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Evaluating the Clinical Practice Model's Strengths and Improvement Opportunities Using the Professional Practice
Laura J Burke1, Christine L Shaw, Cathy Schwartz
1Author Affiliations: Director of Education and Professional Practice (Dr Burke), Clinical Nurse Specialist and Clinical Practice Model Coordinator (Ms Shaw), Manager of Inpatient Rehabilitation Services (Mr Edwards), Research Scientist (Dr Pfaff), and Chief Nursing Executive (Ms Seitz), ProHealth Care, Waukesha, Wisconsin; Vice President (Ms Schwartz), Elsevier Transformation Services, Philadelphia, Pennsylvania; and President and Data Scientist (Dr Nelson), Healthcare Environment, Inc, St Paul, Minnesota.
Objectives:
The aims of this study are (1) to describe the division, organizational strengths, and improvement opportunities of self-reported behaviors indicative of the multidimensional construct of professional practice and (2) to understand demographic characteristics that contributed to these strengths and improvement opportunities.
Background:
Prior to implementing a system-wide interdisciplinary shared governance structure, ProHealth Care measured staff attitudes toward the multidimensional construct of professional practice as proposed within the Clinical Practice Model framework using the Professional Practice Framework Assessment Survey (PPFA-S).
Methods:
Clinical and support staff were invited to share their views toward professional practice using the previously validated, reliable tool, the PPFA-S.
Results:
Partnering relationships, scope of practice, and shared purpose were strengths. Strategies were initiated to strengthen networking councils, integrated competency, evidence-based practice, transformative capacity, and clinical tools.
Conclusions:
The survey identified professional practice strengths and improvement opportunities across the organization as well as factors contributing to these strengths and opportunities. These findings were useful to help guide system integration.