Many years ago, when I first heard about a hospital's goal to develop patient centered care, I was mystified. In spite of working most of my life in healthcare, I had not realized what others had already figured out: much of the care delivered in this county is planned around what providers (including organizations) need or want, not the convenience or wishes of those receiving care.
We are still trying to figure out patient centered models. We are also pursuing clinician-empowering models, integrated care models, and accountable care models. The current edition of NAQ addresses a variety of nurse leaders' thoughts on delivering and managing services to patients and caregivers. Authors from a variety of settings impart their experiences as leaders of new (such as virtual nursing care) and not-so new (such as evening, night, and weekend leadership) models. I hope you will take a look at what they have to share, as you contemplate the best care models for your own environment. Learning from each other is natural for nurses, even as we figure out innovative prototypes that vary in different organizations. I'm pretty sure that one thing will not be different, regardless of setting. When the models are designed by nurse leaders, they will be designed around the needs of those for whom we care.
Thanks for choosing to lead,
Kathleen Sanford, DBA, RN, FACHE, FAAN