Abstract
This article describes the collaborative project among an educational institution, acute care hospitals, and home health agencies that led to further defining roles and ensuring employment for the region's professional nurses. The redistribution of care from the hospital to the community creates a demand for expanded skill and knowledge among nursing in community practice. Yet experienced hospital acute care nurses are finding that they have a lack of expanded skills required in community-based nursing. Home health care managers find that acute nurses require an extensive and costly orientation process to community health nursing. From this article the reader will examine the environmental factors affecting the delivery of quality home health care in the late 1990s; the knowledge and skills required for the transition from acute to community care; and a proposed collaborative program design that meets home health administrators' needs to maintain a highly skilled staff.
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