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Components, Implementation, and Outcomes of a Nursing Professional Practice Model: A Systematic Review
Wendy Hamilton1, Mariyam Javed, Judy Orina
1Evans Community Army Hospital, Fort Carson, Colorado (MAJ Hamilton); School of Nursing, University of Alabama at Birmingham (Ms Javed, Drs Campbell and Patrician, and COL Swiger); Madigan Army Medical Center, Tacoma, Washington (Ms Orina, Dr McCarthy, and COL Swiger); Geneva Foundation, Tacoma, Washington (Mss Orina and Pierce); 96th Medical Group, Eglin Air Force Base, Florida (Ms Williams); US Army Nurse Corps, Fort Sam Houston, Texas (COL Foots); US Naval Surface Force Atlantic, Norfolk, Virginia (CDR Levenson); Naval Hospital Camp Pendleton, San Diego, California (LCDR Robins); and Regional Health Command-Central, Joint Base San Antonio, Fort Sam Houston, Texas (LTC Hodson).
Nursing professional practice models (PPMs) are known to have beneficial effects on nurse and patient outcomes. Determining what components should be present in a PPM, how to implement a PPM, and evaluating the outcomes associated with a PPM is less certain. Therefore, as part of a larger project to develop a nursing PPM for use within the United States Military Health System, this study aimed to conduct a systematic literature review on nursing PPMs. Specifically, the review sought to investigate components, implementation, and outcomes of PPMs in current literature. A total of 37 articles were included in the review. The literature supported the development of 12 recommendations for creating, implementing, and evaluating a nursing PPM. As health care facilities develop their own PPMs or reassess their current PPMs, findings from this review may assist hospital leadership by providing the most recent evidence on the strategic value of nursing PPMs in contemporary health care.
Nursing professional practice models (PPMs) are known to have beneficial effects on nurse and patient outcomes. Determining what components should be present in a PPM, how to implement a PPM, and evaluating the outcomes associated with a PPM is less certain. Therefore, as part of a larger project to develop a nursing PPM for use within the United States Military Health System, this study aimed to conduct a systematic literature review on nursing PPMs. Specifically, the review sought to investigate components, implementation, and outcomes of PPMs in current literature. A total of 37 articles were included in the review. The literature supported the development of 12 recommendations for creating, implementing, and evaluating a nursing PPM. As health care facilities develop their own PPMs or reassess their current PPMs, findings from this review may assist hospital leadership by providing the most recent evidence on the strategic value of nursing PPMs in contemporary health care.
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