Optimizing nursing through reorganization: mandates for the new millennium

The issues surrounding health care reform are mandating change for every health care profession. Nursing as it has been configured over the last several decades will not work for the millennium. This article discusses the recommendations specific to nursing for accommodating the health care needs of the American people reported by the most recent study of the Pew Health Care Commission. The authors present a three-level nursing care delivery model based on educational preparation.