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Implementation of 2 Nurse Practitioner Inpatient Models

Winne, Maria RN, MS, NE-BC; Cashavelly, Barbara MSN, RN, AOCN; Annese, Christine MSN, RN; Nagle, Beth RN, MSN; Shiga, Takashi MD; Chisari, Roger Gino RN, DNP; Lee, Susan PhD, RN

Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e3182433831

Opportunities for nurse practitioners in acute care settings are expanding owing to the restricted hours for medical residents. This is coupled with national initiatives to improve the quality of care driven by patients, insurers, and national healthcare organizations that wish to enhance access to healthcare for all Americans. The authors discuss 2 care delivery models that were designed and implemented at Massachusetts General Hospital with nurses acting as full partners in the redesign.

Author Information

Author Affiliations: Nurse Director (Mss Winne and Cashavelly); Staff Specialist (Ms Annese); Clinical Nurse Specialist (Ms Nagle), Knight Simulation Program, Massachusetts General Hospital, Boston; Assistant in Emergency Services, Massachusetts General Hospital, and Instructor in Surgery, Harvard Medical School, Boston(Dr Shiga); Director (Dr Chisari), Norman Knight Nursing Center for Clinical and Professional Development, Massachusetts General Hospital, Boston; Age WISE Project Director (Dr Lee), TheYvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston.

The authors declare no conflict of interest.

Correspondence: Ms Winne, Patient Care Services, Massachusetts General Hospital, 50 Fruit Street, Boston, MA 02114 (

© 2012 Lippincott Williams & Wilkins, Inc.