| Part I NURSING IN SOCIETY |
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Examining Nursing From a Futures Perspective |
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3 | (11) |
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4 | (1) |
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4 | (3) |
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Assumptions About the Future |
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5 | (1) |
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5 | (2) |
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7 | (1) |
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Health Versus Health Care Futures |
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7 | (1) |
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The Influence of Medical Care |
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8 | (1) |
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8 | (1) |
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Components of Health Futures |
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9 | (5) |
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9 | (1) |
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10 | (1) |
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11 | (1) |
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12 | (2) |
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What Will Health Care Look Like in the Future? |
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14 | (18) |
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Environmental Scan and Transformational Forces |
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15 | (4) |
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Movement Toward Patient-Centeredness |
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15 | (1) |
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Expanding Definition of Health Care |
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16 | (1) |
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16 | (1) |
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The Technologic Imperative |
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17 | (1) |
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Cost Control and Rationing |
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17 | (2) |
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19 | (1) |
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Who and What Is a Healer? |
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20 | (1) |
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21 | (3) |
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Competing Models of the Health Professional and Patient Relationship |
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24 | (2) |
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Two Possible Scenarios for the Future |
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26 | (6) |
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26 | (1) |
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27 | (1) |
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Strategies to Achieve an Ideal Health Care System |
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27 | (5) |
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Nursing's Role in Transforming the Health Care System |
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32 | (9) |
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33 | (1) |
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Reacting to a New Reality |
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33 | (1) |
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A Probable Scenario for Nursing and Health Care |
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34 | (2) |
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Nursing and Medicine in the Probable Scenario |
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35 | (1) |
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Impact of the Probable Scenario |
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36 | (1) |
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Constructing the Preferred Scenario for Nursing |
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36 | (5) |
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37 | (1) |
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38 | (3) |
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Nursing's Future in Health Care Policy |
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41 | (10) |
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Recent Health Policy Efforts |
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41 | (1) |
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42 | (9) |
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Nursing's Involvement in Health Policy |
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42 | (1) |
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The Role of Nursing Organizations |
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43 | (3) |
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46 | (1) |
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47 | (4) |
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Nursing in the Public Domain: The National Perspective |
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51 | (7) |
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Development of Nursing in the Public Domain |
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51 | (2) |
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51 | (1) |
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Nursing in the Public Sector |
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52 | (1) |
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52 | (1) |
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53 | (2) |
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Reduction in Clinical Services |
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53 | (1) |
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54 | (1) |
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54 | (1) |
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54 | (1) |
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Opportunities in the Probable Future |
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54 | (1) |
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55 | (3) |
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55 | (1) |
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Workforce Research and Development |
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56 | (1) |
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Executive and Legislative Opportunities |
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56 | (2) |
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Nursing's Public Image: Making the Invisible Profession Visible |
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58 | (9) |
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59 | (2) |
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59 | (1) |
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The Inevitability of Mortality |
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60 | (1) |
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60 | (1) |
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Promoting Nurses and Nursing |
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61 | (6) |
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61 | (1) |
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62 | (5) |
| Part II THE FUTURE OF PRACTICE AND EDUCATION |
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67 | (98) |
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69 | (7) |
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69 | (3) |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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71 | (1) |
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71 | (1) |
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72 | (4) |
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72 | (1) |
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Educating the Preferred Workforce |
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73 | (1) |
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73 | (3) |
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76 | (6) |
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76 | (1) |
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Advanced Practice Nursing |
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77 | (5) |
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78 | (1) |
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Education for Advanced Practice |
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78 | (1) |
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79 | (1) |
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Competencies of Advanced Practice Nurses |
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80 | (1) |
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Regulation and Certification |
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80 | (2) |
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Clinical Learning Settings for the Future |
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82 | (13) |
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82 | (1) |
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83 | (1) |
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83 | (12) |
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83 | (1) |
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The Relation-Centered Care Model |
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84 | (1) |
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85 | (1) |
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Clinical and Educational Learning Strategies |
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86 | (1) |
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Clinical Learning Settings |
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86 | (3) |
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Created Clinical Settings |
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89 | (3) |
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92 | (3) |
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The Impact of Scientific Discoveries and Technology on Practice |
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95 | (11) |
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Computer Technologic Advances |
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96 | (1) |
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96 | (1) |
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Assessment and Monitoring |
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97 | (1) |
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97 | (1) |
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97 | (1) |
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98 | (1) |
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98 | (1) |
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Scientific Discoveries in Genetics |
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99 | (2) |
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99 | (1) |
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Recombinant DNA Technology |
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100 | (1) |
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100 | (1) |
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100 | (1) |
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101 | (3) |
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101 | (1) |
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102 | (1) |
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103 | (1) |
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104 | (2) |
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The Third Wave of Information Technology |
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106 | (10) |
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106 | (2) |
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A Probable Scenario: Second Wave Thinking |
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107 | (1) |
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A Preferable Scenario: Third Wave Thinking |
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107 | (1) |
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The History of Computers in Nursing |
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108 | (3) |
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Merging Practice and Technology |
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108 | (2) |
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Nursing Classification Systems |
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110 | (1) |
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Virginia Henderson International Nursing Library |
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110 | (1) |
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Using Technology to Improve Patient Care |
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111 | (5) |
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112 | (1) |
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112 | (1) |
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112 | (2) |
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114 | (2) |
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Using Technology to Teach |
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116 | (9) |
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117 | (1) |
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117 | (1) |
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117 | (1) |
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118 | (1) |
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Creating the Infrastructure |
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118 | (3) |
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Faculty Issues and Barriers |
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119 | (1) |
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Student Issues and Barriers |
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119 | (1) |
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Curricular Issues and Barriers |
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120 | (1) |
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Institutional Issues and Barriers |
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120 | (1) |
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The Technology Tool Set: Now and the Future |
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121 | (1) |
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Two Visions of the Future |
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122 | (3) |
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122 | (1) |
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Preferable Future Scenario |
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122 | (3) |
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125 | (12) |
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Evolution of Faculty Practice |
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125 | (3) |
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Faculty Practice Models: Practice Sites and Roles |
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128 | (1) |
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Faculty Practice Models for the Preferable Future |
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128 | (1) |
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128 | (1) |
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Goals and Outcomes of Faculty Practice |
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129 | (1) |
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Goals and Rationale for the Preferable Future |
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129 | (1) |
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Outcomes and Benefits for the Preferable Future |
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129 | (1) |
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Technical Challenges in the Evolution of Faculty Practices |
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130 | (1) |
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Technical Challenges for the Preferable Future |
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130 | (1) |
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Organizational Challenges |
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131 | (1) |
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Organizational Challenges in the Preferable Future |
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131 | (1) |
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For Which Future Should Nursing Aim? |
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132 | (1) |
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Strategies for Successful Faculty Practice |
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133 | (4) |
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133 | (1) |
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133 | (1) |
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134 | (1) |
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134 | (3) |
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137 | (7) |
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What Is Continuing Education? |
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137 | (1) |
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138 | (2) |
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138 | (1) |
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Developing New Programming Directions |
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139 | (1) |
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Reengineering a Different Organizational Structure |
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139 | (1) |
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140 | (4) |
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Self-Managed Professional Development |
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140 | (1) |
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Distance Education Technology |
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140 | (1) |
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141 | (1) |
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Program Content Will Change |
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141 | (3) |
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144 | (7) |
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The Future of Staff Development |
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145 | (1) |
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145 | (1) |
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Forces Shaping the Future |
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145 | (1) |
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Demands Shaping the Future |
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145 | (1) |
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Staff Development, Continuing Education, and Formal Education |
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146 | (1) |
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The Probable Future of Staff Development |
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147 | (1) |
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The Staff Development Educator |
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147 | (1) |
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Collaboration and Cooperation |
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148 | (1) |
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Staff Development's Preferred Future |
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148 | (3) |
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148 | (1) |
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148 | (1) |
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149 | (1) |
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Visibility, Viability, and Validity |
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149 | (2) |
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Challenges for Nursing in Higher Education |
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151 | (14) |
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151 | (1) |
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Higher Education at a Crossroad |
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152 | (1) |
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Deja Vu: Managed Care and Managed Education |
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152 | (1) |
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Maintaining the Status Quo |
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152 | (2) |
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The University as Place Bound |
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153 | (1) |
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Student Demographics and Skill Mix |
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153 | (1) |
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153 | (1) |
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153 | (1) |
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Administration and Governance |
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154 | (1) |
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Preferred Future Scenario |
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The University Community: Global Access |
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154 | (1) |
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Student Demographics and Skill Mix |
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155 | (1) |
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156 | (1) |
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Faculty: Knowledge Brokers |
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157 | (1) |
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Administration and Governance |
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157 | (1) |
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158 | (1) |
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158 | (7) |
| Part III ADMINISTRATION IN THE FUTURE |
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165 | (42) |
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Planning for Tomorrow's Health Care System |
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167 | (7) |
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The New Integrated Delivery Systems |
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168 | (1) |
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Sharing Information on the World Wide Web |
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168 | (1) |
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Comprehensive Information Systems |
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169 | (1) |
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169 | (2) |
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169 | (1) |
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170 | (1) |
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170 | (1) |
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171 | (1) |
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171 | (1) |
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The New Work of Nursing Administration |
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171 | (3) |
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Preparing for the New World |
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172 | (1) |
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Cost, Quality, Access, and Service |
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172 | (1) |
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172 | (2) |
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Governance: From the Boardroom to Patient Care |
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174 | (6) |
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The Nurse's Roles and Responsibilities |
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174 | (1) |
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Governance Structures in Health Care |
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175 | (1) |
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A Futuristic View of Health Care Governance Structures |
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175 | (2) |
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175 | (1) |
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Integrated Delivery Systems |
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176 | (1) |
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Governance Structures for the Future |
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177 | (1) |
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Continuous Quality Improvement to Self-Managed Teams |
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177 | (1) |
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177 | (1) |
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178 | (2) |
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178 | (1) |
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178 | (2) |
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Managing Across Disciplines |
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180 | (11) |
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181 | (1) |
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182 | (1) |
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Interdisciplinary Leadership |
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182 | (1) |
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182 | (1) |
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183 | (3) |
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Redesigning and Restructuring |
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183 | (1) |
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Changing Role of the Chief Nurse |
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184 | (2) |
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Managing Across Boundaries |
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186 | (5) |
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186 | (5) |
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The Future of Collective Bargaining in Nursing |
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191 | (7) |
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191 | (2) |
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191 | (1) |
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192 | (1) |
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192 | (1) |
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Economic and General Welfare Programs |
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193 | (1) |
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193 | (1) |
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193 | (2) |
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193 | (1) |
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Changes in Nursing Education |
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194 | (1) |
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195 | (1) |
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Changes in the American Labor Movement |
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195 | (1) |
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195 | (3) |
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Probable Short-Term Future |
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195 | (1) |
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Preferable Long-Term Future |
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196 | (2) |
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Managing an Academic Program in Nursing |
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198 | (9) |
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The Nurse Executive's Role |
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198 | (6) |
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199 | (3) |
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202 | (2) |
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204 | (1) |
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The Future for Academic Executives in Nursing |
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204 | (3) |
| Part IV ACCOUNTABILITY, QUALITY, AND CONTROL |
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207 | (50) |
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Accountability and Quality |
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209 | (8) |
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209 | (1) |
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209 | (3) |
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210 | (1) |
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210 | (2) |
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Accountability in the Future |
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212 | (5) |
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212 | (1) |
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212 | (1) |
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213 | (1) |
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213 | (1) |
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214 | (1) |
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215 | (2) |
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217 | (9) |
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The Foundations of Nursing Regulation |
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217 | (2) |
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217 | (1) |
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Legislative Authority for Nursing Regulation |
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218 | (1) |
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Board of Nursing Accomplishments |
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218 | (1) |
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A Probable Future for Professional Licensure |
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219 | (3) |
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Advanced Practice Registered Nursing |
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220 | (1) |
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Unlicensed Assistive Personnel |
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220 | (1) |
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221 | (1) |
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221 | (1) |
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Practitioners, Educators, Administrators, and Regulators |
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221 | (1) |
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A Preferable Future for Professional Licensure |
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222 | (4) |
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Advanced Practice Registered Nursing |
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223 | (1) |
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Unlicensed Assistive Personnel |
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223 | (1) |
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Practitioners, Educators, Administrators, and Regulators |
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224 | (1) |
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224 | (1) |
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224 | (2) |
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Educational Accreditation |
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226 | (15) |
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Specialized Accreditation |
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226 | (4) |
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Evolving Process of Accreditation |
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227 | (1) |
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Current Reality of Specialized Accreditation |
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227 | (1) |
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Benefits, Criticisms, and Barriers |
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228 | (2) |
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History of Educational Accreditation |
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230 | (3) |
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230 | (1) |
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231 | (1) |
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232 | (1) |
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Council for Higher Education Accreditation Established |
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233 | (1) |
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Nursing Accreditation at the End of the Twentieth Century |
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233 | (3) |
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Nursing Accreditation in the Twenty-First Century |
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236 | (5) |
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236 | (2) |
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238 | (1) |
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Outcome of Preferable Future |
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238 | (3) |
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241 | (11) |
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241 | (2) |
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Moral Agency: Responsibility and Accountability |
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242 | (1) |
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242 | (1) |
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From Fee-for-Service to Managed Care To ...? |
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243 | (2) |
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Impact of Managed Care on Nursing |
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243 | (1) |
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Impact of Managed Care on Ethical Decision Making |
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244 | (1) |
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Care of Seriously Ill and Dying Patients |
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245 | (5) |
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246 | (1) |
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246 | (2) |
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Do-Not-Resuscitate Orders |
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248 | (1) |
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Treatment Abatement Guidelines |
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248 | (1) |
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249 | (1) |
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Ethical Implications of Genetic Advancements |
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250 | (2) |
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252 | (5) |
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252 | (2) |
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252 | (1) |
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253 | (1) |
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253 | (1) |
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253 | (1) |
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254 | (1) |
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254 | (1) |
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255 | (1) |
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Nursing Law and the Future |
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255 | (2) |
| Part V NURSING'S SCIENTIFIC FUTURE |
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257 | (38) |
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The Future of Nursing Research |
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259 | (12) |
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A Decade of Nursing Research at the National Institutes of Health |
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259 | (5) |
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Translating Basic Science Into Clinical Care |
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260 | (1) |
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Cognitive Impairment: Managing Behavior |
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260 | (1) |
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Cultural Relevance for HIV/AIDS Prevention |
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261 | (1) |
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Culturally Appropriate Intervention in Low-Birth-Weight Prevention |
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261 | (1) |
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Improvements in Transitional Home Care |
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262 | (1) |
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Disorientation: Using Cues to Assist in Wayfinding |
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262 | (1) |
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Pain and Its Immunologic Implications |
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263 | (1) |
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Biologic Predictors of Chemotherapy-Induced Nausea |
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263 | (1) |
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Strengthening the Nursing Research Base for the Future |
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264 | (7) |
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Multidisciplinary Integration to Promote Robust Science |
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264 | (1) |
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Chronic Conditions: Portent of the Future |
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265 | (1) |
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Research Needs in Mixed Behavioral and Physiologic Conditions |
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265 | (1) |
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Continuing Research Focus on Cardiovascular Health |
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265 | (1) |
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Research Opportunities in Neuroscience |
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266 | (1) |
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Research Needs in Long-Term Transplant Survival |
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266 | (1) |
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Research Addressing End-of-Life Issues |
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266 | (1) |
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Research Issues in Environmental Health Science |
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267 | (1) |
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The Need to Understand and Manage Pain |
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267 | (1) |
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Nursing Research Opportunities in Genetics |
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268 | (3) |
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The Growth of Collaborative and Interdisciplinary Research |
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271 | (8) |
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Brief History: Trimming of Our Interdisciplinary Roots |
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272 | (2) |
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Probable Future: Expensive Cocoon |
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274 | (1) |
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274 | (1) |
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Disciplinary Underdevelopment |
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275 | (1) |
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Preferable Future: Nursing Interdisciplinary Leadership |
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275 | (1) |
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Strategies for Nursing Interdisciplinary Leadership |
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275 | (4) |
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276 | (1) |
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276 | (1) |
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Interdisciplinary Research Teams |
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276 | (1) |
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277 | (1) |
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277 | (2) |
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Preparing Future Researchers |
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279 | (7) |
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Challenges in Preparing Nurse Researchers |
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279 | (4) |
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280 | (1) |
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281 | (1) |
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Research in a Pluralistic Society |
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281 | (1) |
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282 | (1) |
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Multidisciplinary and Interdisciplinary Collaboration |
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282 | (1) |
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Formal Programs of Education for Future Researchers |
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283 | (1) |
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283 | (1) |
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Postdoctoral Research Training |
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284 | (1) |
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Support and Development of Faculty |
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284 | (2) |
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Career Trajectory of a Nurse Scientist |
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286 | (9) |
|
Stages of a Scientific Career |
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286 | (1) |
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287 | (2) |
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287 | (1) |
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288 | (1) |
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288 | (1) |
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Postdoctoral Career Stage |
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289 | (3) |
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289 | (2) |
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Establishing an Independent Research Program |
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291 | (1) |
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291 | (1) |
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A Research-Intensive Environment |
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292 | (1) |
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Entering the Scientific Community |
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292 | (1) |
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Environment for Research Preparation |
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292 | (1) |
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A Scenario for Future Doctoral/Postdoctoral Preparation |
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293 | (2) |
| Part VI EXPANDING THE BOUNDARIES |
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295 | (67) |
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Alternative and Complementary Health Care Practices |
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297 | (9) |
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Alternative/Complementary Health Care |
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298 | (1) |
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298 | (1) |
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Classification of Alternative Care |
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298 | (1) |
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298 | (1) |
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299 | (1) |
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Who Uses Unconventional Therapies? |
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299 | (1) |
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299 | (1) |
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300 | (1) |
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Why Are Alternative and Complementary Therapies Used? |
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300 | (1) |
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Learning from Our Patients |
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301 | (1) |
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Alternative Therapies or Nursing Interventions? |
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302 | (1) |
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Measuring Patient Behavior |
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303 | (1) |
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Probable Future of Alternative and Complementary Health Care Practices |
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303 | (1) |
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Preferable Future of Alternative and Complementary Health Care Practices |
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304 | (2) |
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Interdisciplinary Practice and Education |
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306 | (11) |
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Current Environmental Forces |
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306 | (1) |
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307 | (1) |
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Conceptual Model for Interdisciplinary Practices |
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307 | (2) |
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308 | (1) |
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Collaboration and Coordination |
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309 | (1) |
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Interdisciplinary and Multidisciplinary Education |
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309 | (1) |
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Development of Interdisciplinary Education |
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|
309 | (4) |
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Application in Health Professions |
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310 | (1) |
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What Makes Interdisciplinary Efforts So Difficult? |
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311 | (2) |
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313 | (4) |
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313 | (1) |
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Examples of Emerging Work |
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313 | (1) |
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314 | (3) |
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Achieving a Multicultural Nursing Profession |
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317 | (10) |
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Diversity and Assimilation |
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|
318 | (2) |
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318 | (1) |
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318 | (1) |
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Uniformity Versus Diversity |
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319 | (1) |
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Diversity Versus Multiculturism |
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319 | (1) |
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320 | (2) |
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321 | (1) |
|
Impact of Lack of Diversity on Nursing Research |
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321 | (1) |
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322 | (1) |
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322 | (1) |
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323 | (1) |
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323 | (4) |
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Becoming Culturally Competent |
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|
323 | (1) |
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Making Nursing Education Multicultural |
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|
324 | (3) |
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Encouraging Risk Taking and Enterpreneurial Approaches |
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|
327 | (7) |
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327 | (2) |
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Characteristics and Behavior |
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328 | (1) |
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328 | (1) |
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Examples of Entrepreneurial Activities |
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|
329 | (5) |
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329 | (2) |
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Innovations in Nursing Education |
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331 | (1) |
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Innovations in Clinical Interventions |
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331 | (1) |
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Healing and Complementary Therapies |
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332 | (1) |
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332 | (2) |
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Nursing in the Global Arena |
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334 | (11) |
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Evolving International Activities |
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|
334 | (5) |
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International Council of Nursing |
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|
335 | (1) |
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|
335 | (1) |
|
World Health Organization |
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|
336 | (1) |
|
Global Initiatives of Nursing Organizations |
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|
337 | (1) |
|
Sigma Theta Tau International |
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|
337 | (1) |
|
International Nursing Center |
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|
337 | (1) |
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|
337 | (1) |
|
American Academy of Nursing |
|
|
338 | (1) |
|
National Student Nurses Association |
|
|
338 | (1) |
|
Pathways to Future Global Activity |
|
|
339 | (3) |
|
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|
339 | (1) |
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|
340 | (1) |
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|
341 | (1) |
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|
|
342 | (3) |
|
The Role of Professional Organizations |
|
|
345 | (10) |
|
Development of Nursing Organizations |
|
|
345 | (2) |
|
Successes and Failures of Nursing Organizations |
|
|
347 | (1) |
|
Probable Future of Nursing Organizations |
|
|
348 | (1) |
|
Preferable Future of Nursing Organizations |
|
|
349 | (6) |
|
Clearly Defined Mission Statement |
|
|
349 | (1) |
|
|
|
350 | (1) |
|
Certification, Accreditation, and Licensing |
|
|
351 | (1) |
|
Consensus Building and Leadership |
|
|
352 | (1) |
|
Preferable Futures Thinking |
|
|
353 | (2) |
|
|
|
355 | (7) |
|
Four Scenarios of the Future |
|
|
355 | (3) |
|
|
|
355 | (1) |
|
|
|
356 | (1) |
|
|
|
357 | (1) |
|
Healthy, Healing Communities |
|
|
358 | (1) |
|
|
|
358 | (1) |
|
|
|
359 | (3) |
|
|
|
359 | (1) |
|
Why Might We Not Succeed? |
|
|
360 | (2) |
| Appendix A |
|
362 | (3) |
| Appendix B |
|
365 | (4) |
| Appendix C |
|
369 | |