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. Key Features.: 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. Key Features.: 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.