Development needs of advance practice nurses in a managed care environment.
The authors describe an organizational change process driven by a critical cost containment effort in a teaching hospital in the northeastern United States. This process resulted in a major shift in the role of the clinical nurse specialist. Development priorities of clinical nurse specialists before and after redesign of the role are described.
Ponte
P R
PR
Brigham and Women's Hospital, Boston, MA.
Higgins
J M
JM
James
J R
JR
Fay
M
M
Madden
M J
MJ
D003363:Cost Control / Q000379:methods; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007587:Job Description; D009511:New England; D009718:Nurse Administrators; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D010347:Patient Care Planning / Q000458:organization & administration*; D012380:Role; D013192:Staff Development; D000078329:Workforce