Brigham and Women's Hospital, a high-profile, complex, academic medical center in Boston, MA, is a founding member of the Partners HeathCare Sytem and is associated with Harvard Medical School and Dana Farber Cancer Institute. This truly unique volume chronicles the systemic efforts of the nursing department to make an already outstanding system even better. It provides access to a compelling story of institute-wide nursing practice today and how the opportunity for major change was embraced and successfully accomplished. Told from the perspective of ninety administrative and staff nurses, it serves as a model for change in similar institutions everywhere.

• Provides "real world" system level description of hospital-wide change initiated and implemented by nurses committed to safe quality patient care
• Serves as a roadmap for institution-wide change for aspiring nurse leaders, including values to support, tools to develop or use, resources to be managed, key personnel to employ, and more
• Offers nurse executives an array of catalytic ideas they can adapt to their own settings
• Acts as a model for administrators and students in Masters and Doctoral Programs who are interested in seeing how change occurs in complex systems through personal engagement at all levels

Brigham and Women's Hospital, a high-profile, complex, academic medical center in Boston, MA, is a founding member of the Partners HeathCare Sytem and is associated with Harvard Medical School and Dana Farber Cancer Institute. This truly unique volume chronicles the systemic efforts of the nursing department to make an already outstanding system even better. It provides access to a compelling story of institute-wide nursing practice today and how the opportunity for major change was embraced and successfully accomplished. Told from the perspective of ninety administrative and staff nurses, it serves as a model for change in similar institutions everywhere.

• Provides "real world" system level description of hospital-wide change initiated and implemented by nurses committed to safe quality patient care
• Serves as a roadmap for institution-wide change for aspiring nurse leaders, including values to support, tools to develop or use, resources to be managed, key personnel to employ, and more
• Offers nurse executives an array of catalytic ideas they can adapt to their own settings
• Acts as a model for administrators and students in Masters and Doctoral Programs who are interested in seeing how change occurs in complex systems through personal engagement at all levels;

  Foreword
  Preface

  PART ONE: AN INVITATION TO OUR READERS

  Introduction: The Invitation
  1. Beginning the Journey

  PART TWO: CREATING THE CONDITIONS FOR CHANGE

  2. Finding and Defining the Good
  3. Creating a Healthy Work Environment
  4. Strengthening the Practice of Nursing
  5. Ensuring the Voice of the Nurse: Designing, Developing, and Implementing a Committee Structure
  6. The Center for Nursing Excellence: Setting the Table
  7. The Center for Nursing Excellence: Initiatives and Innovations
  8. Beyond Regulatory Compliance: Our Quality Journey

  PART THREE: FROM PRINCIPLES TO PROJECTS, PROGRAMS, AND PRACTICES

  Section A. Institution-Wide Change

  9. The Standards, Policies, and Procedures Steering Committee: Notes From the Field
  10. Change Through Narrative
  11. Change Through Clinical Experts: The APN Role and Impact
  12. The Ethics of Caring
  13. Technological Change
  14. Change Through Synergy: Crafting Partnerships
  15. Expanding Our Clinical Lens: Integrative Care

  Section B. Service Area and Program Change

  16. The Development of a Critical Care Leadership Team: Where We Have Been, Where We Are Now, and Where We Are Going
  17. Building Anew
  18. Neuroscience as Exemplar
  19. Changing and Enhancing Nurses' Roles

  Section C. Individual Reflections on the Experience of Change

  20. Values and Vision
  21. Leadership Stories
  22. The Nurse Educator
  23. Beyond Our Borders
  24. Why Do People Aspire to Work at Brigham and Women's Hospital? A View From Business Services

  PART IV: SUMMARY AND CONCLUSIONS: THE JOURNEY CONTINUES

  25. Lessons Learned: The Journey Through the Rearview Mirror
  26. The Journey Continues . . . Just Follow the Yellow Brick Road
  Index  less