Abstract

Healthcare that includes high performing interprofessional clinical teams (IPTs) is one recommended strategy to provide optimal quality and cost-effective care delivery. Highly functional IPTs are characterized by effective communication, trust, respect, collaboration, information-sharing, and conflict resolution and are more efficient than individual providers working alone. Internally, IPT members' relationships and understanding of both one's own professional identity and others' role and responsibilities are crucial to team functionality and effectiveness. Externally, factors including regulatory practice environments might influence the effectiveness and performance of both individual team members and the team overall. Inconsistencies between states' practice authority (SPA) for advanced practice nurses (APRNs) provides an opportunity to study the effects on IPT function. This study examined relationships between APRN SPA, with perceived autonomy, professionalism, and IPT function in a national sample APRNs (N = 222) from across the U.S who worked in IPTs within the past year for at least six months. APRNs in this study perceived a high level of autonomy and moderate level of professionalism and IPT function. Significant relationships were found between SPA and autonomy. No relationship was found between SPA and IPT function and SPA did not moderate between professionalism and IPT function. However, the direct relationship between SPA and autonomy implies that an indirect relationship could exist that might affect how IPT function is perceived. This study adds to the body of nursing science and informs on strategies for future inquiry regarding team function and APRN policy and regulation.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10977879; ProQuest document ID: 2204966145. The author still retains copyright.

Author Details

Patricia R. Gilman, PhD, MSN, ACNS-BC

Sigma Membership

Kappa Mu

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Advanced Practice Nurses (APRNs), Interprofessional Teams, Pratice Authority, APRN State Regulation, Professionalism

Advisor

Elizabeth Tigges

Second Advisor

Mark Parshall

Third Advisor

Kim Cox

Fourth Advisor

Sally Cohen

Degree

PhD

Degree Grantor

The University of New Mexico

Degree Year

2018

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-23

Full Text of Presentation

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