Creative winds of change: nurses collaborating for quality outcomes

This article describes the collaboration of two researchers and two clinicians at one rural medical center to develop and implement Phase I of a project that was part of the Quality Indicator Initiative of the American Nurses Association (ANA). Changes in the health care environment led the researchers to develop educational programs that eventually evolved into a pilot research project to explore the feasibility of data collection on ANA Quality Indicators. Collaboration between the researchers and clinicians led to outcomes that relate to future efforts for collecting and analyzing data on clinical outcome indicators.