Date of Conferral

2021

Degree

Doctor of Psychology (Psy.D.)

School

Psychology

Advisor

Jay Greiner

Abstract

AbstractConflation of moral and compassionate healthcare within the business model that is focused on customer service, disempowers, dehumanizes, and destabilizes nursing as well as the financial stability of healthcare. The purpose of this research was to determine nurses’ perceptions of how their work environment supported or contradicted a potential expansion of the quadruple aim. The quadruple aim was the primary conceptual framework for this research. The overarching research question was about how the environment of care supports professional nurses’ provision of high-quality person- centered care and bolsters meaningful and purposeful careers. The synthesized grounded theory methodology was used to collect and analyze data, which were obtained from a sample of acute care bedside nurses from six regions of the United States. One- and two- way observational methods were used to collect data. Two-way observations included reflective journals and follow-up clarifying interviews. Themes included positive aspects of nurse identity, barriers to nursing practice, and three emerging themes. During the last two decades schools have focused on teaching the biomedical model to nursing students, which causes nurses to lose sight of their scope of practice. Nurses, when able to practice at their highest level of nursing education, can contribute positively to the four tenets of the quadruple aim, and to positive social change. When the value of nursing service is fully recognized, nursing satisfaction and client satisfaction improve. As a result, healthcare organizations realize a stabilization of the work force and financial outcomes.

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