Nursing in a Transformed Health Care System: New Roles, New Rules

Research Brief

Nursing in a Transformed Health Care System: New Roles, New Rules

Erin Fraher, Joanne Spetz, and Mary Naylor

Although the supply of nurses is likely to meet overall demand, the nature of a nurse’s job is changing dramatically. In redesigned health care systems, nurses are assuming expanded roles for a broad range of patients in ambulatory settings and communitybased care. These roles involve new responsibilities for population health, care coordination and interprofessional collaboration. Nursing education needs to impart new skills and regulatory frameworks need to be updated to optimize the contributions of nurses in transformed care delivery models.