQ) was developed, modified, and pilot-tested.
- Pilot testing involved 508 nursing staff across 15 LTC facilities to assess validity and reliability.
Main Results:
- Five distinct factors comprising NPMs in LTC were identified: decision making, informal continuity of information, formal continuity of information, continuity of care, and accountability.
- These five factors form the basis of the five subscales within the NPMQ.
- The 37-item NPMQ demonstrated respectable validity and reliability during pilot testing.
Conclusions:
- The study successfully identified and validated core components of NPMs in LTC settings.
- The developed NPMQ is a valid and reliable instrument for evaluating NPMs in LTC facilities.
- Findings provide a foundation for improving nursing care delivery and staff organization in LTC through structured model evaluation.
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