Abstract
More advanced practice registered nurses (APRN) are making primary care house calls to homebound patients. Coordinating primary care services for people confined to their place of residence is complex and requires multiple systems working in congruence to assure basic health needs of patients are met. Marilyn Ray's theory of bureaucratic caring (Alligood & Tomey, 2010; Ray, 1998; Turkel, 2007) is being used as a conceptual framework for APRN primary care providers' operating systems of care.
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