Health care reform and managed care: challenges for nursing education.
The future of nursing education is inextricably linked to structural changes in the health care delivery system, changes brought about by health care reform, integrated health care delivery systems, and the use of "managed care." Multiple entry points to nursing education cause overlap in skills of graduates and result in rework. This article discusses this problem, the impact of the changing job market and case management on nursing education, and two new emerging advanced practice roles: the primary care nurse practitioner and the acute care nurse practitioner.
Conway-Welch
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Vanderbilt University Medical Center, Nashville, TN, USA.
Norman
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D019090:Case Management; D004506:Education, Nursing / Q000639:trends*; D018166:Health Care Reform / Q000639:trends*; D007587:Job Description; D008329:Managed Care Programs / Q000639:trends*; D009722:Nurse Practitioners / Q000193:education; D015402:Nursing Education Research; D014481:United States