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RESUME DOCUMENT VT 004 789 ED 028 240 Nurse Training Act of 1964. Program Review Report. Publication n No. 1740. Public Health Service (MEW), Arlington, Va. Div. of Nursing Pub Date Dec 67 Note- 82p. U.S. .Covernment Printing Office, Washington, D.C. 20402 of Documents, Available from-Superintendent (FS2.2N93/62, $.55) EDRS Price MF-$0.50 HC Not Available from EDRS. Trends, Descriptors-Accreditation (Institutions), Construction Programs, Educational Practice, Educational Education, Health Federal Aid, Federal Legislation, *Federal Programs, Financial Support, Health Occupations Student Loan Services, *Nursing, Professional Education, *Program Evaluation, Research, Scholarship% Programs Identifiers-*Nurse Training Act of 1964 Secretary of This report of the Program Review Committee appointed by the fields of nursing, Health, Education, and Welfare and consisting of leaders from the higher education, hospital administration, medical practice, economics, secondary and of the Nurse and the general public, was undertaken in compliance with a requirement of Training Adt of 1964. The Committee considered: (1) the increasing complexity for change in the future, (2) nursing practice and nursing education and implications and the joint responsibility of schools, hospitals and health agencies, communities, prepared personnel, and (3) the government to produce adequate numbers of well Major sections_ accomplishments of the Nurse Training Act and desirable modifications. Trends and of the report are: (1) Nursing Today, (2) Practice, (3) Education, (4) Issues, (5) Nurse Training Act of 1964, (6) Accreditation, and (7) The Future. for Recommendations relate to construction of educational facilities, basic support of nursing, development and improvement of curriculums and new and existing schools f,pr instruction, assistance to students, support for planning and recruitment, support research, and consultative services and implementation of the Act, support for strengthening of the Division of Nursing. (JK) c_ I OF 1964 A.11, t - 1 f such The)re c au.se. kit v f, ho. ttuI oT r -disc k HJih ye.;3r"..-:: n C.19 Public Health Service AND WELFARE OF HEALTH, EDUCATION, .S. DEPARTMENT 7,7 'N N 'T I -N "I"( . , 714.'( POSITION OR POLICY. U.S. DEPARTMENT OF HEALTH, EDUCATION & WELFARE OFFICE OF EDUCATION THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION ORIGINATING IT. POINTS OF VIEW OR OPINIONS STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE Of EDUCATION Nurse Training Act of 1964, Program Review Reporti.i Public Health Service U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Division of Nursing Bureau of Health Manpower o Arlington, Virginia 22203 800 North Quincy Street No. 1740 Public Health Service Publication December 1967 Documents, U.S. Government Printing Office For sale by the Superintendent of Price 55 cents Washington, D.C. 20402 Program Review Committee for Nurse Training Act of 1964 (Pablic Law 88-581) WILLIAM R. WILLARD, M.D., D.P.H., Chairman Vice President for the Medical Center University of Kentucky Lexington, Ky. KENNETH L. EDWARDS, Ph. D. ELLA W. ALLISON, R.N., M.S. Ed. President Director of Nursing Albert Einstein Medical Center Illinois Central College Peoria, Ill. Philadelphia, Pa. RAY E. BROWN, M.B.A. Jo ELEANOR &Lion, R.N., M.A. Executive Vice President Director of Nursing Programs Affiliated Hospitals Center Western Interstate Commission Boston, Mass. for Higher Education Boulder, Colo. JOSEPHINE M. COPPEDGE, R.N., M.S. Director, School of Nursing MAIUORIE J. ELMORE, R.N., Ed. D. Kaiser Foundation Dean and Professor Oakland, Calif. Orvis School of Nursing University of Nevada GEORGEEN H. DECHOW, R.N., M.S. N.E. Reno, Nev. Director,Department of Nursing Manatee Junior College EDNA A. FAGAN, R.N., M.A. Bradenton, Fla. Assistant Administrator Nebraska Methodist Hospital THELMA DODDS, R.N., B.S. N. Ed. Omaha, Nebr. Director of Nursing The Charles T. Miller Hospital FRANK F. FURSTENBERG, M.D. St. Paul, Minn. Medical Director Outpatient Department NEWMAN H. Dyer, M.D., M.P.H. Sinai Hospital State Director of Health Baltimore, Md. Charleston, W. Va. ili CLOTILDE P. GARCIA, M.D. ROZELLA SCHLOTFELDT, R.N., Ph. D. Physician and Surgeon Dean, School of Nursing Corpus Christi, Tex. Western Reserve University Cleveland, Ohio BOISPEUILLET JONES, L.L.B. President LAURA L. SIMMS, R.N., Ed. D. Ernest and Emily Woodruff Department Head in Surgical Nursing Foundation New York Hospital, and Atlanta, Ga. Associate Professed- of Nursing ASA S. KNOWLES, A.M. Cornell University-New York President Hospital School of Nursing Northeastern University New York, N.Y. Boston, Mass. MARY F. LISTON, R.N., Ed. D. DOROTHY M. SMITH, R.N., M. Ed. Dean of Nursing Dean, School of Nursing The Catholic University of America University of Florida Washington, D.C. Gainesville, Fla. ALICE MICKELWAIT, B.A. JOHN D. THOMPSON, MS. The Highlands ProfessorDirector Seattle, Wash. Program in Hospital Administration RITA M. MURPHY, R.N., M.S. in N. School of Medicine Director Yale University Public Health Nursing Service New Haven, Conn. Community Health Service Rhode Island Department of Health RICHARD L. TOMBAUGH, M.S. Providence, RI. Director of Financial Aids Purdue University MAUREEN B. NEUBERGER, B.A. Former Senator from Oregon Lafayette, Ind. National Council on Status of Women DONALD E. YETT, B.A. The Department of Labor Director Washington, D.C. Human Resources Research Center Graduate Schoel of Business BERNARD S. PROCTOR, Ph. D. Administration Professor of Industrial Arts Cheyney State College University of Southern California Cheyney, Pa. Los Angeles, Calif. iv Public Health Service Stall to the Committee Ogice of Director, Division of Nursing JESSIE M. SCOTT, Director GRETCHEN A. OSGOOD, Assistant Director EDITH N. RkTHBUN, Special Assistant to the Director JEAN M. CROUSE, Public Health Analyst- ARTHUR TESTOFF, Chief, Statistical Services Program Review Unit GLADYS KINIERY, Chief GLADYS MCGREGOR, Nurse Consultant Nurse Education and Training Branch ALICE HERZIG, Chief DOROTHY E. REESE, Chief, Construction Grants Section CONSTANCE HOLLERAN, Chief, Project Grants Section MARGARET DENHAM, Chief, T raining Grants Section HELEN L. ROBERTS, Acting Chief, Training Grants Section Manpower Analysis and Resources Branch EUGENE LEVINE, Chief HELEN H. HUDSON, Public Health Analyst v 0,,,F, .......a. ..,-....o..,- , -...rw ,...,..............., ......... Act of DISCRIbIINATION PROMBUEDTitle VI of the Civil Rights shall, on the ground 1964 states: "No person in the United States participation in, of race, color, or national origin, be excluded from discrimination under be denied the benefits of, or be subjected to receiving Federal financial assistance." any program or activity Therefore, the Nurse Training Act of 1964, like every program or the Department of activity receiving Federal assistance from compliance Health, Education, and Welfare, must be operated in with this law. vi Preface The Nurse Training Act of 1964 was the response of Congress to some of the recommendations set forth by the Surgeon General's Consultant Group on Nursing in 1963. This Act required that a report be submitted to Congress by January 1, 1968, reviewing the programs authorized by the legislation and making recommendations with To carry out respect to the continuation, extension, or modification of the programs. this statutory requirement, the Secretary of Health, Education, and Welfare appointed The Committee consisted of dis- a Program Review Committee in the spring of 1967. tinguished leaders from the fields of nursing, hospital administration, medical practice, economics, secondary and higher education, and the general public. This document is the report of the Program Review Committee. The Committee carefully considered the various provisions of the Nurse Training Act and the statistical evidence documenting its accomplishments and shortcomings. The Committee reviewed the criteria established by the Surgeon General's Consultant Group on Nursing in 1963 for determining national needs and goals and made full Group in evaluating the Nurse Training Act. use of the documentation provided by that The Committee also considered the experience of the Division of Nursing, U.S. Public Health Service, in the administration of the Act. Furthermore, the Committee directed its attention to the scientific, technological, and social forces at work in our rapidly changing society as they affect nursing and the delivery of health services in an effort national goals. In the few to more adequately forecast future needs and to redefine short years since the Report of the Surgeon General's Consultant Group on Nursing happened to justify such a redefinition. was published, a great deal has Nursing education has made considerable progress with the impetus of the Nurse Training Act, but the full impact of the legislation cannot be assessed for some time of time to complete new buildings and renovation to come. Schools need a longer period grad- projects, to develop and implement programs of curriculum improvement, and to The figures indicate, however, uate students who are receiving financial assistance. that this Federal assistance has stimulated much needed activity for the enlargement stimulated and improvement of nursing education programs. In addition, the Act has cooperative projects and exchange of information among schools, all of which share the benefits. The ultimate accomplishments of the Nurse Training Act will thus be compounded and realized in future years. In face of the rapidly changing national picture in the demand for and delivery of modern health care, the Program Review Committee was impressed with the accom- plishments of the Nurse Training Act. The Committee recommends continuation and a marked expansion of the Act and a number of modifications in order to meet the present and future national needs for nursing. vii Contents Page vii Preface Summary and Recommendations 1 9 Nursing Today 15 Practice 19 Education 23 Trends and Issues 29 Nurse Training Act of 1964 47 Accreditation 51 The Future 53 Appendil: A.Figures and Tables . 75 Appendix B.Proposal of National Commission on Accrediting Appendix Figures Page 55 1. Preparation for administration, supervision, and teaching, 1967 of em- 2. Percentage distribution of registered nurses in various fields 56 ployment, by educational preparae.:n, 1967 of 3. Supply of nurses in 1967 and projections for 1970 and 1975, by type 57 educational preparation 58 4. Admissions to initial nursing education programs 59 19:)0-66.. 5. Total admissions and initial programs of nursing education, . ix 282-545-67----2

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and Welfare and consisting of leaders from the fields of nursing, hospital administration, Issues, (5) Nurse Training Act any program or activity
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