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Achieving a professional practice model. How primary nursing can help.

P A Deiman, E Noble, M E Russell

    The Journal of Nursing Administration
    |July 1, 1984
    PubMed
    Summary
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    Implementing primary nursing triggers predictable organizational changes, analyzed through a continuum framework. This study examines these shifts in seven variables across six hospitals, offering insights for nursing leaders seeking professional practice autonomy.

    Area of Science:

    • Nursing
    • Healthcare Management
    • Organizational Behavior

    Background:

    • Primary nursing is an organizational model impacting hospital structures.
    • Understanding the predictable changes associated with primary nursing adoption is crucial for nursing leadership.
    • Existing frameworks for analyzing these changes are limited.

    Purpose of the Study:

    • To conceptualize the changes associated with primary nursing as a continuum.
    • To analyze the effects of primary nursing on key organizational variables.
    • To provide a framework for nursing leaders to enhance professional practice.

    Main Methods:

    • Conceptualization of a change continuum for primary nursing implementation.
    • Case study analysis of primary nursing in six acute care hospitals.

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  • Examination of the impact on seven key organizational variables.

    • Main Results:

    • Primary nursing implementation results in a predictable series of organizational changes.
    • The study identified seven key variables affected by the shift to primary nursing.
    • The continuum framework effectively illustrates the progression of changes.

    Conclusions:

    • The proposed continuum provides a valuable framework for understanding primary nursing's organizational impact.
    • Nursing leaders can utilize these insights to foster greater autonomy and professional practice.
    • The analysis highlights the interconnectedness of nursing practice changes and organizational variables.