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Nursing administration research as a paradigm reflection.

Nursing administration research: What has been done? What needs to be done? McDaniel analyzes the research completed in recent years, describing the extant research as atomistic, focused on the nurse provider, not on the organization, administration, or patient. She suggests directions for future nursing administration research: multisite and multivariate analyses of the complex and dynamic nature of health systems, including international perspectives.

Administrative Personnel↗

Nursing administration research in hospitals and schools of nursing.

"Nursing service administration is in the most desperate need of research..." So said Herman Finer, well-known professor at the University of Chicago and in 1952, director of the Kellogg Nursing Service Administration Research Project. Today, 35 years later, the same need holds true. Administrators in hospitals and schools of nursing were canvassed to discover the nature of nursing administration research already in progress. Information about what is being studied, and amounts and sources of funding can be useful to nurse executives who are planning to implement research projects that build on existing knowledge. Findings from the study can also contribute to development of an overdue national research agenda for nursing administration.

Administrative Personnel↗

Delineation of nursing administration research priorities.

The purposes of this national study were to determine: (a) a definition of nursing administration research and (b) priority nursing administration research questions. Brainstorming was used initially with Council on Graduate Education for Administration in Nursing (CGEAN) members in 1984, to delineate concepts for definitions. Definitions and research questions were generated and rated in a three-round Delphi survey by 129 experts from nursing and health administration. According to the most widely supported definition, nursing administration research is concerned with establishing costs of nursing care, examining the relationships between nursing services and quality patient care, and viewing problems of nursing service delivery within the broader context of policy analysis and delivery of health services. The research question of most importance was: What are the cost-effective components of clinical nursing care that yield high patient satisfaction, decrease the number of complications, and shorten hospital stay for identified groups of patients? In a scenario exercise at the 1985 CGEAN meeting, additional priorities identified were vulnerable populations and equity.

Administrative Personnel↗

Changes in nursing administration research priorities. A sign of the times.

Although research is the critical element in the advancement of knowledge, for research to contribute knowledge to the practice of nursing it must be focused on subjects germane to the practice arena. When the focus of research in a discipline is not congruent with the needs of the discipline, knowledge development is compromised. By comparing the aforementioned retrospective research reviews to the research priority lists, we see that published research in nursing administration has not been tied closely to identified priorities. Healthcare reform provides nursing administration with a renewed opportunity to focus its research on priority areas. With the implementation of healthcare reforms, the practice arena for nursing and nursing administration will shift from the acute care setting to community and home-based settings, necessitating a shift in research to address these new delivery settings and the required care systems. The priorities generated from the national consensus group represent that shift, and may provide meaningful foci for future nursing administration research.

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