The lived experience of nurse practitioners practicing within the Transformational Advanced Professional Practice Model: A phenomenological study

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Nursing professional practice models provide a system of support enabling “control over professional practice and the environment in which health care is delivered” (Hoffart & Woods, 1996, p. 354). Chamberlain et al. (2013) describes the attributes of a professional practice model (PPM) as reflecting values that exemplify the organizational culture. This study describes the lived experiences of nurse practitioners (NPs) practicing within a PPM known as the Transformational Advanced Professional Practice (TAPP) Model (Elliott & Walden, 2015).
The TAPP Model, developed and implemented in 2009, is an evidence‐based PPM that supports the professional development of advanced practice providers at Texas Children's Hospital (TCH; Elliott & Walden, 2015). There are seven nonmutually exclusive domains of practice, three continuums of practice, and four unifying strands (see Figure 1). For a full description of the TAPP Model refer to the work of Elliott and Walden (2015). TCH is a Magnet designated organization and is required to provide an on‐going evaluation of its organizational PPM for nurses (ANCC, 2014). While the literature does not distinguish differences between general nursing and advanced practice PPMs, the National Organization for Nurse Practitioner Faculties emphasizes that education and competencies are different than those required for general nursing (NONPF, 2014). Most healthcare organizations struggle to distinguish the differences between Registered Nurse (RN) competencies, NP competencies, and the role of the NP. The TAPP Model is one of the few PPMs for NPs reported in the literature that makes the distinction between the professional practice and competencies of NPs and RNs.
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