Knowledge and Use of a Nursing Professional Practice Model at a Critical Access Hospital

Abstract

Purpose: Nursing Professional Practice Model (NPPM) is a visual representation of nursing practice, communication, collaboration, and professional development. NPPM is critical to autonomous practice of nurses. The aim of the study was to investigate the level of knowledge and use in daily practice of Mariners Hospital (MH) NPPM among registered nurses, nurse practitioners, nurse leadership, and clinical partners. Method: This was an observational cross-sectional study that utilized the MH- NPPM instrument, a 45-item Likert-type scale survey open to registered nurses, nurse practitioners, nurse leadership, and clinical partners at MH. Findings: The MH-NPPM instrument (survey) determined the level of knowledge and use of the MH-NPPM in nurses and clinical partners working at MH and showed that the tool is able to distinguish between those who use and integrate the model into their practice and those who do not. The MH-NPPM instrument score can vary between 45 and 315, a higher score indicating a higher agreement with the usefulness of the NPPM.Of the 38 respondents who answered the questions “Do you know the core concepts of the MH- NPPM?”, only 6 (15.8%) answered no. Of the 39 respondents who answered the questions “Do you feel you understand how the MH-NPPM relates to daily practice?”, only 6 (15.4%) answered no. Finally, of the 39 respondents who answered the questions “Do you use the MH-NPPM in your daily practice?” 10 (25.6%) answered no. The scores on the MH-NPPM are significantly lower for those who have lower knowledge of the model and do not use of the model in their daily practice. Discussion: Nursing Professional Practice Models (NPPM) are valuable in promoting excellence in nursing practice. It is crucial for nurses of all levels to understand the components of their NPPM and how they use it as a guide in their daily practice

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