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      From Blank Canvas to Masterwork: Creating a Professional Practice Model at a Magnet Hospital

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          Abstract

          Objective. The purpose of this study was to engage registered nurses (RNs) in the creation of a Professional Practice Model (PPM). Background. PPMs are essential as the philosophical underpinnings for nursing practice. The study institution created a new PPM utilizing the voice of their RNs. Methods. Qualitative inquiry with focus groups was conducted to explore RNs values and beliefs about their professional practice. Constant-comparative analysis was used to code data and identify domains. Results. The 92 RN participants represented diverse roles and practice settings. The four domains identified were caring, knowing, navigating, and leading. Conclusions. Nurse leaders face the challenge of assisting nurses in articulating their practice using a common voice. In this study, nurses described their identity, their roles, and how they envisioned nursing should be practiced. The results align with the ANCC Magnet® Model, ANA standards, and important foundational and organization specific documents.

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          Most cited references26

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          Early predictors of job burnout and engagement.

          A longitudinal study predicted changes in burnout or engagement a year later by identifying 2 types of early indicators at the initial assessment. Organizational employees (N = 466) completed measures of burnout and 6 areas of worklife at 2 times with a 1-year interval. Those people who showed an inconsistent pattern at Time 1 were more likely to change over the year than were those who did not. Among this group, those who also displayed a workplace incongruity in the area of fairness moved to burnout at Time 2, while those without this incongruity moved toward engagement. The implications of these 2 predictive indicators are discussed in terms of the enhanced ability to customize interventions for targeted groups within the workplace. PsycINFO Database Record (c) 2008 APA, all rights reserved.
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            The future of nursing: leading change, advancing health.

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              Levels and applications of qualitative research evidence.

              Evaluation of qualitative findings for application to nursing practice can go beyond the rigor with which the evidence was developed to the characteristics of the findings themselves. Five categories of qualitative findings are described that vary in their levels of complexity and discovery: those restricted by a priori frameworks, descriptive categories, shared pathway or meaning, depiction of experiential variation, and dense explanatory description. Four modes of clinical application of qualitative evidence are proposed-insight or empathy, assessment of status or progress, anticipatory guidance, and coaching-that vary in their degree of visibility and patient involvement. The greater the complexity and discovery within qualitative findings, the stronger may be the potential for clinical application. Copyright 2001 John Wiley & Sons, Inc.
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                Author and article information

                Journal
                Nurs Res Pract
                Nurs Res Pract
                NRP
                Nursing Research and Practice
                Hindawi Publishing Corporation
                2090-1429
                2090-1437
                2016
                20 December 2016
                : 2016
                : 8783594
                Affiliations
                1Nursing Department, Nazareth College, Rochester, NY, USA
                2Department of Nursing Research & Evidence-Based Practice, Rochester Regional Health, Rochester, NY, USA
                3Rochester, NY, USA
                4Department of Nursing Research & Evidence-Based Practice, Rochester General Hospital, Rochester, NY, USA
                5Department of Clinical Education, Rochester General Hospital, Rochester, NY, USA
                Author notes

                Academic Editor: Florence Luhanga

                Author information
                http://orcid.org/0000-0003-1063-8422
                Article
                10.1155/2016/8783594
                5206436
                3ecc0eed-12f7-44cc-a6a5-4fd63cdefcdf
                Copyright © 2016 Lynda J. Dimitroff et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 18 April 2016
                : 16 October 2016
                : 2 November 2016
                Categories
                Research Article

                Nursing
                Nursing

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