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North Carolina is indeed fortunate to have avoided many of the extreme shortages of nurses reported in other states. Yet, there are important developments on the horizon that have the potential to cause such shortages. Taking action today to expand the production of new nurses, enhance their education, augment school-to-work transitions, and improve the nursing workplace environment can help reduce the likelihood of a future nursing workforce crisis. Some steps will require new financial commitments either from public or private sources. Others will require a renewed commitment on the part of employers, educators, regulators and the nursing community. However, these steps are necessary if we are to recruit and retain well-prepared and motivated nurses who are needed to meet our healthcare needs now and in the future. Nursing, especially nursing at the bedside in hospitals and in long-term care, requires increasingly sophisticated technical skills and continues to demand intellectual, physical and emotional energy beyond what would be required in many other professions and occupations. It is hoped that the recommendations offered here will help focus the efforts of legislators, educators, employers, the nursing community, trade associations, foundations and the public at large to ensure an adequate supply of well-trained nursing personnel for the future.  相似文献   

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A significant number of children experience dental caries and have low dental care utilization rates. This article examines trends in oral health care access in the nation, as well as potential barriers, and finally, methods to increase access in North Carolina.  相似文献   

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The 2000 North Carolina IOM report contained 23 recommendations. To date 16 have been fully or partially implemented. This represents progress, but accomplishing full compliance remains a goal. Absent new training programs in our state, as current federal training grants phase-out, identifying financial support to continue training an adequate number of pediatric dentists for North Carolina will be a challenge.  相似文献   

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