Conway Alison, Richardson Angela
Glenfield Hospital, Leicester.
Nurs Times. 2004;100(24):53-4.
The development of new nursing roles such as the nurse practitioner has been driven by the shortage of junior doctors and the initiative that advocates the reduction of junior doctors' hours (Dowling, 1996). Todd (1997) identified other factors that have also fuelled these initiatives, including: The abolition of nursing extended roles in 1992; The unmet needs of certain patient groups; The pressure to deliver clinically efficient and cost-effective health care; A change in the expectations of patients.
新护理角色的发展，如执业护士，是由初级医生短缺以及倡导减少初级医生工作时长的倡议所推动的（道林，1996年）。托德（1997年）指出了其他推动这些倡议的因素，包括：1992年取消了护理扩展角色；某些患者群体未得到满足的需求；提供临床高效且具成本效益的医疗保健的压力；患者期望的变化。
