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Integrating practice issues in managed care into the curriculum: a Delphi survey
Joellen W Hawkins1, Pamela J Burke, Sharon Steinberg
1Boston College, William F. Connell School of Nursing, Chestnut Hill, Massachusetts 02467, USA. hawkinsj@bc.edu
Journal of the American Academy of Nurse Practitioners
|December 23, 2006
Summary
This Delphi survey identified key role components for advanced practice nurses (APNs) in managed care and curriculum topics. Expert panels showed strong agreement, suggesting effective collaboration for APN education.
Area of Science:
- Nursing Education
- Managed Care Practice
- Advanced Practice Nursing
Background:
- Partnership between an advanced practice nurse (APN) graduate program and a care management insurer.
- Need to define APN roles and curriculum within managed care settings.
Purpose of the Study:
- Identify essential role components for APNs practicing in managed care.
- Determine curriculum topics that reflect these identified role components.
Main Methods:
- Utilized a Delphi survey methodology.
- Engaged two expert panels: clinician preceptors and faculty members (n=11 each).
- Achieved high representation of target populations within partnering agencies.
Main Results:
- Demonstrated considerable congruence in survey responses between clinician and faculty panels.
- Indicated agreement on the core components of APN practice in managed care.
Conclusions:
- Case vignettes can facilitate discussion on population health issues and evidence-based practice.
- Collaboration between faculty and clinicians can enhance curriculum development.
- Opportunities for preceptorships, fellowships, and dialogue are crucial for APN development in managed care.
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