Gates S J
Orthop Nurs. 1993 Sep-Oct;12(5):48-50, 66. doi: 10.1097/00006416-199309000-00011.
Since 1965 registered nurses have been educated to perform expanded functions in primary health care. The nurse provider role evolved from a shortage of primary health care providers. "Nurse practitioners" were needed to increase access to health care in urban and rural areas of the country that lacked the necessary number of providers to give quality patient care. Until recently, the majority of nurse practitioners have continued in the traditional primary care role, practicing in clinics, private physician offices, and on an independent basis. However, many factors now provide the impetus to have nurse practitioners develop tertiary care practices within the nation's acute care hospitals. This article describes the development and implementation of an orthopaedic collaborative practice in tertiary care.
自1965年以来，注册护士接受培训以在初级卫生保健中履行扩展职能。护士提供者角色源于初级卫生保健提供者的短缺。需要“执业护士”来增加该国城乡地区获得医疗保健的机会，这些地区缺乏提供优质患者护理所需数量的医疗服务提供者。直到最近，大多数执业护士仍继续担任传统的初级保健角色，在诊所、私人医生办公室执业，并独立开展业务。然而，现在许多因素促使执业护士在该国的急症医院开展三级护理业务。本文描述了三级护理中骨科协作实践的发展与实施。
