Yale University EliScholar – A Digital Platform for Scholarly Publishing at Yale Yale School of Nursing Digital Theses School of Nursing January 2012 Defining The nI tangible Skillset Of Advanced Practice Nurses: A Psychophenonemological Study Of Aprnand Graduate Nursing Student Narratives Kathryn Perticone Yale University, [email protected] Follow this and additional works at: http://elischolar.library.yale.edu/ysndt Recommended Citation Perticone, Kathryn, "Defining The nI tangible Skillset Of Advanced Practice Nurses: A Psychophenonemological Study Of Aprnand Graduate Nursing Student Narratives" (2012). Yale School of Nursing Digital Theses. 1008. http://elischolar.library.yale.edu/ysndt/1008 This Open Access Thesis is brought to you for free and open access by the School of Nursing at EliScholar – A Digital Platform for Scholarly Publishing at Yale. It has been accepted for inclusion in Yale School of Nursing Digital Theses by an authorized administrator of EliScholar – A Digital Platform for Scholarly Publishing at Yale. For more information, please contact [email protected]. DEFINING THE INTANGIBLE SKILLSET OF ADVANCED PRACTICE NURSES: A PSYCHOPHENONEMOLOGICAL STUDY OF APRN AND GRADUATE NURSING STUDENT NARRATIVES Thesis Submitted to the Faculty Yale University School of Nursing In Partial Fulfillment Of the Requirements for the Degree Master of Science in Nursing Kathryn Perticone May 21, 2012 ! ! This thesis is accepted in partial fulfillment of the requirements for the degree Master of Science in Nursing. Faculty Advisor: Mary D Moller Date here: May 16, 2012 "!! Abstract DEFINING THE INTANGIBLE SKILLSET OF ADVANCED PRACTICE NURSES: A PSYCHOPHENONEMOLOGICAL STUDY OF ARPN AND GRADUATE NURSING STUDENT NARRATIVES The purpose of this pilot qualitative study was to generate a definition of advanced practice nurses that delineates their intangible skillset. The definition was derived from narratives of eleven experienced advanced practice nurses and 18 graduate nursing students who responded to individualized questionnaires. Results were analyzed using van Kaam’s, 12-step psychophenomenological method. Four necessary and essential qualities of the intangible skillset of advanced practice nurses were identified as: Development of a patient-centered relationship; provision of care that is holistic and promotes health and wellness; use of practical critical thinking and judgment; and, engagement in “tri-lingual communication” or the ability to communicate in a comprehensible and effective manner with patients and families, nurse colleagues, and other healthcare professionals. ""!! Table of Contents CHAPTER 1 ...................................................................................................................................1 Description of the Problem ..............................................................................................................1 Purpose of the Study ............................................................................................................3 Hypothesis............................................................................................................................4 Research Questions ..............................................................................................................4 Working Assumptions .........................................................................................................5 Operational Definitions ........................................................................................................5 Review of the Literature ..................................................................................................................5 Role of Nurse Practitioners ..................................................................................................6 Advanced Practice Nurses Scope and Standards of Practice ...............................................9 Hamric’s Model of Advanced Nurse Practice Identity ......................................................10 Summary ............................................................................................................................12 Defining Nurse Practitioner .................................................................................................6 CHAPTER II ................................................................................................................................13 Methodology ..................................................................................................................................13 Research Design .................................................................................................................14 Psychophenomenology ......................................................................................................14 Sample ................................................................................................................................18 Sample I .................................................................................................................18 Sample II ................................................................................................................18 Setting ................................................................................................................................18 Data Collection Instruments ..............................................................................................19 Survey Questionnaire for Yale School of Nursing, 1st Year Specialty Students ...19 Survey Questionnaire for APRNs ..........................................................................19 Data Collection Procedures ................................................................................................20 CHAPTER III ..............................................................................................................................21 Data Analysis .................................................................................................................................21 Stage I: Analysis ................................................................................................................21 Step 1. Obtain first general description ..................................................................21 Step 2. Differentiate structural elements (preliminary groupings) ........................21 Step 3. Eliminate repetitious statements (reduction) .............................................22 Steps 4 and 5. Tentative relation of structural elements (elimination) and list statements (explication) .........................................................................................22 Step 6. Process of methodological reflection .........................................................26 Step 7. Determine potential elements of integral structure ....................................27 Step 8. Engage in psychophenomenological situational reflection .......................29 Stage II: Translation ...........................................................................................................29 Step 9. Translate into metalanguage of science. Transpose each essential element into metalanguage of discipline .............................................................................29 """! ! Metalanguage of science ............................................................................29 Metalanguage of discipline ........................................................................30 Stage III: Transposition ......................................................................................................30 Step 10. Determine fidelity (application) ...............................................................30 Stage IV: Phenomenological Reflection ............................................................................31 Step 11. Produce paradigm of experience (final identification) ............................31 Step 12. Statement of limits ...................................................................................31 CHAPTER IV ..............................................................................................................................32 Results ............................................................................................................................................32 APRN Demographics .........................................................................................................32 APRN Survey Results ....................................................................................................................32 Question 4 ..........................................................................................................................33 Question 5 ..........................................................................................................................33 Question 6 ..........................................................................................................................34 Question 7 ..........................................................................................................................34 Question 8 ..........................................................................................................................35 Question 9 ..........................................................................................................................36 Question 10 ........................................................................................................................36