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Related Experiment Videos

Sustaining nurse-managed practice.

Linda Campbell1

  • 1Loretto Heights Department of Nursing, Rueckert-Hartman School for Health Professions, Regis University, 3333 Regis Boulevard, G-8, Denver, CO 80221, USA. lcampbel@regis.edu

The Nursing Clinics of North America
|December 6, 2005
PubMed
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Community-based nurse-managed practices (CBNMPs) provide vital primary care. To ensure their sustainability and combat a noted decline, practices should focus on clear mission, nursing identity, teamwork, financial balance, and visibility.

Area of Science:

  • Nursing
  • Health Services Research
  • Public Health

Background:

  • Community-based nurse-managed practices (CBNMPs) deliver essential primary care to vulnerable populations.
  • Academic CBNMPs experienced a significant decline (21%) in the 1990s, despite offering cost-effective, high-quality care.
  • Understanding factors influencing the diffusion and sustainability of these practices is crucial.

Purpose of the Study:

  • To identify factors hindering or facilitating the diffusion and sustainability of community-based nurse-managed practices.
  • To provide recommendations for promoting the long-term viability of CBNMPs.

Main Methods:

  • A multiple case study approach was employed.
  • The study examined prevalent practice settings of CBNMPs.

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Main Results:

  • Key facilitators for sustainable practice include articulating a clear mission, emphasizing nursing identity, fostering a team approach, balancing mission with financial viability ('margin'), and developing attractive practice sites.
  • Recommendations for promoting sustainability and growth were identified.

Conclusions:

  • Strategic planning, clear articulation of practice identity, and attention to financial health are vital for CBNMP sustainability.
  • Enhancing visibility and political influence through mechanisms like award applications can support practice longevity.