title: Perceptions of effectiveness of nurse-managed clinics: A cross-cultural study.
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.
  
  
  METHODS
  Cross-cultural evaluation study utilizing qualitative methodology; two rounds of in-depth interviews were tape recorded, transcribed verbatim, and analyzed for themes.
  
  
  METHODS
  Data were initially collected from 21 participants. Sixteen of the original participants participated in a second interview.
  
  
  METHODS
  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.
authors: Indiana University School of Nursing, Bloomington, Indiana 47405, USA. jkrothe@indiana.edu
authors: Joyce Splann
authors: JS
authors: Krothe
authors: Jill M
authors: JM
authors: Clendon