Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives

By Wilson, Anne; Whitaker, Nancy et al. | Online Journal of Issues in Nursing, May 2012 | Go to article overview

Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives


Wilson, Anne, Whitaker, Nancy, Whitford, Deirdre, Online Journal of Issues in Nursing


Abstract

Health reform worldwide is required due to the largely aging population, increase in chronic diseases, and rising costs. To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. This can involve entrepreneurial or lntrapreneurial roles. Although nurses form the largest group of health professionals, they are frequently restricted in their scope of practice. Nurses can help to improve health services in a cost effective way, but to do so, they must be seen as equal partners in health service provision. This article provides a global perspective on evolving nursing roles for innovation in health care. A historical overview of entrepreneurship and intrapreneurship is offered. Included also is discussion of a social entrepreneurship approach for nursing, settings for nurse entre/intrapreneurship, and implications for research and practice.

Citation: Wilson, A., Whitaker, N., Whitford, D. (May 31, 2012) "Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives" OJIN: The Online Journal of Issues in Nursing Vol. 17, No. 2, Manuscript 5.

DOI: 10.3912/OJIN.Vol17No02Man05

Key words: nursing, nursing role, entrepreneurial, intrapreneurial, social entrepreneurship, Future of Nursing, health reform

Pressure continues to mount as health systems worldwide endeavour to meet the needs of the population efficiently, economically, and effectively. There are widespread concerns about inappropriate skill mixes in the health workforce, difficulty recruiting and retaining staff, as well as the underutilisation of some health professionals (of which nursing is one). Needs-based, patient-centred approaches to care that employ mixed workforce teams are widely advocated as essential for health care systems to provide seamless, affordable, and quality care that is accessible to all. This approach to health care, specifically the utilization of evidence based interventions, has demonstrated improved health outcomes (McDermott, Tulip, & Schmidt, 2004; Rittenhouse et al., 2010). Interdisciplinary healthcare teams have the potential to improve outcomes, subsequently reduce costs and increase timely access to care (Willens, Cripps, Wilson, Wolff, & Rothman, 2011). A health infrastructure that is adequately funded delivers relevant care and is supported by a workforce suited to the population's health care needs is, therefore, essential to the delivery of high quality care.

Nurses comprise the largest proportion, up to 80% (Hughes, 2006), of the health workforce and are considered to be the front line staff across the health continuum in most health services and countries. In spite of the immense and significant role that nurses play in the health care system, they are seldom considered equal partners in multidisciplinary health care teams. As a result, the unique skills held by generalist and specialist nurses are often underutilised across the health continuum. However, the long-awaited and recently released report from the Institute of Medicine (IOM) (2010) Robert Wood Johnson Foundation Initiative entitled, The Future of Nursing: Leading Change, Advancing Health (FON), indicated that nurses have an important contribution to make in "...building a health care system that will meet the demand for safe, quality,

patient-centred, accessible, and affordable care" (Institute of Medicine, 2010, p.l) . However, in order to deliver these outcomes, it is essential for nurses to practice to the full extent of their knowledge and training while transforming the way in which health care is provided by entering into full partnerships with other health care professionals.

Indeed, research has recognised that there is unrealized scope for extended practice for nurses working in multidisciplinary teams with doctors and allied health professionals (Buchan & Dal ? …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.