Advancing nursing enterprises: A cross-country comparison

Patricia Pittman, Marla E. Salmon

    Research output: Contribution to journalArticlepeer-review


    Background: Health system transformations in the United States are creating new opportunities for nursing innovation, although financial sustainability has limited the expansion of nurse managed clinics. Purpose: We explore case studies of nursing enterprises in the developing world and discuss their potential for informing related work in the United States. Methods: Cases were selected from the Center for Health Market Innovations. Discussion: We describe a professional association network of clinics in Tanzania, a social franchise in Kenya, and a cooperative in the Philippines. All programs empowered nurses to own, lead, and advance their professional influence. They had a social mission of improving access to care for disadvantaged populations, while increasing employment and autonomy of women. They also provided a shared platform for branding, purchasing, and quality assurance. Conclusion: Organization sponsors in these models may be relevant to different actors in the United States. Each demonstrates the importance of a collective approach to advancing nursing enterprises.

    Original languageEnglish (US)
    Pages (from-to)24-32
    Number of pages9
    JournalNursing outlook
    Issue number1
    StatePublished - Jan 1 2016


    • Access to care
    • Empowerment of women
    • Innovation
    • Nurses

    ASJC Scopus subject areas

    • Nursing(all)


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