Cooperation is key to future needs.
Can the hospital industry reconcile manufacturers' entrepreneurial prerogatives with public desire to have safe, tested, cost-effective technologies?
Commerce↗
Biomedical subjects
C Z Dachelet
Publications and source records attributed to C Z Dachelet.
Nursings bid for increased status.
Explore the source record for details and available documents.
Clinical Competence↗
The rural nurse practitioner: a challenge and a response.
From a cohort of 525 employed nurse practitioners (NPs) who graduated between May 1975 and June 1976, 85 (16 per cent) reported practicing in rural areas. While 91 per cent of the rural NPs chose the short-term certificate programs rather than the master's degree for their NP preparation, 47 per cent had already earned a baccalaureate or master's degree prior to NP training. Family NPs comprised the most frequent specialty area chosen, followed by pediatric and adult specialties. Of the 85, 99 per cent were actually providing a broad array of primary care services to clients over a wide age range. Physicians were periodically available on site in about 80 per cent of the practices, by telephone in 97 per cent of the practices, and in 60 per cent of the practices provided additional consulation by record review. Major motivations of the NPs for entering rural practice were to participate in a creative approach to health care delivery (50 per cent of the practice setting were less than five years old), and for the opportunity for role autonomy. Over 95 per cent of these NPs and employers were satisfied with the NP role.
Economics, Nursing↗
Overcoming barriers to the employment and utilization of the nurse practitioner.
A national longitudinal cohort study of nurse practitioners and their employers conducted during 1973--1976 provided data on barriers to the development of the nurse practitioner role in primary care. Nearly 90 per cent of the 500 primary care nurse practitioners responding and 75 per cent of the 407 employers responding reported encountering one or more barriers to the role development of the nurse practitioner in their practice setting. Nurse practitioners identified an average of 2.2 barriers and employers identified an average of 1.6 barriers each. Specific barriers identified by 20 per cent or more of the nurse practitioners and employers were legal restrictions, limitations of space and facilities, and resistance from other providers. The data and other evidence suggest that these barriers are not insurmountable and that progress is being made in overcoming these obstacles.
Attitude of Health Personnel↗
Autonomy in practice.
When the nurse practitioner (NP) role was first described in the early 1960s it was clear that important dimensions had been added to the role of the nurse. One of these dimensions was the increased professional autonomy. As the NP role continued to evolve, autonomy became a characterizing feature of the role. the purpose of this paper is to present basic assumptions concerning automony and its relationship to the definition of profession; to examine the implications of autonomy to the individual NP, to the nursing profession, and to the health care system; and to offer a model for considering professional autonomy in relation to the NP role.
Humans↗