Nurse practitioners (NPs) deliver a wide array of healthcare services in a variety of settings. The purpose of this study was to examine the practice patterns and organizational commitment of inpatient NPs.
A quantitative design was used with a convenience sample (n = 183) of NPs who attended the American Association of Nurse Practitioners (AANP) national conference. The NPs were asked to complete a demographic questionnaire, the Practice Patterns of Acute Nurse Practitioners tool and the Organizational Commitment Questionnaire.
Over 85% of inpatient practice time consists of direct and indirect patient care activities. The remaining nonclinical activities of education, research, and administration were less evident in the NP's workweek. This indicates that the major role of inpatient NPs continues to be management of acutely ill patients. Moderate commitment was noted in the Organizational Commitment Questionnaire.
Supportive hospital/nursing leadership should acknowledge the value of the clinical and nonclinical roles of inpatient NPs as they can contribute to the operational effectiveness of their organization. By fostering the organizational commitment behaviors of identification, loyalty, and involvement, management can reap the benefits of these professionally dedicated providers.
aCardiology Nurse Practitioner
bClinical Associate Professor, Coordinator
cMarvin E. & Ruth Durr Denekas Professor of Nursing
dElizabeth Brooks Ford Professor of Nursing
1Mount Sinai Heart, Mount Sinai Hospital, New York, New York,
2Adult and Gerontology Acute Care Nurse Practitioner Program, New York University College of Nursing, New York,
3Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio
Received: 23 April 2015; accepted: 31 August 2015
Janet Johnson, DNP, MA, ANP-BC, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1468, New York, NY 10029.