BOX 7-3

Research Priorities for Transforming Nursing Leadership

  • Identification of the personal and professional characteristics most critical to leadership of health care organizations, such as accountable care organizations, health care homes, medical homes, and clinics.

  • Identification of the skills and knowledge most critical to leaders of health care organizations, such as accountable care organizations, health care homes, medical homes, and clinics.

  • Identification of the personal and professional characteristics most important to leaders of quality improvement initiatives in hospitals and other settings.

  • Identification of the characteristics of mentors that have been (or could be) most successful in recruiting and training diverse nurses and nurse faculty.

  • Identification of the influence of nursing on important health care decisions at all levels.

  • Identification of the unique contributions of nurses to health care committees or boards.

ill. Learning from barriers to diffuse evidence-based health care interventions within health systems, Naylor and colleagues identified several ingredients crucial to successful diffusion. First, the model or innovation should be a good fit in response to a critical need, either within an organization or nationwide. Second, without strong champions, especially those with decision-making power, there is very little chance of widespread adoption. The researchers learned the hard way the cost of failure to engage all stakeholders in a project—early, continually, and throughout. Engagement with the media is especially important. An understanding of the landscape is necessary as well and should guide efforts to market the innovation to others. Milestones and measures of success are important to all team members and throughout the entire diffusion process. Finally, flexibility, or the willingness to adapt the model or innovation to meet environmental or organizational demands, increases the probability of success (Naylor et al., 2009).

Planning for the implementation of the committee’s recommendations is beyond the scope of this report. However, the committee urges health care providers, organizations, and policy makers to carry out the eight recommendations presented below to enable nurses to lead in the transformation of the health care system and advance the health of patients and communities throughout the nation.

CONCLUSION

The committee believes the implementation of its recommendations will help establish the needed groundwork in the nursing profession to further the



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