Caring and Nursing's Metaparadigm: Can They Survive the Era of Managed Care?

Abstract
Considering the growing power of third-party payers to control the length and methods of treatment, the authors summarize alternative treatment models of providing care. These models are evaluated within the context of nursing's metaparadigm. Clinical examples are provided to illustrate how focusing on client strengths and alternative solutions differs from more traditional approaches to treatment.

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