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8 Epilogue
Pages 189-192

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From page 189...
... Issues surrounding the adequacy of nursing staff proved inextricable from broader issues of health care access, quality, workforce, and costs. The committee believes that its findings and conclusions will inform current dialogues concerning the organization and delivery of health care, quality of patient care, safety and work experience of all nursing personnel, and suggest increased flexibility of the nation's nursing community for meeting tomorrow's health care challenges.
From page 190...
... Even less is known, and few data are available, about NAs; yet they are a large proportion of the total nurse workforce. To the extent that these nursing personnel remain a significant, but comparatively invisible, part of the nursing community, this paucity of information about their actual roles in health care delivery, their training, and their career paths complicates sensible policy-making about education, reimbursement, and similar matters.
From page 191...
... In the intervening months, press and media reports on the issues studied by the committee increased, and unstructured and unpredictable changes driven by continuing cost containment pressures, private sector interests, and market forces are swiftly and unmistakably altering the health care landscape. This turbulence has made the work of the committee markedly more challenging, and also more difficult; in particular, it has complicated the task of issuing recommendations that will be timely and pertinent beyond today.
From page 192...
... Thus, committee members expressed a common concern about the lack of sufficient data to address the questions they were charged to address. Insights gleaned from public testimony, site visits, and similar activities cumulatively added to the understanding of today's health care system, nursing services, and the quality of patient care.


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