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Joseph ML, Williams M, Reinke K, Bair H, Chae S, Hanrahan K, St Marie B, Jenkins P, Albert NM, Gullatte MM, Rogers DM, Swan BA, Holden T, Woods E, DeGuzman PB, DeGennaro G, Marshall D, Hein M, Perkhounkova Y, Huber DL. Development and Testing of the Relational and Structural Components of Innovativeness Across Academia and Practice for Healthcare Progress Scale. J Nurs Adm 2024; 54:260-269. [PMID: 38630941 DOI: 10.1097/nna.0000000000001422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2024]
Abstract
OBJECTIVE Using data from 5 academic-practice sites across the United States, researchers developed and validated a scale to measure conditions that enable healthcare innovations. BACKGROUND Academic-practice partnerships are a catalyst for innovation and healthcare development. However, limited theoretically grounded evidence exists to provide strategic direction for healthcare innovation across practice and academia. METHODS Phase 1 of the analytical strategy involved scale development using 16 subject matter experts. Phase 2 involved pilot testing the scale. RESULTS The final Innovativeness Across Academia and Practice for Healthcare Progress Scale (IA-APHPS) consisted of 7 domains: 3 relational domains, 2 structural domains, and 2 impact domains. The confirmatory factor analysis model fits well with a comparative fit index of 0.92 and a root-mean-square error of approximation of 0.06 (n = 477). CONCLUSION As the 1st validated scale of healthcare innovation, the IA-APHPS allows nurses to use a diagnostic tool to facilitate innovative processes and outputs across academic-practice partnerships.
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Affiliation(s)
- M Lindell Joseph
- Author Affiliations: Clinical Professor and Distinguished Scholar in Nursing, and Director of DNP & MSN Health Systems: Administration/Executive Leadership Programs (Dr Joseph), College of Nursing, The University of Iowa; Henry B. Tippie Faculty Research Fellow in Entrepreneurship and Associate Professor of Management and Entrepreneurship (Dr Williams), Tippie College of Business; PhD Student (Reinke), Management and Entrepreneurship Department, Tippie College of Business; Associate Director and Associate Clinical Professor (Dr Bair); and DNP in Anesthesia Nursing Program and Assistant Professor (Dr Chae), College of Nursing, The University of Iowa; Director, Nursing Research and Evidence-Based Practice (Dr Hanrahan), University of Iowa Hospitals and Clinics; and Associate Professor (Dr St. Marie), College of Nursing, The University of Iowa, Iowa City; Associate Dean for Academic Affairs (Dr Jenkins), University of Arizona, Tucson; Associate Chief Nursing Officer (Dr Albert), Research and Innovation, Zielony Nursing Institute; Clinical Nurse Specialist (Dr Albert), George M. and Linda H. Kaufman Center for Heart Failure Treatment and Recovery; and Heart, Vascular & Thoracic Institute and Consultive Staff (Dr Albert), Lerner Research Institute, Cleveland Clinic, Ohio; Corporate Director (Dr Gullatte), Nursing Research and Evidence Based Practice, Emory Healthcare; Adjunct Faculty (Dr Gullatte), Nell Hodgson Woodruff School of Nursing, Emory University; Nurse Scientist (Dr Rogers), DeKalb Operating Unit (DOU), Emory Healthcare; Senior Instructor (Dr Rogers), Nell Hodgson Woodruff School of Nursing, Emory University; and Clinical Track Associate Professor, Dean and Vice President for Academic Practice Partnerships, Executive Director for the Emory Nursing Learning Center and Nell Hodgson Woodruff School of Nursing, and Co-director of the Woodruff Health Sciences Center Interprofessional Education and Clinical Practice Office (Dr Swan), Emory University, Atlanta; Lead Advanced Practice Provider (Dr Holden), Emory Johns Creek Hospital, Johns Creek; and Magnet® Program Director for Emory Orthopedics and Spine Hospital, and Assistant Clinical Professor (Dr Woods), Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia; Nurse Scientist (Dr DeGuzman), University of Virginia Health, Charlottesville; Professor, Academic Director of Clinical Partnerships, and Assistant Department Chair of Acute and Specialty Care (Dr DeGennaro), University of Virginia School of Nursing, Charlottesville; Senior Vice President, Chief Nursing Executive, and James R. Klinenberg, MD, and Lynn Klinenberg Linkin Chair in Nursing in Honor of Linda Burnes Bolton (Dr Marshall), Cedars-Sinai, Los Angeles, California; and Data Manager (Hein) and Statistician Manager (Dr Perkhounkova), Office for Nursing Research and Scholarship, College of Nursing; and Tenured Full Professor Emeritus (Dr Huber), College of Nursing and College of Public Health, The University of Iowa, Iowa City
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Abstract
BACKGROUND Many challenges are inherent in academic nursing, and additional unique challenges exist for faculty and nursing programs that simultaneously engage in or offer faculty practice. To date, little has been published on faculty practice and academic nursing outside of the mission of education. PURPOSE To describe faculty practice within the context of academic nursing as it pertains to scholarship and research, annual evaluations, promotion, support of faculty practice, and additional benefits and challenges. METHODS A convenience sample of faculty and administrators was surveyed from 6 different universities in the United States. RESULTS A total of 25 faculty members and 11 administrators participated. Results indicate faculty practice offers both benefits and challenges to the noneducational aspects of academic nursing. CONCLUSION The benefits and challenges should be carefully considered within the context of the future of academic nursing and faculty practice.
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Affiliation(s)
- Kelly Gonzales
- Associate Professor (Dr Gonzales), Clinical Assistant Professor (Dr Holmes), Graduate Student (Ms Klein), and Assistant Professor (Dr Hanish), University of Nebraska Medical Center College of Nursing, Omaha; and Associate Professor (Dr Struwe), University of Nebraska Medical Center College of Nursing, Lincoln
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Pattison N, Deaton C, McCabe C, Coates V, Johnston B, Nolan F, Whiting L, Briggs M. Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia. J Clin Nurs 2021; 31:353-361. [PMID: 33797144 DOI: 10.1111/jocn.15756] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 01/15/2021] [Accepted: 02/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Clinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers. METHODS A Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practice, (b) infrastructure for the post, (c) capacity-building initiatives, (d) strategic influence, (e) wider influence, (f) local and national implementation initiatives, (g) research area and focus and (h) impact and contribution. FINDINGS All seven of the professors of nursing involved in this discourse were based in both universities and healthcare organisations in an equal split. All had national and international profiles in their specialist clinical areas and were implementing innovation in their clinical and teaching settings through boundary spanning. We outline a model for career trajectories in clinical academia, and how leadership is crucial. CONCLUSION The model outlined emphasises the different stages of clinical academic roles in nursing. Nursing as a discipline needs to embrace the value of these roles, which have great potential to raise the standards of healthcare and the status of the profession.
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Affiliation(s)
- Natalie Pattison
- University of Hertfordshire, Hatfield, UK.,East/North Herts NHS Trust, Stevenage, UK
| | - Christi Deaton
- University of Cambridge, Cambridge, UK.,Cambridge University NHS Trust, Cambridge, UK
| | - Candy McCabe
- University of West England, Bristol, UK.,Dorothy House Hospice, Bath, UK
| | - Vivien Coates
- University of Ulster, Coleraine, UK.,Western Health and Social Care Trust, Londonderry, UK
| | - Bridget Johnston
- University of Glasgow, Glasgow, UK.,Glasgow Royal Infirmary, Glasgow, UK
| | | | | | - Michelle Briggs
- University of Manchester, Manchester, UK.,Manchester NHS Foundation Trust, Manchester, UK
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Janssen Breen L, Diamond-Caravella M, Moore G, Wruck M, Guglielmo C, Little A, Tedeschi P, Zacharia M, Cataletto M. When reach exceeds touch: Student experiences in a cross-sector community-based academic-practice partnership. Public Health Nurs 2019; 36:429-438. [PMID: 30811064 DOI: 10.1111/phn.12599] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 01/28/2019] [Accepted: 02/04/2019] [Indexed: 12/01/2022]
Abstract
OBJECTIVE A partnership between three nursing programs, multiple high-needs public school districts and a local asthma coalition was developed as a way to build shared capacity aimed at improving health outcomes for children with asthma. This article explores student perceptions of their clinical experiences teaching asthma self-management within a regional cross-sector, community-based, multi-site academic-practice partnership. DESIGN Nursing faculty from three Long Island, New York-based nursing programs within the partnership jointly created a qualitative focus group methodology to more fully understand the phenomena of interest. A set of open-ended interview questions guided the sessions. SAMPLE Through purposive sampling, 42 undergraduate nursing students participated in 60-min focus group sessions. MEASUREMENT Focus group data were transcribed. Content analysis, coding, and theme development was carried out collaboratively. The unit of analysis was the individual participant responses informed by group interaction. A researcher diary was maintained. RESULTS One overarching theme and three sub-themes emerged from the data, reflecting student understandings in the areas of positioning, professional/personal identity, and social awareness. Ongoing analysis revealed patterns across the data sets linking student learning and the goals, milieu and workings of the partnership. CONCLUSIONS Findings suggest that the context of a thriving community-based academic-practice partnership, established to improve population health outcomes, offered unique clinical learning opportunities for students through exposure to the values, ideas, and innovation of the partnership itself.
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Affiliation(s)
| | | | - Geraldine Moore
- Barbara H. Hagan School of Nursing, Molloy College, Rockville Centre, New York
| | - Michelle Wruck
- Department of Nursing, St. Joseph's College, Patchogue, New York
| | - Claudia Guglielmo
- American Lung Association/Asthma Coalition of Brooklyn & Queens, Hauppauge, New York
| | - Anne Little
- American Lung Association/Asthma Coalition of Long Island, Hauppauge, New York
| | - Pamela Tedeschi
- American Lung Association/Asthma Coalition of Long Island, Hauppauge, New York
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