Evaluating the Clinical Practice Model's Strengths and Improvement Opportunities Using the Professional Practice Framework Assessment Survey

Abstract

OBJECTIVES The aims of this study are (1) to describe the division, organizational strengths, and improvement opportunities of self-reported behaviors indicative of the multidimensional construct of professional practice and (2) to understand demographic characteristics that contributed to these strengths and improvement opportunities. BACKGROUND Prior to implementing a system-wide interdisciplinary shared governance structure, ProHealth Care measured staff attitudes toward the multidimensional construct of professional practice as proposed within the Clinical Practice Model framework using the Professional Practice Framework Assessment Survey (PPFA-S). METHODS Clinical and support staff were invited to share their views toward professional practice using the previously validated, reliable tool, the PPFA-S. RESULTS Partnering relationships, scope of practice, and shared purpose were strengths. Strategies were initiated to strengthen networking councils, integrated competency, evidence-based practice, transformative capacity, and clinical tools. CONCLUSIONS The survey identified professional practice strengths and improvement opportunities across the organization as well as factors contributing to these strengths and opportunities. These findings were useful to help guide system integration.

Development, implementation and evaluation of a Professional Practice Model: A scoping review

“…Fourteen studies measured the development and/or implementation and/or evaluation of a PPM (Arroyo‐Marlés et al, 2018 ; Bloemhof et al, 2021 ; Burke et al, 2018 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020 ; Glassman, 2016 ; Holskey & Rivera, 2020 ; Keleekai‐Brapoh & Toresco, 2020 ; Mensik et al, 2017 ; Murphy et al, 2018 ; Olender et al, 2020 ; Oommen et al, 2022 ; Qu et al, 2019 ; Robbins, 2019 ). Eight of the included studies were conducted in the United States of America (Burke et al, 2018 ; Clavelle & Goodwin, 2016 ; Gentile & Marzinski, 2020; Glassman, 2016 ; Holskey & Rivera, 2020 ; Keleekai‐Brapoh & Toresco, 2020 ; Mensik et al, 2017 ; Olender et al, 2020 ), one in Columbia (Arroyo‐Marlés et al, 2018 ), one in Ireland (Murphy et al, 2018 ), one in China (Qu et al, 2019 ), one in the Netherlands (Bloemhof et al, 2021 ), one in the Uinted Arab Emirates (Oommen et al, 2022 ) and one in Scotland (Robbins, 2019 ). The characteristics of the included studies are presented in Table 1 .…”

“…Of note from this present review is the need to continually develop and adapt a PPM to keep up to date with scientific changes (Arroyo-Marlés et al, 2018;Burke et al, 2018;Gentile & Marzinski 2020;Glassman, 2016;Holskey & Rivera, 2020;Keleekai-Brapoh & Toresco, 2020;Murphy et al, 2018;Qu et al, 2019). A PPM is considered the most recognizable symbol for nursing in an organization, and therefore, changes to nursing practice, both in the external and internal environments, should be represented within a model (Arroyo-Marlés et al, 2018;Glassman, 2016;Holskey & Rivera, 2020;Keleekai-Brapoh & Toresco, 2020).…”

“…2 practice model framework (Burke et al, 2018), Johns Hopkins evidence-based practice model (Clavelle & Goodwin, 2016) Mensik et al, 2017), five elements (Bloemhof et al, 2021;Glassman, 2016;Holskey & Rivera, 2020;Robbins, 2019) and 10 elements (Burke et al, 2018;Oommen et al, 2022;Qu et al, 2019). Collaboration, research and innovation; development and recognition; independent practice; leadership; and healthy work environments were the most cited elements used in the included studies.…”

“…Twelve studies discussed the model implementation method used (Arroyo-Marlés et al, 2018;Bloemhof et al, 2021;Burke et al, 2018;Glassman, 2016;Holskey & Rivera, 2020;Keleekai-Brapoh & Toresco, 2020;Mensik et al, 2017;Murphy et al, 2018;Olender et al, 2020;Oommen et al, 2022;Qu et al, 2019;Robbins, 2019).…”

“…Implementation of the models was introduced in incremental stages in three studies (Burke et al, 2018;Murphy et al, 2018;Olender et al, 2020). Burke et al (2018), only implemented some of the 10 model elements across the health care system as their work focused on one hospital division.…”