The Environment of care model: a paradigm shift in comprehensive breast care.

The delivery of comprehensive breast care seems to be undergoing a paradigm shift driven by advances in technology, interprofessional collaboration and patient dissatisfaction with interruptions in care. This paradigm shift includes the emergence of new models of care that optimize the use of embedded radiology services and encourage greater interprofessional collaboration. This paper briefly reviews the three drivers (advances in technology, expectations regarding interprofessional collaboration and patient dissatisfaction with interrupted care) underlying the paradigm shift in comprehensive breast care as well as introduces the environment of care model, which describes the proximity of radiology services and interprofessional collaboration between the Women's Wellness Clinic (WWC) and Radiology at the Karmanos Cancer Institute (KCI) - both based in the United States.

Toward clarification of the doctor of nursing practice degree.

The doctor of nursing practice (DNP) degree has been recommended by the American Association of College of Nursing (AACN) as the terminal degree in nursing practice by 2015 (AACN, 2004). However, confusion regarding this degree still exists. To promote understanding of this degree, the pertinent history of doctoral education in nursing is reviewed.

The relationship of nursing students' spiritual care perspectives to their expressions of spiritual empathy.

Guided by Chism's Middle-Range Theory of Spiritual Empathy, the overarching purpose of this study was to determine the extent to which nursing students' spiritual care perspectives account for their expressions of spiritual empathy. In this descriptive correlational study, spiritual care perspectives accounted for 8.6% of the variance in nursing students' (N = 223) expressions of spiritual empathy after controlling for relevant demographic and spirituality variables.