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Nurses can reintroduce the spiri- The recognition that we need to change the way we tual and ethical dimensions of caring. The revised Theory of Bureaucratic Caring, however, is represented Caring as a complex holographic theory. The political and economic dimensions of bu- Current Context of Health-Care reaucratic caring encompass not Caverta without A Doctor Prescription Usa health-care Organizations reform at the national level, but also refer to the po- litical and economic impact of these changes at the Review of the Literature: Through sections on the cur- and Economic Constraints of rent context of health-care organizations, review of Nursing Practice the literature related to the political and economic constraints of nursing practice, economic caring Economic Implications of Bureau- research, political and economic implications of cratic Caring Theory: Research in bureaucratic caring, and visions for the future, we Current Atmosphere of Health-Care learn how the Theory of Bureaucratic Caring Reform applies.

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In the United States, sporadically addressed by the research, academic, initially this was done under the auspices of the and industry pharmaceutical development American Society of Clinical Pharmacology and communities.

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