The cost-effectiveness of a nursing demonstration project, Part II

The Milieu Enhancement Project was funded for 3 years by the Division of Nursing, Department of Health and Human Services. The goals, setting, project personnel, roles, and implementation activities are described. This project allowed faculty and graduate students to practice independently in a children's residential setting. A needs assessment identified problems related to organizational, academic, and sex- and health-related concerns. These concerns were addressed and outcome measurements identified. A cost-effectiveness framework was used to describe the interventions in terms of improvement. Statistical analyses supported the effectiveness of several project activities.