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Influence of External Forces on Health Care

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Recognizing the influence of external forces on care delivery and scope of practice, Nightingale also kept informed of the activities of practitioners and government policy makers (Dossey, Selanders, & Beck, 2005). With health care being the largest sector of our economy, employers, clinicians, managers, and patients all have vested interests in proposed changes to health care financing, organization, and the responsibilities and scope of practice for clinicians. Today, nursing leaders, managers, and staff need to be aware of and involved in the ongoing processes of making health policy.

Kelly Vana's Nursing Leadership and Management

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