title: A deviant comes of age.
abstract: Reflecting on 30 years of sociopolitical and professional changes in health care, the cofounder of the nurse practitioner movement compares and contrasts enabling environments, past and present, with the introduction and growth of the nurse practitioner. Differing responses of individual groups and institutions and research thrusts are reported as health care reforms offer new opportunities for the introduction of the nurse practitioner in acute care services.
authors.affiliation: School of Nursing, University of Rochester, NY 14642, USA.
authors.forename: L C
authors.initials: LC
authors.lastname: Ford
mesh_terms: D000208:Acute Disease / Q000451:nursing*; D018166:Health Care Reform; D006801:Humans; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D011057:Politics; D017009:Professional Autonomy; D014481:United States