Perceptions of Effectiveness of Nurse-Managed Clinics: A Cross-Cultural Study


Joyce Splann Krothe, Indiana University School of Nursing, 1033 East Third St., Bloomington, IN 47405. E-mail:


ABSTRACT Objective: To study perceptions of the effectiveness of two nurse-managed clinics (NMCs), one in the United States and the other in New Zealand.

Design: Cross-cultural evaluation study utilizing qualitative methodology; two rounds of in-depth interviews were tape recorded, transcribed verbatim, and analyzed for themes.

Sample: Data were initially collected from 21 participants. Sixteen of the original participants participated in a second interview.

Intervention: The first round of interviews and provisional data analysis were conducted in the respective NMCs; joint data analysis to identify themes and develop a preliminary joint report of findings followed. Sixteen participants responded to the provisional report; additional data analysis resulted in the final report of findings.

Results: Analysis of the data yielded three categories: the NMC milieu affects perceived effectiveness; perceptions are shaped by contrasting with past experiences; and the level of care affects personal health care decisions.

Conclusions: The milieu created in the NMC enhances perceptions of effectiveness and responsibility for personal health care. Further research related to effectiveness of NMC models of care and client outcomes is needed. Qualitative methodology is recommended for cross-cultural research.