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Applying Benner's Model to Psychiatric Mental Health Nurse Practitioner Self-Ratings of Role Competence

Columbia Community Mental Health Services and Catholic Community Services, Vancouver, Washington

Leslie Augustus

The Human Element Private Practice, Roseburg, Oregon

Shauna Hahn

Central City Concern and Recovery Center, Portland, Oregon

John Penkert

Veterans Administration, Southern Oregon Rehabilitation Center and Clinics, White City, Oregon

Rebecca Sauer

Oregon Department of Corrections and Lifeworks Northwest Behavioral Health Services, Portland, Oregon

Janiece DeSocio

Child/Adolescent & Family Psychiatric Mental Health Nurse Practitioner Program, University of Rochester School of Nursing, Rochester, New York, janiece_desocio@urmc. rochester.edu

BACKGROUND: Cross-sectional survey research elicited self-perceptions of role competence from practicing psychiatric mental health nurse practitioners (PMHNPs) and new PMHNP graduates. OBJECTIVES: Examine relationships between PMHNP perceptions of competence, prior basic-level nursing experience, and years of PMHNP practice. STUDY DESIGN: Self-ratings of competence were elicited by a questionnaire designed from Benner's model. The relationship between prior nursing experience and perceptions of competence was examined by chi-square analysis. Changes in PMHNP competence rankings over years of practice were examined with Kruskal—Wallis and Mann—Whitney procedures. RESULTS: Self-perceptions of competence increased in seven role dimensions as PMHNPs progressed through years of practice (p < .000). Gains in perceptions of competence occurred between career entry and 3 to 5 years of practice in all but one role dimension. Prior nursing experience did not significantly increase perceptions of competence among PMHNP graduates. CONCLUSIONS: Self-perceptions of competence progressively and significantly increased over years of PMHNP practice among participants in this study.

Key Words: models/theories of psychiatric nursing • rating scales • roles • advanced practice role development

Journal of the American Psychiatric Nurses Association, Vol. 15, No. 2, 126-137 (2009)
DOI: 10.1177/1078390309333181


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