Walters G, Clark J M
Nurse Educ Today. 1993 Dec;13(6):401-8. doi: 10.1016/0260-6917(93)90114-h.
The introduction of the 'purchaser/provider' split into nurse education alters the relationship between service units (or the education purchasers) and colleges of health studies (the education providers). The aim of this study was to identify how education purchasers view the new contracting arrangements, with regard to the provision of pre-registration and post-registration nurse education. In the first of two papers, findings are reported in relation to purchasers' views of pre-registration education. 24 people from one region, comprising senior nurses, and some non-nurse executives involved in the Working Paper 10 initiative, were interviewed. The findings indicate that most of the respondents want a close working relationship with an education provider. They hope that this relationship will be responsive to, and understanding of the needs of the service, and that it will be enhanced by the contracting process. The majority see the need to formally monitor the quality of the output of the college, to ensure that their educational needs are being met by their provider, but they are unsure as to how this can be done. Finally, although it is understood that if service units become dissatisfied with their local college, they can contract with alternative colleges for pre-registration education, the majority of these respondents believe that this will not be desirable or feasible.
将“购买者/提供者”模式引入护士教育,改变了服务单位(即教育购买者)与健康研究学院(教育提供者)之间的关系。本研究旨在确定教育购买者如何看待新的合同制安排,特别是在提供注册前和注册后护士教育方面。在两篇论文的第一篇中,报告了与购买者对注册前教育的看法相关的研究结果。来自一个地区的24人接受了访谈,其中包括高级护士以及参与第10号工作文件倡议的一些非护士管理人员。研究结果表明,大多数受访者希望与教育提供者建立密切的工作关系。他们希望这种关系能够响应并理解服务需求,并通过合同制过程得到加强。大多数人认为有必要正式监督学院产出的质量,以确保其教育需求得到提供者的满足,但他们不确定如何做到这一点。最后,虽然人们明白,如果服务单位对当地学院不满意,他们可以与其他学院签订注册前教育合同,但这些受访者中的大多数认为这不可取或不可行。