Date of Conferral

2021

Degree

Ph.D.

School

Nursing

Advisor

Donna J. Bailey

Abstract

Healthcare is comprised of providers, who offer patient services, and payors, who manage the financial reimbursement of providers. Not much is known about registered nurses (RNs) in the corporate payor industry due to a lack of research. Strong professional values (PVs) are expected of all RNs, but research has shown this to vary across the field, meaning that RNs may require support in this area. As little is known about RNs in the payor industry, how these nurses sustain their PVs within the industry has not been evaluated, recognized, or supported. Therefore, the aims of this quantitative, descriptive, and correlational study were to (a) identify the PVs of payor industry nurses using the Nurses Professional Values Scale-3 (NPVS-3), (b) identify relationships between years of experience in the payor industry and PVs, and (c) identify relationships between levels and types of patient contact and PVs. Social media posts and emailed flyers were used to recruit 171 Midwestern United States participants from the payor industry. Spearman’s rho and Kruskal-Wallis H tests were conducted to analyze the data. Nurses placed high importance on PVs, similar to past provider studies (M = 110.66, SD = 15.256). There were no significant relationships between PVs and years of experience in the payor industry. However, nurses with rare or no contact with patients placed statistically significantly higher importance than other groups on two items: peer review, H(3) = 8.185, p = .042, and collaboration, H(3) = 9.654, p = .022. Thus, leaders in the payor industry should identify and continue to support nurses’ PV maintenance to increase awareness of nursing contributions, promoting social change by deserved recognition in the industry and in the nursing profession.

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