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Healthcare reform. Its effects on nurses
P Corey-Lisle1, A J Tarzian, M Z Cohen
1University of Maryland School of Nursing, Baltimore, USA. pkcorey@umaryland.edu
The Journal of Nursing Administration
|March 31, 1999
Summary
Registered nurses reported significant impacts from healthcare reform on their work and patient care. Analysis of their comments revealed key themes concerning changes in nursing practice and the healthcare system.
Area of Science:
- Healthcare policy
- Nursing practice
- Qualitative research
Background:
- Healthcare reform was a significant focus in the 1990s, prompting widespread changes.
- Registered nurses (RNs) are central to healthcare delivery and are directly affected by system changes.
Purpose of the Study:
- To analyze RNs' perceptions of healthcare reform.
- To identify themes regarding the impact of healthcare reform on nursing practice.
Main Methods:
- Qualitative analysis of narrative comments from a national survey of RNs.
- Thematic identification of perceptions and effects.
Main Results:
- Nurses' comments highlighted substantial changes in their work environment.
- Key themes emerged concerning the practical effects of reform on daily nursing activities.
- RNs' perspectives on healthcare system shifts were documented.
Conclusions:
- Healthcare reform has demonstrably altered the landscape of nursing practice.
- Understanding RNs' experiences is crucial for effective healthcare policy development.
- Qualitative data provides valuable insights into the human impact of healthcare reform.