Stage III. Developing a Vision and Strategy


  1. Creating and articulating a common vision to help direct the change effort.

  2. Developing strategies for achieving that vision.

  3. Avoiding the status quo

  4. Suggested References

    1. Articles

      1. Anderson, R., & McDaniel, R. (2000). Managing Health Care Organizations: Where Professionalism Meets Complexity Science. Health Care Management Review, 25 (1), 83 - 92.

      2. Bartels, J., & Bednash, G. (2005). Answering the call for quality nursing care and patient safety: A new model for nursing education. Nursing Administration Quarterly, 29 (1) 5 - 13.

      3. Begun, J., & White, K. (1999). The Profession of Nursing as a Complex Adaptive System: Strategies for Change. Research in Sociology of Health Care. (16), 189 - 203.

      4. Formella, N. & Rovin, S. (2004). Creating a desirable future for nursing, Part 2: The issues. Journal of Nursing Administration, 34(6), 264-267.

      5. Formella, N. & Rovin, S. (2004). Creating a desirable future for nursing, Part 3: Moving forward. Journal of Nursing Administration, 34(7/8), 313-317.

      6. Haase-Herrick, K.S. & Herrin, D.M. (2007). The American Organization for Nurse Executives’ guiding principles and American Association of Colleges of Nursing’s clinical nurse leader. Journal of Nursing Administration, 37(2), 55-60.

      7. Long, K.A. (2004). Preparing nurses for the 21st century: Re-envisioning nursing education and practice. Journal of Professional Nursing, 20 (2), 82-88.

      8. Miller, P. (2008). Clinical nurse leader—a new nursing role. The Tennessee Nurse, 71(2), 4.

      9. Murphy, E.C., Ruch, S., Pepicello, J. & Murphy, M. (1997). Managing an Increasingly Complex System. Nursing Management, (10), 33-38.

      10. Plexus Institute - New to Complexity
        This is a set of resources for "newcomers to complexity" found on the Plexus Institute website. It includes a complexity science primer, recommended resources, "complexity aides" stories, and leadership principles.

      11. Rovin, S. & Formella, N. (2004). Creating a desirable future for nursing, Part 1: The nursing shortage is a lack of creative and systemic thinking. Journal of Nursing Administration, 34(4), 163-166.

      12. Tornabeni, J., & Miller, J.F. (2008). The power of partnership to shape the future of nursing: the evolution of the clinical nurse leader. Journal of Nursing Management, (16), 608-613.

      13. Tornabeni, J., Stanhope, M., and Wiggins, M. (2006). The CNL vision. Journal of Nursing Administration, 36(3), 103-108.

      14. Zimmerman, B., Lindberg, C., & Plsek, P. Edgeware: Lessons from Complexity Science for Health Care Leaders. Dallas, TX: VHA, Inc., 1998/2001.
        This is an introductory handbook for healthcare professionals. It covers key concepts, learning resources, case stories and application principles.

    2. Presentations

      1. Begun, J. (2005). Searching for Nursing's Futures

      2. Bower, K. (2006). Designing a Care Delivery Model: The What, The How, The CNL
      3. Haase-Herrick, K. (2006). Comparing AONE & AACN's Initiatives
    3. AACN National and Regional meetings

      1. 2005 Regional Meeting Presentations

    4. Curriculum/preceptor workshop, co-sponsored with the Plexus Institute, Kansas City:


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