Coile R C
Health Forecasting Group, Santa Clarita, California, USA.
Adv Pract Nurs Q. 1995 Fall;1(2):77-84.
Market-driven reforms and the growth of managed care will transform the nursing profession in the next 5 to 10 years. Managed care will pressure RN-level nursing to justify its costs and advanced training. New roles for nursing will include (a) advanced practice nurses substituting for physicians, (b) nurse case managers coordinating care and aggressively managing patients along care paths, and (c) nurse team leaders organizing patient care and delegating less complex nurse tasks to less trained workers.
市场驱动的改革以及管理式医疗的发展将在未来5至10年改变护理行业。管理式医疗将给注册护士（RN）级别的护理工作带来压力，迫使其证明自身成本及进阶培训的合理性。护理的新角色将包括：（a）高级执业护士替代医生；（b）护士个案管理员协调护理工作并积极管理处于护理路径中的患者；（c）护士团队领导者组织患者护理工作，并将不太复杂的护理任务分配给培训程度较低的工作人员。
