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Getting Past Widgets and Digits: The Fundamental Transformation of the Foundations of Nursing Practice

Porter-O'Grady, Tim DM, EdD, ScD, APRN, FAAN, FACCWS

Nursing Administration Quarterly: April/June 2014 - Volume 38 - Issue 2 - p 113–119
doi: 10.1097/NAQ.0000000000000021
Original Articles

Health reform and transformation now call for the creation of a new landscape for nursing practice based on intentional translation application of value-driven measures of service, quality, and price. Nursing is a central driver in the effective recalibration of health care within the rubric of health transformation under the aegis of the Patient Protection and Affordable Care Act. Increasingly relying on a growing digital infrastructure, the nursing profession must now reframe both its practice foundations and patterns of practice to reflect emerging value-driven, health-grounded service requisites. Specific nursing responses are suggested, which position nursing to best coordinate, integrate, and facilitate health delivery in the emerging value-driven service environment.

Tim Porter-O'Grady Associates, Inc; College of Nursing, The Ohio State University, Columbus; and College of Nursing and Health Innovation, Arizona State University, Phoenix.

Correspondence: Tim Porter-O'Grady, DM, EdD, ScD, APRN, FAAN, FACCWS, Tim Porter-O'Grady Associates, Inc, 195 14 St NE, Suite 509, Atlanta, GA 30309 (

The author declares no conflict of interest.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins