Relationship between APRN state practice authority perceived autonomy, professionalism, and interprofessional team function among a national sample of APRNs in the U.S.
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Dr. Patricia R. Gilman, PhD, MSN, ACNS-BC
- Sigma Affiliation
- Kappa Mu
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Abstract
Healthcare that includes high performing interprofessional clinical teams (IPTs) is one recommended strategy to provide optimal quality and cost-effective care delivery. Highly functional IPTs are characterized by effective communication, trust, respect, collaboration, information-sharing, and conflict resolution and are more efficient than individual providers working alone. Internally, IPT members’ relationships and understanding of both one’s own professional identity and others’ role and responsibilities are crucial to team functionality and effectiveness. Externally, factors including regulatory practice environments might influence the effectiveness and performance of both individual team members and the team overall. Inconsistencies between states’ practice authority (SPA) for advanced practice nurses (APRNs) provides an opportunity to study the effects on IPT function. This study examined relationships between APRN SPA, with perceived autonomy, professionalism, and IPT function in a national sample APRNs (N = 222) from across the U.S who worked in IPTs within the past year for at least six months. APRNs in this study perceived a high level of autonomy and moderate level of professionalism and IPT function. Significant relationships were found between SPA and autonomy. No relationship was found between SPA and IPT function and SPA did not moderate between professionalism and IPT function. However, the direct relationship between SPA and autonomy implies that an indirect relationship could exist that might affect how IPT function is perceived. This study adds to the body of nursing science and informs on strategies for future inquiry regarding team function and APRN policy and regulation.
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This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10977879; ProQuest document ID: 2204966145. The author still retains copyright.
Repository Posting Date
2021-08-23T19:15:48Z
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This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Cross-Sectional |
Research Approach | Quantitative Research |
Keywords | Advanced Practice Nurses (APRNs); Interprofessional Teams; Pratice Authority; APRN State Regulation; Professionalism |
Degree Information
Grantor | The University of New Mexico |
Advisor | Tigges, Elizabeth; Parshall, Mark; Cox, Kim; Cohen, Sally |
Level | PhD |
Year | 2018 |
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