Article: Nurse social work practitioner: a new professional for health care settings.(PRACTICE FORUM)

Hospital systems are merging, cutting back, and dismantling as a result of the shift in delivery of care to ambulatory settings and the continuing shift to managed care (Berkman, 1996; Pecukonis, Cornelius, & Parrish, 2003). Cutbacks and downsizing are occurring at a greater rate than hospital social work leaders predicted (Mizrahi & Berger, 2005). Social workers are often frustrated and challenged by increasing demands of a health care system in crisis. As a result of the market-driven cost-containment strategy that hospitals are adopting, many social workers are forced to either adapt or leave their jobs. The social workers who remain must do more with less, with an eye ...

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