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Moving toward a nursing model in advanced practice

J A Thibodeau1, J W Hawkins

  • 1University of Connecticut School of Nursing, Storrs.

Western Journal of Nursing Research
|April 1, 1994
PubMed
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Nurse practitioners (NPs) exhibit high confidence in their skills and a strong nursing orientation. Greater confidence correlates positively with a nursing model focus, highlighting key aspects of NP practice evolution.

Area of Science:

  • Nursing
  • Healthcare Professions
  • Role Theory

Background:

  • The nurse practitioner (NP) role has shifted from a medical to a nursing orientation since its 1965 inception.
  • Understanding NP role attitudes, values, and practice orientation is crucial for professional development.

Purpose of the Study:

  • To investigate the relationship between NP role attitudes and values, confidence in practice knowledge/skills, and adherence to a medical versus nursing model.
  • To analyze factors influencing the evolving focus of the nurse practitioner role.

Main Methods:

  • A national random sample of 482 nurse practitioners participated.
  • Data collected via the Attitudes and Values Scale, Confidence in Skills Scale, and a demographic survey.

Main Results:

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  • Nurse practitioners reported high confidence in their practice knowledge and skills.
  • A strong nursing orientation was prevalent among NPs.
  • A significant positive correlation exists between confidence levels and nursing orientation.

Conclusions:

  • NPs are highly confident and predominantly nursing-oriented.
  • Confidence in hands-on skills exceeds confidence in indirect components like research utilization and evaluation.
  • Findings support the integration of role theory in understanding NP practice.