title: A shared community-based practice: an alternative model for WOC nursing practice.
abstract: In the past, as the populations in many communities have grown, WOC nurses have been hired for each of the major health care facilities located in that community. However health care restructuring has caused many local hospitals to reevaluate their use of specialty practice nurses, including ET/WOC specialists. In response to this trend, a shared community practice model was established that has allowed each agency to make use of ET nursing service on an "as needed" basis, while maintaining daily accessibility to this important resource person. This article describes the evolution and growth of this practice model during the past two decades of intense reform in health care delivery.
authors.affiliation: Wound, Ostomy, and Continence Nursing Department, Mountain States Tumor Institute, Boise, ID 83712-6297, USA.
authors.forename: V
authors.initials: V
authors.lastname: Mueller
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration; D006754:Hospital Restructuring / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D010030:Ostomy / Q000451:nursing*; D013041:Specialties, Nursing / Q000458:organization & administration*; D014549:Urinary Incontinence / Q000451:nursing*; D014947:Wounds and Injuries / Q000451:nursing*