FIGURE 1-1 Employment settings of registered nurses.

FIGURE 1-1 Employment settings of registered nurses.

NOTES: The totals may not add to 100 percent because of the effect of rounding. Only RNs for whom information on setting was available are included in the calculations used for this chart. Public/community health includes school and occupational health. Ambulatory care includes medical/physician practices, health centers and clinics, and other types of nonhospital clinical settings. Other includes insurance, benefits, and utilization review.


providing care, nurses will play a significant role in the transformation of the health care system. Likewise, while changes in the health care system will have profound effects on all providers, this will be undoubtedly true for nurses.

Traditional nursing competencies such as care management and coordination, patient education, public health intervention, and transitional care are likely to dominate in a reformed health care system as it inevitably moves toward an emphasis on prevention and management rather than acute care (O’Neil, 2009). Nurses have also begun developing new competencies for the future to help bridge the gap between coverage and access, to coordinate increasingly complex care for a wide range of patients, to fulfill their potential as primary care providers to the full extent of their education and training, to implement systemwide changes that take into account the growing body of evidence linking nursing practice to

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