Abstract

Community-based nurse-managed practice (CBNMP) offers local populations the opportunity to contract directly with professional nurses for primary health care services. Despite provision of high quality care below the average cost of primary care providers, an estimated 21 percent decline in the number of academic CBNMPs was documented between 1989 and 1998.

A multiple case study was conducted to address the overall research question: What factors are believed to facilitate or hinder the innovation development process of CBNMP in prevalent practice contexts? A model synthesizing concepts from the Theory of Diffusion of Innovations and the Theory of Community as Partner was used to organize data collection strategies: background survey, document review, observations, and interviews (N = 85).

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3086272; ProQuest document ID: 305238036. The author still retains copyright.

Linda Campbell

Author Details

Linda Campbell, PhD, RN, CNS, CNE, Dean and Professor

Sigma Membership

Alpha Kappa at-Large

Lead Author Affiliation

Warner Pacific University, Portland, Oregon, USA

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Qualitative Research

Keywords:

Community Health Nurses, Primary Care, Nurse-Managed Practice

Advisor

Ruth A. O'Brien

Second Advisor

Jurate A. Sakalys

Third Advisor

Deborah Vincent

Fourth Advisor

Bonnie Gance-Cleveland

Degree

PhD

Degree Grantor

University of Colorado

Degree Year

2003

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

2023-06-27

Full Text of Presentation

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