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Practice patterns and organizational commitment of inpatient nurse practitioners
Janet Johnson1, Mary Brennan2, Carol M Musil3
1Mount Sinai Heart, Mount Sinai Hospital, New York, New York.
Inpatient nurse practitioners (NPs) dedicate over 85% of their time to direct and indirect patient care, primarily managing acutely ill patients. Their organizational commitment is moderate, highlighting the need for leadership support.
Area of Science:
- Healthcare Delivery
- Nursing Practice
- Organizational Behavior
Background:
- Nurse practitioners (NPs) are integral to diverse healthcare settings.
- Understanding the specific roles and commitment levels of inpatient NPs is crucial for optimizing healthcare delivery.
Purpose of the Study:
- To investigate the practice patterns of inpatient nurse practitioners (NPs).
- To assess the organizational commitment of inpatient NPs.
Main Methods:
- Quantitative study utilizing a convenience sample of 183 NPs attending the AANP national conference.
- Data collected via demographic questionnaire, Practice Patterns of Acute Nurse Practitioners tool, and Organizational Commitment Questionnaire.
Main Results:
- Inpatient NPs spend over 85% of their workweek on direct and indirect patient care.
- Nonclinical activities (education, research, administration) were less prominent.
- A moderate level of organizational commitment was observed.
Conclusions:
- The primary role of inpatient NPs remains focused on managing acutely ill patients.
- Supportive leadership is essential to recognize and leverage the clinical and nonclinical contributions of NPs.
- Fostering NP identification, loyalty, and involvement can enhance organizational effectiveness.
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