Stage VII. Consolidating Gains and Producing More Change


  1. Using increased credibility to change all systems, structures, and policies that do not fit together and do not fit the transformation vision.

  2. Hiring, promoting, and developing people who can implement the change vision.

  3. Reinvigorating the process with new projects, themes, and change agents.

  4. Suggested References

    1. Articles

      1. Batalden, P.B., Nelson, E.C., Mohr, J.J., Godfrey, M.M., Huber, T.P., Kosnik, L., & Ashling, K. (2003). Microsystems in health care: Part 5. How leaders are leading. Joint Commission Journal on Quality and Safety, 29(6), 297-308.

      2. Huber, T.P, Godfrey, M.M., Nelson, E.C., Mohr, J.J., Campbell, C., & Batalden, P.B. (2003). Microsystems in health care: Part 8. Developing people and improving work life: What front-line staff told us. Joint Commission Journal on Quality and Safety, 29(10), 512-522.

      3. Smith, S.L., Manfredi, T., Hagos, O., Drummond-Huth, B. & Moore, P.D. (2006). Application of the clinical nurse leader role in an acute care delivery model. Journal of Nursing Administration, 36(1), 29-33.

      4. Thompson, P. & Lulham, K. (2007). Clinical nurse leader and clinical nurse specialist role delineating in the acute care setting. Journal of Nursing Administration. 37, 429-31.

      5. Wasson, J.H., Godfrey, M.M., Nelson, E.C., Mohr, J.J., & Batalden, P.B. (2003). Microsystems in health care: Part 4. Planning patient-centered care. Joint Commission Journal on Quality and Safety, 29(5), 227-237.

    2. Presentations

      1. Drenkard, K (2003). Role of the Team Coordinator: INOVA Health System

      2. Clarke, S. (2006). Evaluation Framework & Student/Graduate Database

      3. Harris, J. (2006). AACN & VA Pilot Study and Next Steps

    3. Resource Material

      1. Preceptor Role Guidelines

      2. Evaluation Framework and Cover Letter



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