Abstract
Recent technological advances make it possible for nurses working in home health to record patient information on a variety of devices, such as laptop computers. There are now many implementation guides and corporate briefs available that concern bottom-line issues such as productivity and back-office cost reduction. Even though nurses generally are recognized for being innovative and willing to accept new challenges in order to improve patient care, no one asks how these changes are affecting nurses' self-perceptions about their expertise. Benner's theory, Novice to Expert, is utilized here to explore and establish expectations for both staff and administration.
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