Hodges L C, Satkowski T C, Ganchorre C
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Medsurg Nurs. 1998 Apr;7(2):114-20.
As we face the 21st century, transitions fare occurring in all of society's major institutions. Nowhere is this transition more evident than in education and the health care industry. There is an explosion of information and the use of educational technology is now opening doors never entered before. In health care, greater influence by third-party players and consumers can be seen as major factors in a new and more highly competitive health care system. With the advent of managed health care, clearly more money must be spent in nursing research since in mos instances, nursing is a big ticket item in any health care agency's budget. Determining best practice models and testing them, participating in outcomes research that looks in multidisciplinary practice, and developing new knowledge to serve the needs of our rapidly changing and diverse population requires more and better prepared nurse researchers. The 21st century will also bring unprecedented numbers of nursing faculty who are part of the baby boomer generation face-to face with retirement. The retirement of these doctoral-prepared faculty will create a huge vacuum that will demand to be filled. Clearly, given the demographics in our country, as these doctoral-prepared nurses reach retirement age, they and their peers will begin to experience the chronic illnesses that are characteristic of our older citizens. More, not less, professional nurses will be needed to meet the demand for health promotion, disease prevention, and care of the acute and chronically ill. More, not less, nursing faculty will be needed to produce the require number of professional nurses and to replace their retiring colleagues. A doctoral degree in nursing will be the key to many opportunities and will bring greater rewards than those who hold the same degree today. For the next generation of graduates, the doctor degree in nursing will truly be a "hot ticket item".
在我们迈入21世纪之际，社会所有主要机构都在发生变革。这种变革在教育和医疗行业最为明显。信息呈爆炸式增长，教育技术的应用正开启前所未有的大门。在医疗保健领域，第三方参与者和消费者影响力的增强可视为新的、竞争更激烈的医疗保健系统的主要因素。随着管理式医疗保健的出现，显然必须在护理研究方面投入更多资金，因为在大多数情况下，护理是任何医疗保健机构预算中的大项开支。确定最佳实践模式并进行测试、参与多学科实践的结果研究以及开发新知识以满足快速变化且多样化人群的需求，都需要更多且准备更充分的护理研究人员。21世纪还将迎来前所未有的大量属于婴儿潮一代的护理教师面临退休。这些拥有博士学位的教师退休将造成巨大的人才空缺，亟待填补。显然，鉴于我国的人口结构，随着这些拥有博士学位的护士达到退休年龄，他们及其同龄人将开始患上我国老年公民特有的慢性疾病。为满足健康促进、疾病预防以及急性和慢性病护理的需求，需要的专业护士只会增多，不会减少。为培养所需数量的专业护士并取代即将退休的同事，需要的护理教师也只会增多，不会减少。护理学博士学位将是众多机会的关键，且将带来比如今拥有相同学位的人更大的回报。对于下一代毕业生而言，护理学博士学位将真正成为“热门货”。
