From sick nursing to health nursing: evolution or revolution?
Health care in the UK has reached a watershed and a fundamental shift in emphasis is required in order to ensure that health and nursing continue to be valued. Health care has been manoeuvred into the market place and the principles of cost effectiveness, audit and economies of scale now dominate. The effects of a growth in consumerism and the welcome pressure for enhanced lay participation in health care are also making themselves felt. At the same time, changing patterns of health and illness and demographic shifts are strongly impacting on the demands being made on nursing and health care services.
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