Dissertations, Theses and Capstone Projects

Date of Award


Degree Type


Degree Name

Master of Science in Nursing (MSN) - Advanced Care Management and Leadership



First Advisor

Dr. Patricia Hart

Second Advisor

Dr. Nancy Ballard


Purpose: The purpose of this study is to examine the effect of a PPM on clinical nurses’ perceptions of their practice environment and job satisfaction. Secondly, this study examined clinical nurses’ perceptions of the PPM through survey questions focusing on elements of the PPM.

Design: A descriptive, pretest-posttest design using secondary data to analyze nurses’ perception of their practice environment and job satisfaction before and after implementation of the healthcare organizations PPM. Also, a prospective design using a survey method was used to measure nurses’ perceptions of the PPM.

Methods: Data were collected from a convenience sample of bedside nurses on 15 medical/medical-surgical units of an acute care not-for-profit hospital. Secondary data was retrieved from the hospital’s NDNQI® database for the years 2009 and 2011.

Results: There was an increase in the practice environment and job enjoyment scores after the implementation of the PPM. The survey indicated a majority of nurses were aware the healthcare organization has a PPM and that the nursing PPM guides nursing care for their patients. However, many felt they could not describe the PPM or identify any of the five subgroups within the model and requested additional education and information.

Conclusions: The healthcare organization has a PPM designed to engage aspects of nursing practice into daily patient care. However, it is the responsibility of nursing leadership to provide an environment that embraces and communicates how the PPM can be used in daily practice of caring for patients.