title: Predictability of a Professional Practice Model to Affect Nurse and Patient Outcomes.
abstract: Thousands of patients experience needless deaths and injuries as a result of errors while hospitalized for an unrelated problem. The lack of an established professional practice model (PPM) of nursing may be a contributing factor to patient care quality and safety breaches. The PPM of nursing was tested for its ability to affect nurse and patient outcomes. Using a retrospective/prospective research design, secondary data were collected from 2395 staff nurses on 15 inpatient-nursing units covering a 6-year timeframe. Data were analyzed using ANOVA and the Pearson correlation. Nurse and patient outcomes on 2 hospital campuses reached statistical significance. Positive correlations were seen between the initiation of a PPM and subsequent nurses' perception of quality of care, nurse interactions, decision making, autonomy, job enjoyment, and patient satisfaction. This study provides empirical evidence that a uniquely designed PPM in alignment with organizational context can indeed impact nurse and patient outcomes in a community health system.
authors.affiliation: Deaconess Hospital, Inc, Evansville, Indiana (Dr Stallings-Welden); and The University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama (Dr Shirey).
authors.forename: Lois M
authors.initials: LM
authors.lastname: Stallings-Welden
authors.forename: Maria R
authors.initials: MR
authors.lastname: Shirey
mesh_terms: D005260:Female; D006801:Humans; D007196:Indiana; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D016294:Models, Nursing; D017063:Outcome Assessment, Health Care; D018802:Patient-Centered Care; D057184:Practice Patterns, Nurses'; D011237:Predictive Value of Tests; D011795:Surveys and Questionnaires