title: The impact of healthcare issues on the future of the nursing profession: the resulting increased influence of community-based and public health nursing.
abstract: Several key issues, such as the necessity for cost containment, role conflicts between healthcare professions, nursing shortages, and organizational difficulties of healthcare organizations, significantly influence current healthcare delivery. These circumstances, which constitute a compelling need for responsive and effective change, are examined in terms of their impact upon the nursing profession. A review of the referenced journals and textbooks reveals that national nursing efforts will shift from acute care hospital-oriented provisions to community-based public health orientations. This evolution will result in improved health outcomes, less need for tertiary treatment, and savings for hospitals and insurance companies.
authors.affiliation: Community & Public Health Nursing, Jacksonville, FL, USA. jswiadek@yahoo.com
authors.forename: John W
authors.initials: JW
authors.lastname: Swiadek
mesh_terms: D003132:Commerce / Q000458:organization & administration; D003152:Community Health Nursing / Q000458:organization & administration*; D003256:Community Participation / Q000639:trends; D003220:Conflict, Psychological; D003363:Cost Control; D017281:Cost of Illness; D003695:Delivery of Health Care / Q000458:organization & administration*; D005544:Forecasting; D006301:Health Services Needs and Demand; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D024802:Nurse's Role / Q000523:psychology; D009740:Nursing Staff / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D019555:Physician-Nurse Relations; D011637:Public Health Nursing / Q000458:organization & administration*; D014481:United States