sentences:  Possible cost savings to support the hiring of additional qualified nurses were identified to include reducing shift change from two hours down to one, reducing supervision costs, and moving clerical and housekeeping tasks from nursing to other hospital staff members.In the 1990s, industry consultants led a movement of hospitals into restructuring and re-engineering in the name of cost-cutting, that had the effect of reducing professional nursing autonomy and judgment by use of multi-skilled team members.The term primary nursing fell out of use, and the concepts were modified.