Nurses (N=30) employed in nursing homes were trained as Geriatric Nurse Practitioners and then implemented their new clinical roles as direct employees of the original facility. Results showed the nurses, their directors, and administrators perceived the nurses as having positive effects on resident outcomes, but described difficulties in…

The growth in the demand for long-term care services and accompanying cost implications have spurred interest in alternatives to nursing homes. The rationale for such alternatives is a mixture of prevention, displacement, and deinstitutionalization; none may result. The alternative may prove to be additive rather than substitutive. (Author)