1
|
Park H, Yoon J. Willingness to pay for chronic disease management services provided by primary care nurses. HUMAN RESOURCES FOR HEALTH 2024; 22:49. [PMID: 38978050 PMCID: PMC11229183 DOI: 10.1186/s12960-024-00935-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 06/25/2024] [Indexed: 07/10/2024]
Abstract
BACKGROUND Due to the rapid increase in chronic diseases in South Korea, the Korean government has expanded chronic disease management to primary care. Thus, the role of primary care nurses is critical. However, the fee for chronic disease management services provided by primary care nurses has not been set, and few studies have evaluated the value of nursing services. This study aimed to estimate the willingness to pay (WTP) for chronic disease management services provided by primary care nurses and to identify the factors that affect WTP. METHODS This study adopted a descriptive research design and conducted a cross-sectional online survey from January 16 to 18, 2023. The inclusion criteria were community residents aged ≥ 20 years living in South Korea and capable of participating in online surveys. A total of 520 people participated in this study. A contingent valuation method (CVM) was used with double-bound dichotomous choice questions along with open-ended questions. The mean WTP was calculated using a Tobit model. RESULTS The mean WTP of the 520 study participants for one chronic disease management service provided by primary care nurses was 15,390.71 Korean won ($11.90). Factors affecting WTP were having a chronic disease, recognition of primary care nurses, and the first-bid price. Community residents with fewer chronic diseases, high awareness of primary care nurses, and a higher first-bid price showed higher WTP for chronic disease management services provided by primary care nurses. CONCLUSIONS Primary care is important worldwide due to the increasing number of chronic diseases, and Korea is no exception. However, payment for services by primary care nurses is undervalued compared to their critical role and skills. This has led to problems such as a primary care nurse shortage and burnout. This study estimated individuals' WTP for chronic disease management services provided by primary care nurses. The results can be used as a basic resource for setting the fee for services provided by primary care nurses. It is also a good starting point to understand the benefits of primary care nurse services.
Collapse
Affiliation(s)
- HanNah Park
- College of Nursing, Seoul National University, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea
| | - JuYoung Yoon
- College of Nursing, Seoul National University, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.
- Research Institute of Nursing Science, Seoul National University, Seoul, 03080, Republic of Korea.
| |
Collapse
|
2
|
Bartmess MP, Myers CR, Thomas SP, Hardesty PD, Atchley K. Original Research: A Real 'Voice' or 'Lip Service'? Experiences of Staff Nurses Who Have Served on Staffing Committees. Am J Nurs 2024; 124:20-31. [PMID: 38212011 DOI: 10.1097/01.naj.0001006368.29892.c7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Abstract
BACKGROUND Nurse staffing committees offer a means for improving nurse staffing and nursing work environments in hospital settings by giving direct care nurses opportunities to contribute to staffing decision-making. These committees may be mandated by state law, as is the case currently in nine U.S. states, yet little is known about the experiences of staff nurses who have served on them. PURPOSE AND DESIGN This qualitative descriptive study was conducted to explore the experiences of direct care nurses who have served on nurse staffing committees, and to better understand how such committees operate. METHODS Participants were recruited by sharing information about the study through online nursing organization platforms, hospital nurse leadership, state chapters of national nursing organizations, social media, and nonconfidential nursing email lists. A total of 14 nurses from five U.S. states that have had nurse staffing committee legislation in place for at least three years were interviewed between April and October 2022. RESULTS Four themes were identified from the data-a "well-valued" committee versus one with "locked away" potential: committee value; "who benefits": staffing committee beneficiaries; "not just the numbers": defining adequate staffing; and "constantly pushing": committee members' persistence. CONCLUSIONS The results of this study highlight the importance of actualizing staff nurse autonomy within nurse staffing committees-and invite further exploration into how staff nurses' perspectives can be better valued by nursing and nonnursing hospital leadership. Nurse staffing committees generally recommend staffing-related policies and practices that address the needs of patients and nurses, and work to find areas of compromise between nursing and hospital entities. But to be effective, the state laws that govern nurse staffing committees should be enforceable and evaluable, while committee practices should contribute to positive patient, nurse, and organizational outcomes; otherwise, they're just another form of paying lip service to change.
Collapse
Affiliation(s)
- Marissa P Bartmess
- Marissa P. Bartmess is clinical assistant professor at the College of Nursing, University of South Carolina, Columbia. Carole R. Myers is a professor emerita at the College of Nursing, University of Tennessee Knoxville (UTK), where Pamela D. Hardesty is a professor and Sandra P. Thomas is a professor and chair of the PhD program. Kate Atchley is director of the Executive MBA in Healthcare Leadership and the Physician Executive MBA programs at UTK's Haslam College of Business. Marissa P. Bartmess received study funding through a Sigma Small Grant from the Gamma Chi Chapter of Sigma Theta Tau International Honor Society of Nursing and the Sara Rosenbalm Croley Endowed Dean's Chair held by Victoria Niederhauser at UTK. Contact author: Marissa P. Bartmess, . The authors have disclosed no potential conflicts of interest, financial or otherwise
| | | | | | | | | |
Collapse
|
3
|
Margolis M, Clancy C, Hayes R, Sullivan-Marx E, Wetrich JG, Broome M. How academia can help to grow-and sustain-a robust nursing workforce. Nurs Outlook 2024; 72:102017. [PMID: 37487769 DOI: 10.1016/j.outlook.2023.102017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/11/2023] [Accepted: 06/21/2023] [Indexed: 07/26/2023]
Abstract
This panel paper is the second installment in a six-part Nursing Outlook special edition based on the 2022 Emory Business Case for Nursing Summit. The 2022 summit convened national nursing, health care, and business leaders to explore possible solutions to nursing workforce crises, including the nursing shortage. Each of the summit's four panels authored a paper in the special edition on their respective topic(s), and this panel paper focuses on the topic of nursing workforce growth. It discusses priority areas for academia to help ameliorate nursing shortages, including through changes to nursing curricula and/or programming, greater attention to nursing financial needs (including nursing student loans), and regulatory reforms.
Collapse
Affiliation(s)
- Marilyn Margolis
- Emory John's Creek Hospital, Johns Creek, GA; Emory School of Nursing, Atlanta, GA
| | - Carolyn Clancy
- Discovery, Education and Affiliate Networks, Veterans Health Administration, Washington, DC
| | | | | | | | | |
Collapse
|
4
|
Pappas S, Brosius W, Hayes R, Lawrence M, McMichael B, Zimmermann D, McCauley L. Maximizing the potential value of the nursing workforce. Nurs Outlook 2024; 72:102016. [PMID: 37574395 DOI: 10.1016/j.outlook.2023.102016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/11/2023] [Accepted: 06/21/2023] [Indexed: 08/15/2023]
Abstract
This panel paper is the fifth installment in a six-part Nursing Outlook special edition based on the 2022 Emory Business Case for Nursing Summit. The 2022 summit convened national nursing, health care, and business leaders to explore possible solutions to nursing workforce crises, including the nursing shortage. Each of the summit's four panels authored a paper in this special edition on their respective topic, and this panel paper focuses on maximizing the potential value of the nursing workforce. It addresses topics including the need to create a nursing-inclusive federal health care billing system improve nursing salaries by designing/testing nurse-informed compensation models, and strengthen nursing's national professional infrastructure.
Collapse
Affiliation(s)
| | | | - Rose Hayes
- Emory University School of Nursing, Atlanta, GA.
| | | | | | | | | |
Collapse
|
5
|
Laskowski-Jones L. The History of Nursing Reimbursement: Follow the Money. Nursing 2023; 53:6. [PMID: 37856288 DOI: 10.1097/01.nurse.0000978900.36596.4c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
|
6
|
Boston-Leary K, Stone B. The nursing profession circa 2030. Nursing 2022; 52:34-39. [PMID: 36394623 DOI: 10.1097/01.nurse.0000891952.97337.9b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
ABSTRACT The COVID-19 pandemic has forced immediate change and hopefully for the better. Navigating through this new world of care delivery warrants developing new maps to reach a new and acceptable normal. This article outlines urgent issues and necessary steps for measurable change, in nursing practice and work environments by 2030.
Collapse
Affiliation(s)
- Katie Boston-Leary
- Katie Boston-Leary is the director of Nursing Programs and Healthy Nurse, Healthy Nation at the American Nurses Association, and Bobbie Stone is the founder, president, and CEO of Bobbie Stone International, an executive search and consulting firm specializing in healthcare, nursing, and philanthropy leadership
| | | |
Collapse
|
7
|
Cross-cultural differences and similarities in nurses’ experiences during the early stages of COVID-19 in Korea and the United States: A qualitative descriptive study. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2022; 4:100107. [PMID: 36406895 PMCID: PMC9652100 DOI: 10.1016/j.ijnsa.2022.100107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 11/01/2022] [Accepted: 11/09/2022] [Indexed: 11/13/2022] Open
Abstract
Background At the onset of the COVID-19 pandemic, governmental responses varied worldwide, which resulted in healthcare professionals and organizations having different experiences. As threats of global infectious disease and disasters increase, it is important to examine the collective experiences of nurses to leverage support across international settings and systems and to tailor specific policies to their local nursing workforce. Objective To compare and contrast nurses' experiences working in hospitals at the onset of COVID-19 in South Korea and the United States Method This was a qualitative descriptive study. Nurses in South Korea and the United States were recruited through social media using snowball sampling between April and May 2020. Semi-structured telephone interviews were audio-recorded, transcribed, and translated as needed. The transcripts were analyzed thematically, and each theme was compared and synthesized using NVivo 12. Results A total of 43 nurses from South Korea (n = 21) and the United States (n = 22) participated in the study. The majority of the participants were female and working as staff nurses in both countries. The work settings were similar between the participants from two countries. However, the participants in South Korea provided less direct care to patients with COVID-19 compared to the participants in the United States. Despite cultural and infrastructure differences, the nurses shared similar experiences. Conclusion The overlapping similarities of nurses’ experience highlight the need for national and global policies for a safe work environment and psychological well-being. The differences between the two countries also emphasize that specific policies and practice implications for the local contexts are needed in addition to global policies.
Collapse
|
8
|
Morone JF, Tolentino DA, Aronowitz SV, Siddiq H. The COVID-19 Pandemic and the Push to Promote and Include Nurses in Public Health Policy. Am J Public Health 2022; 112:S231-S236. [PMID: 35679543 PMCID: PMC9184891 DOI: 10.2105/ajph.2022.306837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Jennifer F Morone
- Jennifer F. Morone is with the National Clinician Scholars Program, Yale University School of Medicine, New Haven, CT. Dante Anthony Tolentino is with the National Clinician Scholars Program, University of Michigan, Ann Arbor, and the School of Nursing, University of Michigan. Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia. Hafifa Siddiq is with the School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, and the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles
| | - Dante Anthony Tolentino
- Jennifer F. Morone is with the National Clinician Scholars Program, Yale University School of Medicine, New Haven, CT. Dante Anthony Tolentino is with the National Clinician Scholars Program, University of Michigan, Ann Arbor, and the School of Nursing, University of Michigan. Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia. Hafifa Siddiq is with the School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, and the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles
| | - Shoshana V Aronowitz
- Jennifer F. Morone is with the National Clinician Scholars Program, Yale University School of Medicine, New Haven, CT. Dante Anthony Tolentino is with the National Clinician Scholars Program, University of Michigan, Ann Arbor, and the School of Nursing, University of Michigan. Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia. Hafifa Siddiq is with the School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, and the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles
| | - Hafifa Siddiq
- Jennifer F. Morone is with the National Clinician Scholars Program, Yale University School of Medicine, New Haven, CT. Dante Anthony Tolentino is with the National Clinician Scholars Program, University of Michigan, Ann Arbor, and the School of Nursing, University of Michigan. Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia. Hafifa Siddiq is with the School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, and the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles
| |
Collapse
|
9
|
Abstract
The "as-if" world of nursing is a well-constructed, institutionally preserved and defended myth that asserts clinicians who are "just nurses" do not make decisions in the absence of "doctor's orders." Drawing on data from an ethnography exploring the interactions between nurses and industry, we explore the finding that many nurses did not identify as "decision makers" and were mystified by the attention of sales representatives. Many nurses experienced marketing as benign as there was no "decision" to sway. Nursing must deconstruct the "as-if" nondecisional myth by confronting conflicts of interest and owning fully its rightful clinical and advocacy roles. www.advancesinnursingscience.com.
Collapse
|