title: Practice model: development of a nurse-managed unit and the advanced practitioner role.
abstract: Health care reform has provided opportunities for the creation of nurse-managed centers and the expansion of an autonomous nursing role. This article describes a program established by Massachusetts General Hospital for cardiac patients that has reduced delays in transfer and improved access to the hospital from referral centers. The program merges a strong primary nursing staff with a new advanced practice nursing role to create an alternative to the traditional model of inpatient care.
authors.forename: M B
authors.initials: MB
authors.lastname: Giacalone
authors.forename: D
authors.initials: D
authors.lastname: Mullaney
authors.forename: D A
authors.initials: DA
authors.lastname: DeJoseph
authors.forename: M
authors.initials: M
authors.lastname: Cosma
mesh_terms: D006331:Heart Diseases / Q000451:nursing; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000458:organization & administration*; D017009:Professional Autonomy; D016730:Program Development