Impact of academic nurse-managed centers on communities served

J Am Acad Nurse Pract. 2007 May;19(5):268-75. doi: 10.1111/j.1745-7599.2007.00224.x.

Abstract

Purpose: This paper presents findings from six community focus groups that addressed the impact of academic nurse-managed centers (ANMCs) on the overall community being served as well as the quality of care provided in the centers.

Data sources: Experts in focus group methodology from a public health institute conducted the six focus groups at ANMCs from four universities in the Midwest. Discussions were guided by nine questions presented to each group. All groups were tape-recorded and transcribed. A total of 37 participants were recruited from the ANMCs and included patients and families, advisory board members, and local community organizations.

Conclusions: Four themes were identified across the six focus groups: valuing patient-centered care, which included two subthemes-continuous specific provider and specific aspects of care; quality of care; increasing access to care/addressing the safety net; and evidence of outreach.

Implications for practice: Findings from these focus groups verify that community members do "get it" in terms of the unique aspects of ANMCs. Participants were able to articulate the differences between nurse-managed care and other types of ambulatory primary care. The unique strengths of nurse practitioners were repeatedly articulated as well as the centers' outreach into the community.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health*
  • Case Management
  • Community Health Centers / organization & administration*
  • Continuity of Patient Care
  • Evidence-Based Medicine
  • Feedback, Psychological
  • Female
  • Focus Groups
  • Health Services Accessibility
  • Humans
  • Male
  • Michigan
  • Needs Assessment
  • Nurse Practitioners / education
  • Nurse Practitioners / organization & administration*
  • Nurse Practitioners / psychology
  • Nurse's Role / psychology
  • Nursing Evaluation Research
  • Nursing Faculty Practice / organization & administration*
  • Nursing Methodology Research
  • Primary Health Care / organization & administration*
  • Quality of Health Care
  • Surveys and Questionnaires