Development needs of advance practice nurses in a managed care environment
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Updated: Nov 8, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
P R Ponte1, J M Higgins, J R James
1Brigham and Women's Hospital, Boston, MA.
Abstract:
The authors describe an organizational change process driven by a critical cost containment effort in a teaching hospital in the northeastern United States. This process resulted in a major shift in the role of the clinical nurse specialist. Development priorities of clinical nurse specialists before and after redesign of the role are described.
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