Teamwork

  • Identification of the main barriers to collaboration between nurses and other health care staff in a range of settings.

  • Identification and testing of new or existing models of care teams that have the potential to add value to the health care system if widely implemented.

  • Identification and testing of educational innovations that have the potential to increase health care professionals’ ability to serve as productive, collaborative care team members.

Technology

  • Identification and testing of new and existing technologies intended to support nurses’ decision making and care delivery.

  • Capture of the costs and benefits of a range of care technologies intended to support nurses’ decision making and care delivery.

  • Identification of the contributions of various health professionals to the design and development, purchase, implementation, and evaluation of devices and information technology products.

  • Development of a measure of “meaningful use” of information technology by nurses.

Value

  • Capture of the impact of changes made to the system of care delivery on costs and quality over the next 5–1 years.

  • Capture of the costs of implementing the recommendations in this report.

  • Capture of the impact of implementing the recommendations in this report on the cost and quality of health care provided in the United States.

  • Analysis of the intended and unintended effects of increasing payment for primary care provided by physicians and other providers.

simulation, distance learning, and online education modalities, decision makers in nursing schools will likely need evidence for the impact of these technologies on increasing the capacity of the nursing education system, as well as assurance that these technologies are an effective way to educate students. Likewise, before agreeing to reorganize care and training in a way that supports nursing residencies, hospitals will likely want to understand the true costs of such programs, as well as the key ingredients for their success. And before state political leaders can be persuaded to enact legislation to expand and standardize the scope of practice for advanced practice registered nurses, they will need messages to convey to their constituents about what these changes will mean for acquiring timely access to high-quality primary care services.

The committee urges the health services research community to embark on research agendas that can produce the evidence needed to guide the implementation of its recommendations. At the same time, the committee recognizes, from



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