Eckenwiler, L “Attention to Particularity and Moral Reasoning about Vulnerable Persons,” American Society for Bioethics and Humanities, Philosophy Interest Group, Nashville, Tennessee, October 25-28, 2001
Eckenwiler, L “Mercy and Justice for Pregnant Addicts: Two Arguments against Retribution” Association for Politics and the Life Sciences, Charleston, South Carolina, October 18-21, 2001
The overarching mission of the Division of Nursing is to provide national leadership to assure an adequate supply and distribution of qualified nursing personnel to meet the health needs of the Nation. In 1998, Congress amended Title VIII of the Public Health Service Act to require the Division to develop a funding allocation methodology for its education and practice programs so that its mission could be more easily and clearly achieved. As part of Phase I of that development, the Urban Institute wrote a technical concept paper that developed and reviewed options for the funding allocation methodology (Nichols, 2000). A qualitative allocation process, one that draws upon all available data and expert judgments, was recommended and supported by the independent Funding Allocation Consultation Panel. This funding allocation methodology was designed to help the Division promote its three major goals: advanced education nursing, basic nurse education, and increased diversity in the nursing workforce. Data and quantitative methods are central to any funding allocation process. Developing an objective assessment of the nation’s evolving need for nurses is a key prerequisite to assuring an adequate supply of nursing personnel, as is comparing that assessment with estimates and projections of nursing supply. During Phase I, some in the nursing community who had supported the new funding allocation requirement were frustrated with the conclusion, explained in the final report, that current data simply cannot support the implementation of a purely quantitative allocation methodology. The purpose of this paper is to assess what the current literature can and cannot contribute to the funding allocation decisions the Division must make.
“How Many Nurses Will We Need? An Essay on Why the Current Literature Cannot Substitute for Expert Judgment,” Final report to HRSA/DON. October, 2001.
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