Of all the recent changes in health care, none more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care, but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In this book, the author and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Managed Care: Practice Strategies for Nursing will serve as an excellent course text on nursing and managed care, as well as a useful introduction and shelf reference for professional nurses at all levels of practice.

Advanced Practice Nurses: Acute-Care Settings

Advanced Practice Nurses: Acute-Care Settings

Advanced practice nurses: Acute-care settings
Margaret M.Conger

Who am I then? Tell me first, and then if I like being that person, I'll come up; if not, I'll stay down here till I'm somebody else.

Alice (in Lewis Carroll's Alice in Wonderland)

Roles for advanced practice nurses (APNs) are rapidly changing in the emerging paradigm of managed care. For some, such as certified nurse anesthetists, the changes are relatively minor. For others, especially the clinical nurse specialists (CNSs), role changes are dramatic. Considerable controversy surrounds the role the CNS should have in the changing health care environment. For many, the dilemma that Alice faced is very real. Who should this nurse become?

Changes in advanced nursing practice are reflected in the nursing literature by debates ...

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