Effect of the Salary Model on Sustainability of a Professional Practice Environment

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OBJECTIVEThis replication study examined differences in RN perception of the professional practice environment (PPE) between salary- and hourly-wage compensation models over time.BACKGROUNDA previous study demonstrated that nurses in a salary-wage model had a significantly higher perception of the PPE compared with their peers receiving hourly wages.METHODSA descriptive, comparative design was used to examine the Revised Professional Practice Environment (RPPE) scale of nurses in the same units surveyed in the previous study 2 years later.RESULTSMean scores on the RPPE continued to be significantly lower for hourly-wage RNs compared with the RNs in the salary-wage model.CONCLUSIONSNurses in an hourly-wage unit have significantly lower perceptions of the clinical practice environment than their peers in a salary-wage unit, indicating that professional practice perceptions in a salary-wage unit were sustained for a 2-year period and may provide a more effective PPE.

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