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Biomedical subjects

B Rambur

Publications and source records attributed to B Rambur.

9 recordsLinked to original sources
PubMed1998

Ethics, economics, and the erosion of physician authority: a leadership role for nurses.

The emergence of managed care raises new concerns about the ethics of health care financing and its impact on service delivery. The current outcry, however, fails to recognize that American health care financing has presented serious ethical dilemmas for at least 50 years. What follows is a historic overview of American health care financing, contrasted with current challenges. The intersection between ethics, economics, professionalism, and public authority is explicated, with a critical leader/advocate role for nurses presented.

Ethics, Medical↗
PubMed1997

Unity and power: lessons from baccalaureate entry.

Education for nurses has been a contentious issue within and outside of the nursing profession since the American Nurses Association's 1965 support of the baccalaureate degree in nursing as basic educational criteria for the professional nurse (American Nurses Association, 1965). For 10 years, North Dakota has remained the only state to have achieved this educational goal, and North Dakota nurses have been able to defend this position against repeated challenges within the state since 1985. This article places nursing education within the context of the evolving, sweeping changes that are impacting all providers in the health care arena. The authors explain how and why North Dakota nurses were able to accomplish the standardization of nursing education for two levels of nurses: registered nurses and licensed practical nurses. The article describes the positive outcomes for nurses and clients that have occurred over the past 10 years.

American Nurses' Association↗
PubMedDate not supplied

Fostering evidence-based practice in nursing education.

Accountability for outcomes is a fundamental responsibility of professional nurses. Central to such accountability is the ability of critique existing practice patterns, discriminate between alternative and often conflicting information, and demonstrate sound decision making in a manner that can be empirically supported. Although evidence-based nursing practice offers a framework to support these activities, long-standing patterns impede using a more scientifically based approach to patient care. These barriers are reinforced by the sheer volume of information and conflicting worldviews that characterize the postmodern era. Teaching and learning strategies to address the challenge of evidence-based nursing practice in the information age are offered for review and possible adoption by nurse educators.

Curriculum↗
PubMedDate not supplied

A point of view: why point-of-care places are not free marketplaces.

Current wisdom holds that health care is a business and "as such must abide by market principles." Most nurses are not well enough versed in economic theories to credibly critique health care delivery decisions based on economic theories. The relationship of market principles to health care realities is described in basic terms to encourage nurses to "optimize patient care and influence health care policy." Physicians, who control all access points to the health care system, have enjoyed a 40-year market dominance that is "rapidly being replaced by insurance companies and for-profit investors." Providers' decisions to treat or not to treat are strongly influenced by whether the patient is in a fee-for-service or capitated payment environment.

Delivery of Health Care↗