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The Institute of Medicine of the National Academies recommends that nurses take a lead in reforming health care but recognizes significant barriers to nurses assuming such roles. In North Carolina, nurses must be on hospital boards, active in health policy debates, and empowered at the bedside and must lead financial decisions that improve care and keep hospitals financially viable.  相似文献   

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In 2008,161 North Carolina workers died from work-related injuries, 3,324 were hospitalized, and 119,000 reported work-related injuries. Workers' compensation costs in the state exceeded $1.3 billion in 2007. Concerted efforts by the private and public sectors will be needed to reach goals to reduce the incidence of occupational injuries.  相似文献   

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