What Is the Organizational Culture Regarding Use of Family Nurse Practitioners as Perceived by Selected Objective Medical Group Executives

Abstract

Current political and social climate offer both challenges and facilitators to the Air Force (AF) implementation of Family Nurse Practitioner (FNP) services. Whether or not FNP scan successfully integrate their advanced practice role within the current Air Force healthcare culture not only depends upon the core competencies obtained through their formal educational program but extends into Surgeon General (SG) role expectations of the FNP role. Furthermore, there must be the identification of a need for FNP services at the local Objective Medical Group (OMG) level. The purpose of this descriptive study was to assess and describe the organizational culture as perceived by the Chief of Medical Staff (CMS), Chief Nurse Executive (CNE), Administrator (SGA) and Medical Operations Squadron Commander (MDOS/CC). Data collection was conducted through a mailed survey to selected health care executives (N=224) at 56 OMGs. A response rate of 76% indicated study relevancy. Almost three quarters of current OMG executives support the addition of FNP services. Culture change must be initiated through top management. Highest consensus among OMG executives was found in the agreement that preventive care would be increased through the addition of FNPS to provider staff. Given the current instrument limitations, executives generously qualified their survey choices over and above what was asked for by survey instructions. The military FNP role has given OMG executives additional choices in forecasting the most appropriate provider- mix for the care recipients. Economic and consumer outcomes from military FNP services are not yet known. Further study is needed to understand how organizational culture impacts FNP role expectation/fulfillment.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 1997
Accession Number
AD1011738

Entities

People

  • Katherine M. O'rourke

Organizations

  • Uniformed Services University of the Health Sciences

Tags

DTIC Thesaurus Topics

  • Air Force
  • Business Administration
  • Delivery Of Health Care
  • Families (Human)
  • Health Services
  • Management Personnel
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Patient Care Management
  • Psychology
  • Students
  • Therapy

Readers

  • Military Leadership and Professional Education.
  • Organizational Process Management (OPM).
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.