title: Development needs of advance practice nurses in a managed care environment.
abstract: 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.
authors.affiliation: Brigham and Women's Hospital, Boston, MA.
authors.forename: P R
authors.initials: PR
authors.lastname: Ponte
authors.forename: J M
authors.initials: JM
authors.lastname: Higgins
authors.forename: J R
authors.initials: JR
authors.lastname: James
authors.forename: M
authors.initials: M
authors.lastname: Fay
authors.forename: M J
authors.initials: MJ
authors.lastname: Madden
mesh_terms: 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