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Focusing on issues concerning trust relationships within the nursing field, the papers in these proceedings consider relationships between nursing service and nursing education, staff or faculty and nursing administration, rural and urban nursing agencies, and among intercultural nursing groups. The proceedings contain: (1) "Trust: An Idealistic or Realistic Goal?" by Leah L. Curtin; (2) "Dynamics of Trust in Professional Relationships," by Angela B. McBride; (3) "Rewards and Risks of Trust Relationships," by Mary Fuller; (4) "Hospital-Community Nursing Service Relationships," by Ellen Elsbury; (5) "Nursing Staff Organization--Format for Building Trust," by Margretha Rohlfing; (6) "Trust Relationships in Academic Settings," by Mary Wakefield-Fisher; (7) "Cultural Dimensions of Trust," by Madonna Beard; and (8) caucus group discussion reports on trust relationships between staff or faculty and their nursing administrators, between service and education related to the conduct of clinical research, between rural and urban health care institutions, between nursing students and faculty, and trust relationships related to joint appointments. (AYC)

Focusing on various issues related to rapidly rising health care costs, and the dilemmas these pose for health care professionals these proceedings include the following papers: (1) "A Federal Perspective: Nursing under Prospective Payment," by Carolyne K. Davis; (2) "Providers' Panel: Facing the Issues," by Connie Curran, Jeptha Dalston, David Hollister, and Marianne Udow; (3) "Policies for Nurses in Advanced Practice in a Time of Physician Surplus," by Martha Bergsten; (4) "Results-Oriented Programming: Cost Containment through Staff Development," by Bonnie K. Hagerty; (5) "Nursing Strategies to Promote Cost Effectiveness: Managing Disturbed Behavior on Medical/Surgical Nursing Units," by Maureen Corcoran; (6) "The St. Anthony Park Block Nurse Program," by Barbara O'Grady and Marjorie Jamieson; (7) "Factors, Strategies, and Opportunities for Cost Containment in Nursing Service," by Barbara V. Tebbitt; (8) "Cost Containment in Nursing Education," by Carol J. Peterson; (9) "Quality, Cost, and Cost Containment," by Avedis Donabedian; (10) "Continuing Education/Staff Development: Cost Containment Strategies," by Beverly Freeman and Patricia Dolphin; (11) "Developing Productivity Standards in Nursing," by Thomas Lant and Mary G. Nash; (12) "Development and Implementation of Management Engineering within the Nursing Department as a Cost Containment Strategy," by Madeline Zaworski and Mary Muzilla; (13) "Comparison of Two Methods of Hospital Orientation in Cost Effectiveness and Practice Efficacy for Registered Nurses," by Barbara J. Flewellyn; (14) "Home IV Program: A Collaborative Effort to Contain Cost," by Connie May; (15) "Cost and Benefits of Health Care Cost Containment," by Edward P. Ehlinger; (16) "Collaborative Group Education: A Cost-Effective Alternative," by Kathleen A. Baldwin, Betty Boesen, and Barbara R. Jojns; (17) "Work Study--A Management Tool," by Christine Gelb and Virginia Richardson; (18) "Some Research Issues in Cost Benefit Analysis in Nursing: A Nursing Perspective," by Nancy S. Creason; (19) "Community Hospital Education Services: A System of Shared Resources," by Cheryl M. Jones; (20) "How Michigan Explored Its Health Care Cost Dilemma," by Cheryl Klouzal Schmidt; and (21) Cost Containment: Staff Nurses Can Make a Difference," by Barbara Trottier. (AYC)

To increase awareness of ideas that have potential for solving nursing problems, the papers in these proceedings review research findings, describe the application of problem-solving techniques, and underscore the joint responsibility of service and education for testing innovations in better patient care. The proceedings contain: (1) "Don't Just Sit There--Do Something," by Florence Downs, which expresses a concern for developing meaningful content and testable theory at the center of research efforts in nursing; (2) "Understanding Attitudes and Conditions That Determine Nurses' Environments for Research," by Maxine Loomis, which discusses the impact of the Conduct and Utilization of Research in Nursing project, a 5-year research development effort sponsored by the Michigan Nurses' Association; (3) "Why Aren't the Advances of Nursing Research Being Implemented at Bedside?" by Judith Floyd, Karin Kirchhoff, Phyllis Kritek, and Susan Riesch, which offers criteria for the evaluation of research findings among clinicians; (4) caucus group reports on common problems, current work that has potential for solving patient care problems, and research-related objectives; and (5) brief descriptions of 45 ideas and innovations to improve nursing practice. (RO)

Underscoring the importance of active planning for constructive change in the nursing profession, the papers in these proceedings highlight the need for nursing to remain pro-active in the management of nursing education and patient care environments. The proceedings contain: (1) "Pro-Active Planning for Nursing at the Federal Level," by Jo Eleanor Elliott; (2) "Nursing and the State Legislature: A Critical Key to Our Future," by Judy DeMers; (3) "Pro-Activating a Collaborative Service Education Climate," by Joyce J. Fitzpatrick and Edward Halloran; (4) "From Tension to Teamwork: Promoting Positive Interprofessional Relationships," a panel discussion by Thomas Lant, Geraldine Price, Mary M. Janata, and Claire V. Wolfe; (5) "Resolve through Sharing: A Comprehensive Program for Grieving Families," by Sara Wheeler and Rana Limbo; (6) "Collaboration between Nursing Education and Service -- A Pro-Active Decision-Making Model," by Donna Deane and Sue Fitzsimons; (7) "Problem-Solving Management in a Pro-Active Environment: Developing Therapeutic Interventions for Children of Domestic Violence," by Deborah Wallace and Barbara O'Brien; (8) "An Assessment Process for Nursing Staff Patterns in Ambulatory Care," by Joann Genovich-Richards; (9) "Summer Nurse Extern Program," by Mary O'Leary and Beth Bongard; (10) "A Service/Education Relationship Model," by Jamie M. Blair; (11) "Descriptors for Nursing Care Provided under DRG's (Diagnosis Related Groups)" by Lynne Cheatwood and Patricia Martin; and (12) "Model Senior Wellness Centers: Self-Responsibility," by Laura Schubert. (AYC)

Focusing on innovative and cost-effective alternatives to traditional, custodial, and institutional health care systems, the papers in these proceedings identify the contributions of nursing and the benefits for patients of the new national emphasis on cost-effective health care. The proceedings contain: (1) "Trends in Health Promotion: Implications for Nursing Education, Service, and Social Policy," by Gloria R. Smith; (2) "Health Promotion: Directions for Nursing Research," by Nola J. Pender; (3) "The Wellness Payoff--Benefits for Clients and Nursing," by Marlene Gilliland; (4) "Health Promotion Service: Evaluation and Impact," by Roger W. Reed; (5) "Monitoring Patients with Nasally Placed Feeding Tubes: A Collaborative Research Effort," by Norma A. Metheny and Patricia Eisenberg; (6) "The Influence of an Employee Fitness Program upon Cost Containment Variables of Absenteeism, Insurance Claims, and Physiological Measures," by Peggy White; (7) "Nursing Clinics: Promoting Health in the Community," by Nancy S. Hoeman; (8) "Mobile Health Unit for Older Adults," by Kay T. Roberts-Rudd; (9) "Health Promotion: The Role of Nursing Faculty--A Description of a Faculty Health Promotion Project," by Sherry Smith; (10) "A Self Health Project for Nursing Students," by Mary S. Weisensee, Janice M. Anderson, and Cheryl A. Lapp; (11) "Cognitive Dissonance and Smoking Behavior of Registered Nurses," by Karen Leigh Gum; (12) "Self-Care Agency Assessment in Health Promotion," by Helena Anne Lee; and (13) "Wellness at the Worksite," by Patricia Wiley and Carolyn Gustafson. (AYC)

Focusing on "Associate Degree Nursing--Facilitating Competency Development," a 3-year project sponsored by the Midwest Alliance in Nursing (MAIN) to explore and recommend ways of strengthening Associate Degree Nursing (ADN) education and service, these proceedings contain papers by individuals involved with the development of the project and those who have been involved in implementing competency-based education (CBE) in ADN programs. The proceedings contain: (1) "Background on 'ADN--Facilitating Competency Development' Project," by Barbara J. Lee; (2) "Role of MAIN in the Regional ADN Competencies Project," by Barbara B. Minckley; (3) "The Current State of Affairs: Competency for ADN Graduates in Nursing Service Agencies," by Kate D. Schejbal; (4) "Competency-Based Education as a Curriculum Process," by Mary E. Broderick; (5) "ADN--Past, Present, and Future," by Elsa L. Brown; (6) "Collaboration with Nursing Service to Assure a Smooth Transition of ADN Graduates into Practice," by Charlotte Tracy; and (7) "Collaboration--Among All Levels of Nursing Education and Nurse Employers," by Peggy L. Primm. (AYC)

To increase political awareness and competence in the nursing profession, the papers in these proceedings identify political concerns affecting nursing and nursing education and explain how individuals and groups can become effectively involved in the political process. The proceedings contain: (1) "Update on National Nursing and Health Policy Issues," by Jo Eleanor Elliott, which provides a brief retrospective look at some pervasive and persistent issues in nursing; gives an account of the national efforts to address these issues; presents a report of current provisions for nursing activities; and previews prospective divisional activities; (2) "Legislators' Opinions about Nursing: Interviews with Wisconsin Members of the Senate Human Services and Assembly Health and Social Services Committee," by Rebecca S. Lake, which identifies the methods legislators use to obtain nurses' viewpoints on proposed health legislation; (3) "Overview of Methods for Achieving Successful Political Outcomes, with Examples of Strategies for Nurses," by Kathleen A. Michels, which outlines ways in which nurses may influence political decision making; (4) summaries of caucus sessions on issues related to nursing practice, education, community health, and licensure; and (5) "A Guide to Legislative Information." (RO)

A sample of collaborative experiments in nursing service and education in the Midwest are described in these conference proceedings. Section I presents "Unification, Reunification: Reconciliation or Collaboration," by Helen R. Grace, which discusses the conditions necessary and sufficient to produce a true clinical-educational conjoint relationship. Section II, "An Experience in Collaboration," by Geraldine Price and Peggy Gray, examines a federal- and state-supported system of highly successful Nursing Home Area Training Centers. Section III contains "Experience in Collaboration--Using Three Methods," by Sr. Rosalie Klein and Mary Jane Mayer, which details the working relationship between a community health nursing agency and nursing educational programs, whereby students are placed in the agency for guided basic experience. In section IV, a triad of views by an educator, a service director, and a new nurse graduate are provided in "The Need for Collaboration: A Statewide Nursing Consortium as a Facilitating Mechanism," by Elisabeth Zinser; "Perspectives of Nursing Service," by Beth Roder; and "Transition from School to Practice: A New Graduate's Perspective," by J. Jean Mellum. Finally, section V presents brief descriptions of additional examples of service/education collaboration. (RO)

Focusing on issues affecting the development of nursing leadership in the Midwest, the papers in these proceedings attempt to move forward the implementation of an effective program for enhancing skills needed by nurse administrators. The proceedings contain: (1) "Regional Plan for Development of Nursing Leadership Potential 1982-92," by Rozella Schlotfeldt, which presents recommendations for enhancing the leadership potential of Midwest nurses; (2) a summary of a panel discussion of the Task Group on Nursing Leadership; (3) "Education for Nurse Administrators," by Julia Lane, which identifies the educational elements needed to prepare service administrators in nursing; (4) "Nursing Administration in a Small Rural Hospital," by Janice Doxtader, which emphasizes the need for nursing administrators to understand community organization, hospital budgeting and finance, and development of personnel; (5) "Nursing Administration in a Community Health Service," by Gertrude Hotaling, which covers the elements of nursing administration and specific problems related to the process in community health; (6) "Nursing Administration in a Health Science Center," by Gabrielle Martel, which describes changes in the setting of a health science/university hospital; (7) "Problems of Nursing Service for Which Administrative Consultation Is Commonly Sought and Suggestions for Their Resolution," by Lyndsey Stone, which suggests that organizational effectiveness be a primary concern for nurse administrators; (8) reports on caucus group discussions on the definition of effective nursing administration, the pre-service educational needs of nurse administrators, academic credit programs, and regional resources; (9) brief descriptions of collaborative programs designed by the Staff of Presbyterian Hospital (Oklahoma City, Oklahoma); and (10) a statement by the Commission on Education for Health Administration on the Development of the Western Network for Education in Health Administration. (RO)

Prepared to stimulate and advance nursing research in postsecondary education, the papers included in these proceedings offer a variety of perspectives on the outlook for nursing research in the 1980s. The following papers are presented: (1) "Creating Research Environments for the 1980s," by Geraldene Felton; (2) "Creating an Environment for Successful Grant Applications," by Pauline Komnenich, which discusses resources within the National Institutes of Health; (3) "The Dean's Role in Creating a Research Environment," by Valencia N. Prock, which focuses on areas crucial to planning and implementing productive research at a school of nursing; (4) "Creating a Research Environment: A Faculty Member's Perspective," by Mara M. Baun, which details how a university school of nursing can involve its faculty in creative and scholarly activities; (5) "Establishing Clinical Research Programs in the 1980s," by Sydney D. Krampitz, which describes how to establish and nurture a research environment in a clinical setting; and (6) "Today's Nursing Research Issues, Problem Areas, and Experiences in a Clinical Environment," by Helen Jameson, which explains the need for special planning related to the development of clinical research. (RO)