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Nursing Practice and Work Environment Issues in the 21st Century: A Leadership Challenge

Manojlovich, Milisa; Barnsteiner, Jane; Bolton, Linda Burnes; Disch, Joanne; Saint, Sanjay

doi: 10.1097/01.NNR.0000280648.91438.fe

A leadership conference titled "Have Patient Safety and the Workforce Shortage Created the Perfect Storm?" was held in honor of Dr. Ada Sue Hinshaw, who was ending her tenure as dean of the University of Michigan School of Nursing. A morning panel on the preferred future for practice featured plenary speaker Dr. Linda Burnes Bolton and participating panelists Dr. Sanjay Saint, Dr. Jane Barnsteiner, and Dr. Joanne Disch. Each speaker presented a unique yet complementary perspective, with several common themes permeating the morning's presentations. For example, all of the speakers mentioned how important interprofessional collaboration is to promoting patient safety. The themes can be categorized broadly as nursing practice and work environment issues, with subthemes of interprofessional communication and collaboration, systems solutions to patient safety problems, and future directions in nursing education. A synopsis of comments made during the morning practice panel and empirical support for the themes and subthemes identified by panelists are provided in this article.

Milisa Manojlovich, PhD, RN, CCRN, is Assistant Professor, School of Nursing, University of Michigan, Ann Arbor.

Jane Barnsteiner, PhD, RN, FAAN, is Professor and Director of Translational Research, School of Nursing, University of Pennsylvania, Philadelphia.

Linda Burnes Bolton, DrPH, RN, FAAN, is Vice President and Chief Nurse Executive, Cedars-Sinai Medical Center, Los Angeles, California.

Joanne Disch, PhD, RN, FAAN, is Professor and Director, Densford International Center for Nursing Leadership, School of Nursing, University of Minnesota, Minneapolis.

Sanjay Saint, MD, MPH, is Professor, Ann Arbor Veterans Affairs Medical Center and University of Michigan.

Accepted for publication July 31, 2007.

Dr. Saint is supported by an Advanced Career Development Award from the Health Services Research & Development Program of the Department of Veterans Affairs.

Corresponding author: Milisa Manojlovich, PhD, RN, CCRN, School of Nursing, University of Michigan, Room 4306, 400 North Ingalls, Ann Arbor, MI 48109-5482 (e-mail:

© 2008 Lippincott Williams & Wilkins, Inc.