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Related Experiment Videos

Development needs of advance practice nurses in a managed care environment

P R Ponte1, J M Higgins, J R James

  • 1Brigham and Women's Hospital, Boston, MA.

The Journal of Nursing Administration
|November 1, 1993
PubMed
Summary

A cost containment initiative in a teaching hospital led to significant changes in the clinical nurse specialist role. Development priorities were redefined to align with the redesigned responsibilities.

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Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Organizational Change

Background:

  • Teaching hospitals face increasing pressure for cost containment.
  • Organizational restructuring is often necessary to address financial challenges.
  • The role of clinical nurse specialists (CNS) can be impacted by such changes.

Purpose of the Study:

  • To describe an organizational change process driven by cost containment.
  • To analyze the resulting shift in the clinical nurse specialist role.
  • To outline the evolution of CNS development priorities.

Main Methods:

  • Case study of an organizational change in a US teaching hospital.
  • Analysis of the cost containment drivers.
  • Description of the redesign of the clinical nurse specialist role.

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  • Comparison of CNS development priorities pre- and post-change.

    • Main Results:

    • A critical cost containment effort precipitated significant organizational change.
    • The role of the clinical nurse specialist underwent a major transformation.
    • Development priorities for CNSs were substantially altered following the role redesign.

    Conclusions:

    • Organizational change initiatives, particularly those focused on cost containment, can profoundly reshape specialized nursing roles.
    • Adapting CNS development priorities is crucial for aligning with evolving healthcare demands and organizational structures.
    • Effective management of role transitions is key to successful healthcare reform.