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Promoting a Culture of International Professional Practice for Nursing Through a Twinning Relationship

Jiang, Hong RN, MSN; Ives Erickson, Jeanette DNP, RN, FAAN; Ditomassi, Marianne DNP, RN, MBA; Adams, Jeffrey M. PhD, RN

Journal of Nursing Administration: February 2012 - Volume 42 - Issue 2 - p 117–122
doi: 10.1097/NNA.0b013e318243384e

This article illustrates the impact of a twinning relationship between the nursing services of Huashan Hospital, Fudan University (HH), in Shanghai, China, and of Massachusetts General Hospital (MGH) in Boston, Massachusetts. Through twinning, the healthcare leaders and nursing staff at HH learned key concepts, skills, and methods from their MGH colleagues, enhancing the role, presence, and overall impact of nursing in their organization. Strategies to advance a nursing leadership development agenda included establishing twinning relationships and immersing nurse leaders into each other’s practice arena via nurse visitation exchanges. This collaborative effort, although only 3 years old, begins the process of modeling twinning for replication among nurses and across organizations internationally. Improvements in nursing care delivery and patient care at both organizations are attributed to this project.

Author Affiliations: Chief Nurse (Ms Jiang), Huashan Hospital, Fudan University, Shanghai, China; Chief Nurse (Dr Ives Erickson); Executive Director for Patient Care Services Operations,Yvonne L. Munn Center for Nursing Research (Dr Ditomassi); Nurse Scientist (Dr Adams), Massachusetts General Hospital, Boston.

The authors declare no conflict of interest.

Correspondence: Dr Ditomassi, Massachusetts General Hospital, 55 Fruit Street, Bulfinch 230, Boston, MA 02114 (

© 2012 Lippincott Williams & Wilkins, Inc.