Chief Nursing Officer Perspectives on Nursing Theory-Guided Practice

Marian Turkel; Marlaine C Smith; Ruth Tappen; Phyllis Hansell; Jacqueline Fawcett; Toqa Alanbry; Karen Drenkard

doi:10.1097/NNA.0000000000001062

Chief Nursing Officer Perspectives on Nursing Theory-Guided Practice

J Nurs Adm. 2021 Nov 1;51(11):546-553. doi: 10.1097/NNA.0000000000001062.

Authors

Marian Turkel¹, Marlaine C Smith, Ruth Tappen, Phyllis Hansell, Jacqueline Fawcett, Toqa Alanbry, Karen Drenkard

Affiliation

¹ Author Affiliations: Affiliate Associate Professor (Dr Turkel), Helen K. Persson Eminent Scholar and Professor (Dr Smith), Christine E. Lynn Eminent Scholar and Professor (Dr Tappen), and PhD Student (Ms Alanbry), Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton; Professor (Dr Hansell), Graduate Department College of Nursing, Seton Hall University, New Jersey, Orange City; Professor (Dr Fawcett), Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston; Associate Dean (Dr Drenkard), Clinical Practice and Community Engagement, George Washington University School of Nursing, Washington, DC.

PMID: 34690303
DOI: 10.1097/NNA.0000000000001062

Abstract

Objective: The purpose of this study was to identify what guides nursing practice.

Background: Change occurred when the Magnet Recognition Program® no longer required a nursing theory.

Methods: This was a mixed-methods study to identify the process used to implement nursing theory-guided practice and the relationship to professional practice recognition. Deidentified quantitative data were collected from 36 chief nursing officers (CNOs). Seventeen CNOs participated in the qualitative interview.

Results: Thirteen CNOs were from a Magnet®-designated facility. Ten CNOs were on the Magnet journey, and 2 had no intent to seek Magnet recognition. Two CNOs were from a Pathway to Excellence®-designated facility. One CNO was on the Pathway to Excellence journey. The majority of respondents who were Magnet® recognized who participated in the survey used Watson's Theory of Human Caring. Themes were identified that share the benefits and strategies to integrate nursing-guided theory into nursing processes, structures, and outcomes.

Conclusion: Findings will benefit CNOs as they make decisions related to pursuing Magnet status recognition.

MeSH terms

Humans
Interviews as Topic
Nurse Administrators / psychology*
Nursing Theory*
Practice Guidelines as Topic*
Professional Role / psychology*
Qualitative Research
Surveys and Questionnaires