A New Order of Things

Origins of a Nurse Practitioner Movement

By Cynthia Freund | Publisher: UNC School of Nursing

About the book

Nursing practice changed dramatically in the mid-1960s as experiments across the country demonstrated the effectiveness of nurses' expanded diagnostic and decision-making authority. The result was a new breed of nurse, the nurse practitioner.
In A New Order of Things, Freund takes readers through that evolution. Beginning with a demonstration project at the University of North Carolina, leading to the emergence of an innovative nurse practitioner training program, the siting of rural clinics with nurse practitioners as the primary providers of health services, a consortium of nurse practitioner training programs spanning the state, and ultimately to a movement: a new order of advanced nursing practice and primary care service delivery.
A New Order of Things is unique in that it documents a history with contemporary relevance, a case study illustrating how a major innovation was strategically engineered toward adoption at the organizational, health system, and state levels. Using multiple sources of historical records and 36 hours of interviews with leaders of the N.C. nurse practitioner movement, Freund illustrates how change leaders formed alliances in a politically nuanced process, thought ahead and of the present moment simultaneously, were adept at recognizing subtle clues and nimble enough to take advantage of opportune moments.
This story is N.C.'s story, but it is far more than that. It is a story for any health professional striving to make change in health services and move an innovative idea into widespread adoption.

Editions of A New Order of Things

Paperback
ISBN 9781469672861
EBook
ISBN 9781469672878
EBook
ISBN 9781469672885
EBook
ISBN 9798890864284
EBook
ISBN 9798890864277

Read an Excerpt

Nursing practice changed dramatically in the mid-1960s as experiments across the country demonstrated the effectiveness of nurses' expanded diagnostic and decision-making authority. The result was a new breed of nurse, the nurse practitioner.
In A New Order of Things, Freund takes readers through that evolution. Beginning with a demonstration project at the University of North Carolina, leading to the emergence of an innovative nurse practitioner training program, the siting of rural clinics with nurse practitioners as the primary providers of health services, a consortium of nurse practitioner training programs spanning the state, and ultimately to a movement: a new order of advanced nursing practice and primary care service delivery.
A New Order of Things is unique in that it documents a history with contemporary relevance, a case study illustrating how a major innovation was strategically engineered toward adoption at the organizational, health system, and state levels. Using multiple sources of historical records and 36 hours of interviews with leaders of the N.C. nurse practitioner movement, Freund illustrates how change leaders formed alliances in a politically nuanced process, thought ahead and of the present moment simultaneously, were adept at recognizing subtle clues and nimble enough to take advantage of opportune moments.
This story is N.C.'s story, but it is far more than that. It is a story for any health professional striving to make change in health services and move an innovative idea into widespread adoption.

Frequently Asked Questions

What is A New Order of Things about?

Nursing practice changed dramatically in the mid-1960s as experiments across the country demonstrated the effectiveness of nurses' expanded diagnostic and decision-making authority. The result was a new breed of nurse, the nurse practitioner.
In A New Order of Things, Freund takes readers through that evolution. Beginning with a demonstration project at the University of North Carolina, leading to the emergence of an innovative nurse practitioner training program, the siting of rural clinics with nurse practitioners as the primary providers of health services, a consortium of nurse practitioner training programs spanning the state, and ultimately to a movement: a new order of advanced nursing practice and primary care service delivery.
A New Order of Things is unique in that it documents a history with contemporary relevance, a case study illustrating how a major innovation was strategically engineered toward adoption at the organizational, health system, and state levels. Using multiple sources of historical records and 36 hours of interviews with leaders of the N.C. nurse practitioner movement, Freund illustrates how change leaders formed alliances in a politically nuanced process, thought ahead and of the present moment simultaneously, were adept at recognizing subtle clues and nimble enough to take advantage of opportune moments.
This story is N.C.'s story, but it is far more than that. It is a story for any health professional striving to make change in health services and move an innovative idea into widespread adoption.

What core themes, tropes, or subjects are explored in A New Order of Things?

Society and Social Sciences > Education / Educational sciences / Pedagogy > Educational administration and organization

Where can I read a sample of A New Order of Things?

You can read an official preview of the few pages here https://www.book2look.com/book/9781469672861

How long is A New Order of Things and how many pages does it have?

A New Order of Things has 316 page(s)

Who is/are the Author/s of the book A New Order of Things?

Cynthia Freund

Who is the Publisher of the book A New Order of Things?

UNC School of Nursing

What are the ISBN numbers for the physical and digital editions?

A New Order of Things is available as paperback(ISBN 9781469672861) and ebook(ISBN 9781469672878) and ebook(ISBN 9781469672885) and ebook(ISBN 9798890864284) and ebook(ISBN 9798890864277)

Where can I buy A New Order of Things online or support local independent bookshops?

You can buy A New Order of Things from below

Where can I buy A New Order of Things?