Amy Early

Abstract

Some nursing centers have been confronted with many problems that have hindered their success or even motivated them to close. Other nursing centers have attained with unsurpassed proficiency and, consequently, have emulated success. The purpose of this nonexperimental descriptive study was to explore the facilitators and barriers to the success of nursing centers as experienced by nurse executives. The conceptual framework used was the McGill Model of Nursing created by Dr. Moyra Allen (Gottlieb & Rowat, 1985). Research questions included these: What factors are identifiable by nurse executives as being facilitators to the success of nursing centers? What factors are identifiable by nurse executives as being barriers to the success of nursing centers? Seventy-four nurse executives throughout the United States were surveyed utilizing the Nurse Managed Center (NMC)--Nurse Center Survey (Rosenkoetter, Zakutney, Reynolds, & Faller, 1993) developed at the University of North Carolina at Wilmington. Thirty-six returned questionnaires were utilized for data analysis. Facilitators were, in ranking order, reputation of the center, nursing expertise, iv satisfied patients, providing services where gaps occur, adequate referral patterns, recognition from other providers, cost effectiveness, variety of service, future oriented health perceptions, adequate space, marketing, and adequate funding. Barriers included, in ranking order, an unresponsive reimbursement system, limited perceptions of those in political positions, limitation of space/facilities, inadequate staffing, lack of profitability, physician resistance, too small patient pool, incompatibility of goals with organization, patient/community resistance, and lack of physician backup. ANOVA tests were utilized to examine for statistical significance between four geographical regions of the United States and number of responses to facilitators and barriers. Results indicate that there is no statistical significance between responses to facilitators and barriers and geographic region at the .05 level. Since no research has yet been performed on the various types of nursing centers as a whole until now and the factors that facilitate and/or hinder nursing centers are subject to change with the advent of health reform, further study in this area is needed to assist in providing current data on nursing centers and their ever- changing role on health care.

Degree

Master of Science in Nursing (MSN)

Department

Graduate Nursing

Degree Date

8-1-1994

Publication Number

27924576

First Advisor

Lorraine Hamm

Second Advisor

Mary Patricia Curtis

Document Type

Thesis

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