Abstract

A nursing center is an ambulatory care clinic in which nurses provide health care to clients and manage the operational and financial functions of the center. During the 1980s, academic based nursing centers proliferated largely due to the need for clinical teaching sites for undergraduate and graduate nursing students and the availability of funding for demonstration projects for undeserved populations. However, financial instability has led to the closure of many nursing centers and placed others at risk for closure. Employing gross costing, activities based costing techniques, and time studies, this study analyzed the operating costs of a financially troubled academic-based nursing center and compared them to the operating costs of a financially thriving nursing center. Both nursing centers had similar visit times and direct labor costs but indirect labor costs were much higher at the financially troubled center. The ratio of direct costs to indirect costs was higher at the financially troubled center than at the financially stable center.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9910016; ProQuest document ID: 304434204. The author still retains copyright.

Authors

Deborah Vincent

Author Details

Deborah Vincent, PhD, RN, ANP

Sigma Membership

Beta Mu

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Mixed/Multi Method Research

Keywords:

Community Nursing, Healthcare Costs, Nurse Education

Advisor

Deborah Oakley

Degree

PhD

Degree Grantor

University of Michigan

Degree Year

1998

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-08-28

Full Text of Presentation

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