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Therapeutic commitment and care of persons with mental illness: a survey of nurse practitioners' role perceptions Open Access


Other title
nurse practitioners
role perception
mental illness
therapeutic commitment
role competency
role support
Type of item
Degree grantor
University of Alberta
Author or creator
Creamer, Anne Marie
Supervisor and department
Mill, Judy (Nursing)
Austin, Wendy (Nursing)
Examining committee member and department
O'Brien, Beverley (Nursing)
Northcott, Herb (Sociology)
Boschma, Geertje (Nursing)
Hunter, Kathleen (Nursing)
Faculty of Nursing

Date accepted
Graduation date
Doctor of Philosophy
Degree level
This study explored Canadian nurse practitioners’ (NPs) levels of therapeutic commitment (TC), role competency (RC) and role support (RS) when caring for persons with mental illness and mental health problems. Knowledge and experiential factors that impact these levels were examined and a model of therapeutic commitment was tested. A self-administered mail survey was sent to 1272 NPs from all Canadian jurisdictions except the Yukon, Saskatchewan and Quebec. The survey was comprised of the Mental Health Problem Perceptions Questionnaire (MHPPQ), demographic data and open-ended questions. Using Dillman’s Tailored Design Method, the target population was contacted 4 times: pre-notice letter, first survey, reminder letter, and repeat survey. Of the 1272 potential participants, 680 (57.2%) useable surveys were received. Out of a possible maximum score of 7, NPs reported mean levels of 5.05 (SD 0.83) on the TC, 5.02 (SD 0.88) on the RC and 4.86 (SD 1.27) on the RS subscales. As hypothesized, correlations between the three subscales were demonstrated with RC and TC being the most strongly associated (r = .754, p
License granted by Anne Marie Creamer ( on 2011-04-12T21:55:31Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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