Date of Conferral

2015

Degree

Doctor of Nursing Practice (DNP)

School

Health Services

Advisor

Allison Terry

Abstract

There is a gap between organizational commitment to professional value of the nurse and the achievement of quality outcomes. This study explored the relationship between the productivity model and the professional value (PVS) model of the hospital-based registered nurse (RN). It was essential to understand how to measure nursing's contribution to patient care as a means to promote patient care outcomes. The current professional nursing dynamic provides an unprecedented opportunity for nurses to achieve their highest professional potential through increased demonstration of advocacy and accountability for the central tenets of nursing. The intent of this project was to explore the elements of the professional nursing workforce in a modern-day hospital. This study was conducted on the medical, surgical, progressive care unit (PCU) and critical care unit (CCU) of a community-based acute care hospital Washington State. A quantitative approach was undertaken utilizing a descriptive correlational study design. RNs on the identified units received electronic invitation and survey via organizational email system, resulting in a participation rate of 47.1% (N=48). The study found that PVS model achievement explained patient outcome variable variance (fall rate 86.4%, HAPU 83.1% and CAUTI 40.9%). Further, large effect size (98%) with work unit variance was demonstrated with PVS model achievement. The innovative PVS model was found to demonstrate a statistically significant difference from existing productivity model, and alignment of RN staffing with organizational quality goals. Recognizing the professional value of the RN could promote meaningful change in the healthcare landscape and optimize patient care and quality outcomes.

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