The healthcare trends described in this article will eventually lead to transformation of healthcare delivery and nursing practice. The nursing profession needs to be proactive in creating new models of care delivery and in redefining the work of nursing. The authors describe 2 examples of emerging models and principles for the creation of future models, related leadership challenges for nurse executives, and strategies for leading change. Ensuring that changes in care delivery models lead toward a desired future that fulfills nursing's social contract is a mandate for nursing leaders.
Authors' Affiliations: Assistant Professor (Dr Vlasses), Niehoff School of Nursing, Loyola University Chicago, Chicago, Illinois; Research Consultant (Dr Vlasses), Northwestern Memorial Hospital, Chicago, Illinois; Partner (Dr Smeltzer), Healthcare Advisory Practice, PricewaterhouseCoopers, Chicago, Illinois; Trustee (Dr Smeltzer), Advocate Healthcare System, Oak Brook, Illinois and Sister of Charity Leavenworth Health System, Lenexa, Kansas.
Corresponding author: Dr Vlasses, Niehoff School of Nursing, Loyola University Chicago, 2160 S First Ave, 105-2840, Maywood, IL 60153 (Fvlasse@luc.edu).