THE EFFECTS OF DIAGNOSIS RELATED GROUP PROSPECTIVE PAYMENT ON NURSING PRACTICE AND EDUCATION AS PERCEIVED BY NURSING LEADERSHIP (HEALTH CARE DELIVERY).
Contributors: Miami University.
Published: 1985
Number of pages: 198
Subjects: Education, Administration.; Health Sciences, Nursing.
Description: The purpose of this study was to examine perceptions of nursing educators and nursing service administrators concerning the effects of DRG Prospective Payment to hospitals on nursing practice and education.

Survey research was utilized to investigate the perceptions of a specified population of Midwestern nursing educators and service administrators. The data collection instrument constructed was divided into two parts: (1) a checklist of personal and institutional profiles of respondents; and (2) a Likert scale for opinions on the effects of DRG Prospective Payment on nursing practice and education.

Questionnaires were distributed to a total of seventy-eight nursing deans and chairpersons and 289 directors of nursing service. Of the 367 questionnaires sent, 227 returns were useable, giving a sixty-one percent return. Since this research was descriptive in nature, interpretation of data included tabular analysis using chi-square.

Overall, data were characterized by agreement between the groups. Areas of strong agreement, chi-square .6 or above, on the effects of DRG Prospective Payment on nursing practice included: diversification of patient services within acute care hospitals; emphasis on financial accountability in nursing services; increasing use of alternative health care plans; specialization in nursing practice; an implied need for nursing service administrators to address the quality of working life; and need for inservice education.

Areas of statistically significant differences, chi-square .05 or below, between groups on nursing practice follows: patients were more acutely ill with complex conditions; centralization of health care administration and education of health science personnel in academic health centers; more business management expertise required for nursing service administrators; and case-mix management nursing information system.

Areas of strong agreement between the groups regarding the effects of DRG Prospective Payment on nursing education included: new graduates should present to employers with minimal job orientation needs; baccalaureate curricula should emphasize management skills, resource cost containment, and economics of health care delivery; and increased use of faculty joint-appointments.

Areas of statistically significant differences between groups follows: baccalaureate curricula should emphasize data collection, organization, and collaboration skills; nurses required advanced preparation in research; faculty have given little consideration to nursing home use as alternative student clinical learning sites.
Notes: Source: Dissertation Abstracts International, Volume: 47-02, Section: A, page: 0368.

Thesis (PH.D.)--MIAMI UNIVERSITY, 1985.

School code: 0126.