Elliott Elizabeth C, Walden Marlene, Young Anne, Symes Lene, Fredland Nina
Texas Children's Hospital, Houston, Texas.
Baylor College of Medicine, Houston, Texas.
J Am Assoc Nurse Pract. 2017 Jun;29(6):324-332. doi: 10.1002/2327-6924.12454. Epub 2017 Mar 23.
The purpose of this study was to describe the lived experiences of nurse practitioners (NPs) practicing within the Transformational Advanced Professional Practice (TAPP) Model, a professional practice model (PPM).
A descriptive phenomenological analysis using semistructured interviews of 11 NPs across multiple inpatient and outpatient clinical areas at Texas Children's Hospital. Member checking and theming data occurred using Colaizzi's Method concurrently with Mind Mapping technique.
Main themes included: (a) transforming professional practice, (b) cultivating the inner self, and (c) mentoring professional transitions.
The findings of this study provide qualitative evidence that the TAPP Model influences role transition and professional development. Transforming NP practice within organizations and within the nursing profession itself will take mindfulness with an intentional approach to design PPMs specifically for NPs.
本研究旨在描述在转型高级专业实践（TAPP）模式（一种专业实践模式）下执业的执业护士（NP）的生活经历。
对德克萨斯儿童医院多个住院和门诊临床领域的11名执业护士进行半结构化访谈，采用描述性现象学分析方法。采用科莱齐方法并结合思维导图技术进行成员核对和主题数据处理。
主要主题包括：（a）转变专业实践，（b）培养内在自我，以及（c）指导职业转型。
本研究结果提供了定性证据，表明TAPP模式影响角色转变和专业发展。在组织内部以及护理专业本身转变执业护士的实践，需要有意识地采取有意的方法，专门为执业护士设计专业实践模式。
