The purpose of this article is to review the literature on the role of advanced practice nurses in the post health care reform environment. The effect of the failed health care reform initiative, the impact of managed care, and the composition of patient populations and the work force in the future are described.

Health Care Reform↗

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Ethics in the age of health care reform.

The health care reform movement includes four ideological models. True reform will capture and integrate elements of each model and agenda, along with an underlying respect for human dignity.

Cultural Diversity↗

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Nursing at the crossroads.

Crossroads is the term used to describe nursing's decisional grid in the post health care reform era. Four avenues of practice are laid out. Nursing's decision about clinical pathways will contribute to the future of professional nursing and help shape health care delivery.

Cost-Benefit Analysis↗

PubMedDate not supplied

The alternative health care revolution.

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Attitude of Health Personnel↗