Zwanziger P J, Peterson R M, Lethlean H M, Hernke D A, Finley J L, DeGroot L S, Busman C L
Clin Nurse Spec. 1996 Jul;10(4):199-202. doi: 10.1097/00002800-199607000-00014.
As health care reform results in fewer acute care days and cost-containment is emphasized, the role of the CNS becomes more important, although not necessarily in acute care, which has been the tradition. If the CNS role is to survive health care reform, it must expand into the community. The literature supports the effectiveness of the CNS in the community. Interviews with nurse managers also strongly support the practice of the CNS in the community to include case management, consultation to community agencies, and community-based practice.
随着医疗保健改革导致急性护理天数减少且强调成本控制，临床护理专家（CNS）的作用变得更加重要，尽管不一定是在传统的急性护理领域。如果临床护理专家的角色要在医疗保健改革中存续下去，就必须扩展到社区。文献支持临床护理专家在社区中的有效性。对护士长的访谈也有力地支持临床护理专家在社区中的实践，包括病例管理、为社区机构提供咨询以及基于社区的实践。
