Pr. Ponte et al., DEVELOPMENT NEEDS OF ADVANCE PRACTICE NURSES IN A MANAGED CARE ENVIRONMENT, The Journal of nursing administration, 23(11), 1993, pp. 13-19
The authors describe an organizational change process driven by a crit
ical cost containment effort in a teaching hospital in the northeaster
n United States. This process resulted in a major shift in the role of
the clinical nurse specialist. Development priorities of clinical nur
se specialists before and after redesign of the role are described.