Practice patterns and organizational commitment of inpatient nurse practitioners

Janet Johnson, Mary Brennan, Carol M. Musil, Joyce J. Fitzpatrick

Research output: Contribution to journalArticlepeer-review


PURPOSE: Nurse practitioners (NPs) deliver a wide array of healthcare services in a variety of settings. The purpose of this study was to examine the practice patterns and organizational commitment of inpatient NPs.

METHODS: A quantitative design was used with a convenience sample (n = 183) of NPs who attended the American Association of Nurse Practitioners (AANP) national conference. The NPs were asked to complete a demographic questionnaire, the Practice Patterns of Acute Nurse Practitioners tool and the Organizational Commitment Questionnaire.

CONCLUSIONS: Over 85% of inpatient practice time consists of direct and indirect patient care activities. The remaining nonclinical activities of education, research, and administration were less evident in the NP's workweek. This indicates that the major role of inpatient NPs continues to be management of acutely ill patients. Moderate commitment was noted in the Organizational Commitment Questionnaire.

IMPLICATIONS FOR PRACTICE: Supportive hospital/nursing leadership should acknowledge the value of the clinical and nonclinical roles of inpatient NPs as they can contribute to the operational effectiveness of their organization. By fostering the organizational commitment behaviors of identification, loyalty, and involvement, management can reap the benefits of these professionally dedicated providers.

Original languageEnglish (US)
Pages (from-to)370-378
Number of pages9
JournalJournal of the American Association of Nurse Practitioners
Issue number7
StatePublished - Jul 1 2016


  • Acute care
  • advanced practice nurse (APN)
  • hospital
  • management
  • nurse practitioners
  • role

ASJC Scopus subject areas

  • General Nursing


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