title: Nurses' perceptions of the impact of a renal nursing professional practice model on nursing outcomes, characteristics of practice environments and empowerment--Part I.
abstract: A transformational nursing professional practice model (PPM) was developed and implemented in the London Health Sciences Centre's renal program. The purpose of this study was to examine the impact of a renal nursing PPM on nurses'perceptions of empowerment, characteristics of practice environments, and nursing outcomes. Quantitative and qualitative methodologies were used in this study. This paper will focus primarily on the quantitative results. The qualitative results are presented in Part II (Harwood, Ridley, Lawrence-Murphy, White, Laschinger, Bevan, & O'Brien, in press). A "then-and-now" design was used. There was a significant (p = .005) improvement post-PPM implementation in the nursing foundations for quality of care subscale of the Nursing Worklife Index-Practice Environment Scale (NWI-PES) and organizational relationships (p = .016) measured by the Conditions of Work Effectiveness II (CWEQ-II) Questionnaires. This study provides evidence for PPMs and primary nursing as effective frameworks to positively impact nursing and patient outcomes in a hemodialysis unit.
authors.affiliation: Adam Linton Hemodialysis Unit, Victoria Hospital, London Health Sciences Centre, London, Ontario.
authors.forename: Lori
authors.initials: L
authors.lastname: Harwood
authors.forename: Jane
authors.initials: J
authors.lastname: Ridley
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Lawrence-Murphy
authors.forename: Heather K
authors.initials: HK
authors.lastname: Spence-Laschinger
authors.forename: Sharon
authors.initials: S
authors.lastname: White
authors.forename: Joy
authors.initials: J
authors.lastname: Bevan
authors.forename: Karen
authors.initials: K
authors.lastname: O'Brien
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D019317:Evidence-Based Medicine; D005260:Female; D006272:Health Facility Environment / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009398:Nephrology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D009864:Ontario; D015279:Organizational Culture; D010043:Outcome and Process Assessment, Health Care; D011209:Power, Psychological; D011321:Primary Nursing / Q000458:organization & administration*; D017009:Professional Autonomy; D036301:Qualitative Research; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D006435:Renal Dialysis / Q000451:nursing*; D011795:Surveys and Questionnaires