Nursing in a Transformed Health Care System: New Roles, New Rules

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Although the supply of nurses is likely to meet overall demand, the nature of a nurse’s job is changing dramatically. In redesigned health systems, nurses are assuming expanded roles for a broad range of patients in ambulatory settings and community-based care. These roles involve new responsibilities for population health, care coordination and interprofessional collaboration. Nursing education needs to impart new skills and regulatory frameworks need to be updated to optimize the contributions of nurses in transformed care delivery models

Erin Fraher, PhD, MPP; Joanne Spetz, PhD, FAAN; Mary Naylor, PhD, RN, FAAN

Leonard Davis Institute of Health Economics at the University of Pennsylvania

Interdisciplinary Nursing Quality Research Initiative

June 2015

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