title: Changes related to care delivery patterns.
abstract: Nurse administrators, faced with a need to increase productivity and reduce costs in response to lower inpatient volumes and increased competition, are restructuring systems of care delivery. A survey of acute care hospitals was conducted to determine the extent of changes in nursing care delivery models, skill mix, assignment of non-nursing personnel to the nursing department, use of unlicensed assistive personnel, and registered nurse role changes in healthcare delivery systems employing unlicensed personnel.
authors.affiliation: School of Nursing, San Francisco State University, CA, USA.
authors.forename: F E
authors.initials: FE
authors.lastname: McLaughlin
authors.forename: S A
authors.initials: SA
authors.lastname: Thomas
authors.forename: M
authors.initials: M
authors.lastname: Barter
mesh_terms: D002140:California; D002983:Clinical Competence; D003098:Collective Bargaining / Q000706:statistics & numerical data; D006754:Hospital Restructuring; D006801:Humans; D016294:Models, Nursing; D009718:Nurse Administrators; D015401:Nursing Administration Research; D009728:Nursing Assistants / Q000706:statistics & numerical data; D009738:Nursing Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D009936:Organizational Innovation; D010361:Patients / Q000145:classification; D000078329:Workforce; D016526:Workload