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Building to Make a Difference: Advanced Practice Nurses' Experience of Power.

Catherine A Schoales, Frances Fothergill Bourbonnais, Judy Rashotte

    Research and Theory for Nursing Practice
    |March 2, 2018
    PubMed
    Summary
    This summary is machine-generated.

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    Advanced practice nurses (APNs) perceive power as a passion to improve patient care through collaborative, shared influence. They experience increased power, termed "power creep," when using soft power to foster positive healthcare changes.

    Area of Science:

    • Nursing
    • Healthcare Management
    • Organizational Behavior

    Background:

    • Power is crucial for nurses to drive advancements in patient care and the nursing profession.
    • Existing research on nursing power has not specifically explored the experiences of advanced practice nurses (APNs).

    Purpose of the Study:

    • To explore the lived experience of power among advanced practice nurses (APNs).

    Main Methods:

    • An interpretive phenomenology approach was employed for study design and data analysis.
    • In-depth interviews were conducted with eight APNs from a Canadian tertiary care teaching organization.

    Main Results:

    • The overarching theme identified was "building to make a difference," reflecting APNs' drive to enact practice changes for improved patient care.

    Related Experiment Videos

  • This theme encompassed sub-themes of "building on," "building with," and "building for."
  • APNs reported enhanced power, described as "power creep," when utilizing shared, soft power strategies to effect positive healthcare change.

    • Conclusions:

    • Findings illuminate the unique perception and manifestation of power within the APN role.
    • Understanding APN power dynamics can help organizations foster supportive environments that empower APNs and their colleagues.