Synopses & Reviews
The explosive growth of managed health care has generated dramatic changes in professional practice and hospital organization. No group has been more profoundly affected by these trends than the country?s 2.5 million registered nurses?the largest group of health care providers n the United States. How can the nursing of profession adapt to this new environment? How can individual nurses prepare for these changes?
In Strategies for the Future of Nursing, experts in nursing administration, education, and research offer insights into the most recent trends in employment for registered nurses and outline key strategies for strengthening nursing services. Written for all health care leaders working in hospital settings, health care systems, and educational environments, this vital resource, addresses important and timely issues that
? Demonstrate how a competency-based approach to staffing can influence education and training
? Reveal why the political constraints of public spending for health care services for the elderly and disabled are likely to restrict growth in RN employment in publicly funded ambulatory settings and nursing homes
? Explain how technological advances--coupled with pressures to contain costs and prevent illness--are transforming nurses? roles and responsibilities in ambulatory and home health settings
? Identify the factors that fuel the demand for registered nurses with B.S.N. degrees and RNs with M.S. degrees in administration and specialized clinical fields
? Detail the knowledge and skills required of RNs in medical management roles
? Describe the factors that are shaping demand for the fastest-growing segment of the nursing workforce?advanced practice nurses (APNs)
This essential resource is filled with illustrative examples, useful graphs, and tables that can help health care leaders meet the complex challenges of nursing education and practice in the 21st century.
Review
"This book should be read by anyone concerned about the future of health care in this country. Ed O'Neill and his colleagues provide important advice about how nursing can address the national dilemma of providing cost-effective health care to everyone." —Marla Salmon, Sc.D., RN, FAAN, associate dean and director of graduate studies, University of Pennsylvania
"Vital information for everyone seeking to prepare the numbers and types of registered nurses required to meet the public's needs in the emerging health care environment." —Mary Fry Rapson, Ph.D. RN, CS, national program director, Colleagues in Caring: Regional Collaboratives for Nursing Workforce Development
"A unique synthesis written by an outstanding group of experts in nursing education, practice, and policy." —Shirley S. Chater, RN, Ph.D., FAAN, regents' professor, Institute for Health and Aging, School of Nursing, University of California, San Francisco
"Strategies for the Future of Nursing is mandatory reading for all health professionals if they are going to be prepared to deal with the explosive changes occurring within health care." —Barbara A. Donaho, MA, RN, FAAN, president, American Academy of Nursing
Synopsis
This timely book answers the profession's most urgent questions and outlines key tactics for the practice of nursing and the education of RNs.
Hospital reorganizations under managed care systems have resulted in dramatic changes in the nursing profession. This is clearly evidenced in the substantial decrease in the total number of jobs available for registered nurses. The questions are: How can the profession of nursing adapt to an outpatient-based medical system? and How can individual nurses prepare for these changes?
In this timely resource, expert health care executives, educators, and researchers address today's most urgent questions facing members of the country's largest health care occupation(2.2 million registered nursing professionals. The book offers insights into the most recent trends in RN employment and outlines seven key strategies for strengthening nursing services.
Synopsis
Adapting to the Changing Medical SystemThis timely resource answers your most urgent questions about the nursing profession today. The field of nursing has drastically changed as a result of hospital reorganizations under managed care systems. This is clearly evidenced in the substantial decrease in the total number of jobs available for registered nurses.
The book offers insights into the most recent trends in RN employment and outlines key strategies for strengthening nursing services. You'll learn tactics for adapting the profession of nursing to an outpatient-based medical system. You'll also discover ways in which individual nurses can successfully prepare for these changes.
This book should be read by anyone concerned about the future of health care in this country. Ed O'Neill and his colleagues provide important advice about how nursing can address the national dilemma of providing cost-effective health care to everyone.
--Marla Salmon, Sc.D., RN, FAAN, associate dean and director of graduate studies, University of Pennsylvania
About the Author
EDWARD O'NEIL, Ph.D., is codirector and founder of the Center for the Health Professions at the University of California, San Francisco. JANET COFFMAN is associate director, Workforce Policy and Analysis, of the Center for the Health Professions.
Table of Contents
List of Tables and Figures..
Preface..
Acknowledgement...
The Editors.
The Contributers.
Part One: Past, Present, And Future: Trends In Health Care And The Nursing Workforce .
The Changing Health Care Environment (Edward O'Neil).
The Nursing Workforce and Nursing Education: An Overview of Trends (Janet Coffman, Noelle Blick, and Sabrina Wong).
Projecting the Future Supply and Demand for Registered Nurses (Edward Salsberg, Paul Wing, and Carol S. Brewer).
Part Two: The Changing Nature of Nurses' Work: Demand For Nurses In Specific Employment Settings.
The Impact of Managed Care and Intregrated Delivery Systems on Registered Nurse Education and Practice (Barbara Balik).
How is Demand for Registered Nurses In Hospital Settings Changing? (Maryann F. Fralic).
Nurses in Long-Term Care Facilities in the United States (Charlene Harrington).
Changing Roles, Responsibilities, and Employment Patterns of Registered Nurses in Ambulatory Care Settings (Janis P. Bellack).
Community Health Nursing: Exploring New Frontiers While Reclaiming Old Territory(Marjorie K. Bauman).
Part Three: Enhanced And Emerging Roles For Registered Nurses.
How Is the Role of the Advanced Practice Nurse Changing? (Catherine L. Gilliss and Mary O'Neil Mundiniger).
From Case Management to Medical Care Management: Implications for Nursing Education (Barry R. Greene and Debra L. Kelsey).
Part Four: Recommendations For Nursing Education And Practice.
Nursing in the Next Century (Edward O'Neil).
Name Index.
Subject Index.