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CHAPTER VIII ADVANCING RESEARCH IN NURSING AND GETTING FACTS FOR MANPOWER PLANNING
Pages 215-227

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From page 215...
... An additional disincentive for scientifically inclined nurses to commit themselves to a career in nursing research is the paucity of funds available to support it. Federal programs, such as the National Research Service Awards and the former Nurse Scientist Training Program that support predoctoral and postdoctoral fellowships, have not provided a stable funding base for research training.
From page 216...
... Solutions for these and similar problems would inform nursing and other health care practice and could lead to a reduction in the federal health care bill by lessening the length of hospital stay, minimizing the need for additional treatment, and preventing unnecessary or premature institutionalization in long-term care facilities. Elevating the Organizational Base of Nursing Research A substantial share of the health care dollar is expended on direct nursing care, yet the professionals who deliver this care work without the benefit of a strong organizational base to stimulate and support scientific investigation in their field.
From page 217...
... RECOMMENDATION 18 The federal government should establish an organizational entity to place nursing research in the mainstream of scientific investigation. An adequately funded focal point is needed at the national level to foster research that informs nursing and other health care practice and increases the potential for discovery and application of various means to improve patient outcomes.
From page 218...
... As discussed in Chapter II, reports of nursing studies in many parts of the nation indicate that state and private higher education authorities need such information to assist them in decisions on how to allocate scarce dollars among competing nursing education programs. Many such studies have been constrained in making recommendations by uncertainties concerning the most effective mix and allocation of nursing personnel.
From page 219...
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From page 220...
... Here, too, changes may be coming to increase study feasibility. For example, the Intermountain Health Care Corporation, a nonprofit multihospital system in Utah, will by early 1983 have a reporting system in place
From page 221...
... The opinions of nurse educators, nursing service administrators, and nurse employers differ on the outcomes of these different educational paths, and more fundamentally on the competencies that should be expected and utilized, both in the short and long term. As with most other kinds of postsecondary education, there is little empirical evidence on the performance differences of the graduates of these different types of nursing education programs according to established measurable criteria of knowledge, skills, attitudes, and range of competence.
From page 222...
... Although individual health care institutions often develop interesting approaches for maintaining the desirability of careers in nursing, there is, nonetheless, a dearth of systematic information on their wider applicability. The committee would like to see the hospital and nursing home industry and the professions of nursing and medicine develop a concerted effort to continue the work begun by the National Commission on Nursing.
From page 223...
... RECOMMENDATION 20 As national and regional forums identify promising approaches to problems in the organization and delivery of nursing services, there will be a need for wider experimentation, demonstration, and evaluation. The federal government, in conjunction with private sector organizations, should participate in the critical assessment of new ideas and the broad dissemination of research results.
From page 224...
... Although detailed data about the curricula of individual nursing education programs are collected during the course of accreditation reviews and are available in catalogs, the information has not been assembled in a form that permits comparative analysis. State boards of nurse kc ensure keep current counts of RNs and LPNs who hold licenses in their state.
From page 225...
... The short-run costs of data collection and analysis can prevent poorly planned long-run investments in nursing education that result in too large or too small a supply of nurses. The federal government has a proved ability to coordinate data collection efforts on national nursing supply and requirements with the nursing profession, nursing service employers, and state agencies.
From page 226...
... The federal government, in cooperation with the nursing profession, nursing organizations, health care institutions, and state governments, should continue to provide leadership in nurse manpower data collection in order to maintain and improve definitional conformity, to provide a sense of priorities, and to minimize duplicative efforts. The total appropriation for DHHS-HRA program management in FY 1982, of which nursing data collection activities constituted only a part, was approximately $9.5 million.
From page 227...
... The reg istered nurse populat ion, an overview. From national sample survey of registered nurses, November, 1980 (Report No.


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