Biomaterial Database

Academic nursing centers: the road from the past, the bridge to the future. 2004

Sara E Barger

The University of Alabama, Capstone College of Nursing, Tuscaloosa, Alabama 35487-0358, USA. sbarger@bama.ua.edu

This article explores the development of academic nursing centers within an environment of evolving health policy and changing priorities and resources within nursing education during the past 3 decades. Etheredge's framework for this discussion identifies three health policy eras: the Age of Traditional Health Insurance (1965-1982); the Age of Regulated Prices for Government Programs (1983-1992); and the Age of Markets, Purchasing, and Managed Care (1993-2000). In this article, I suggest the current era is the Age of Uncertainty and Opportunity. Within each era, health policy changes are summarized, and changes in nursing education that influenced the evolution of academic nursing centers are identified. The uncertainty and opportunity of the current era is explored within the context of the Institute of Medicine (IOM) reports issued in 2000 and 2001. The new vision for clinical education in the health professions described in the 2001 report provides new opportunities for academic nursing centers. To take advantage of these opportunities, these centers must focus on quality issues as they continue to maintain a precarious balance between meeting the service needs of their clients and the academic needs of the nursing programs that own them. Centers that maintain this balance will be a bridge to the future for quality health professions education.

UI	MeSH Term	Description	Entries
D007348	Insurance, Health	Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.	Group Health Insurance,Health Insurance,Health Insurance, Voluntary,Health Insurance, Group,Health Insurances,Insurance, Group Health,Insurance, Voluntary Health,Insurances, Health,Voluntary Health Insurance
D008329	Managed Care Programs	Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.	Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D008389	Marketing of Health Services	Application of marketing principles and techniques to maximize the use of health care resources.	Health Services Marketing,Marketing Services, Health,Marketing, Health Services,Services, Health Marketing,Health Marketing Service,Health Marketing Services,Marketing Service, Health
D009734	Nursing Faculty Practice	Clinical practice by members of the nursing faculty in order to maintain a balance in their nursing activities--clinical, education, and research.	Faculty Practice, Nursing,Practice, Nursing Faculty,Faculty Practices, Nursing,Nursing Faculty Practices,Practices, Nursing Faculty
D009936	Organizational Innovation	Introduction of changes which are new to the organization and are created by management.	Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D009937	Organizational Objectives	The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.	Goal Setting, Organizational,Goals, Organizational,Objectives, Organizational,Organizational Goals,Goal Settings, Organizational,Goal, Organizational,Objective, Organizational,Organizational Goal,Organizational Goal Setting,Organizational Goal Settings,Organizational Objective,Setting, Organizational Goal,Settings, Organizational Goal
D011785	Quality Assurance, Health Care	Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.	Quality Assessment, Health Care,Health Care Quality Assessment,Health Care Quality Assurance,Healthcare Quality Assessment,Healthcare Quality Assurance,Quality Assessment, Healthcare,Quality Assurance, Healthcare,Assessment, Healthcare Quality,Assessments, Healthcare Quality,Assurance, Healthcare Quality,Assurances, Healthcare Quality,Healthcare Quality Assessments,Healthcare Quality Assurances,Quality Assessments, Healthcare,Quality Assurances, Healthcare
D003151	Community Health Centers	Facilities which administer the delivery of health care services to people living in a community or neighborhood.	Neighborhood Health Centers,Satellite Centers,Center, Community Health,Center, Neighborhood Health,Center, Satellite,Centers, Community Health,Centers, Neighborhood Health,Centers, Satellite,Community Health Center,Health Center, Community,Health Center, Neighborhood,Health Centers, Community,Health Centers, Neighborhood,Neighborhood Health Center,Satellite Center
D004508	Education, Nursing, Baccalaureate	A four-year program in nursing education in a college or university leading to a B.S.N. (Bachelor of Science in Nursing). Graduates are eligible for state examination for licensure as RN (Registered Nurse).	External Degree Programs, Nursing,Nursing Education, Baccalaureate,Baccalaureate Nursing Education,Baccalaureate Nursing Educations,Education, Baccalaureate Nursing,Educations, Baccalaureate Nursing,Nursing Educations, Baccalaureate
D004511	Education, Nursing, Graduate	Those educational activities engaged in by holders of a bachelor's degree in nursing, which are primarily designed to prepare them for entrance into a specific field of nursing, and may lead to board certification or a more advanced degree.	Education, Nursing, Postgraduate,Nursing Education, Graduate,Nursing Education, Postgraduate,Postgraduate Nursing Education,Graduate Nursing Education,Education, Graduate Nursing,Education, Postgraduate Nursing