Abstract

The purpose of this study was to explore the perspectives of the woman/nurse/executive working in the managed care environment of Southern California. This research was extremely timely because (a) Southern California leads the nation in managed care market penetration, (b) changes in health care financing have resulted in a prolific expansion of nurse executive responsibilities, and (c) nurse executive experiences regarding increased responsibilities have not been researched. Role expansion impacts both male and female nurse executives, but female nurse executives must confront the dilemma of functioning in administrative domains which have been largely dominated by men. Knowledge about their experiences is vital to the future of the nursing profession and to the health care delivery system. This study blended feminist ideology with grounded theory. Seventeen woman/nurse/executive participants from mostly hospital settings were interviewed. Using primarily the dimensional analysis approach to grounded theory, the metaphor of a managed care battlefield became the study context.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9728359; ProQuest document ID: 304433429. The author still retains copyright.

Author Details

Cheryl L. Brandi, DNSc, APRN, NP-C

Sigma Membership

Delta Beta at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Grounded Theory

Research Approach

Qualitative Research

Keywords:

Experience as Nurse, Managed Care Management, Health Care System

Advisor

Janet Harrison

Degree

Doctoral-Other

Degree Grantor

University of San Diego

Degree Year

1997

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

2019-09-25

Full Text of Presentation

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