[Nursing outcomes and the reform of care processes (and V)]

To put into practice a reform of treatment procedures requires a planned process for change which should have the support of convinced leaders, dynamic working teams, new development procedures and a reflexive practice which guarantees integrated care. All of this is united with the development of an autonomous role, with the acquisition of competence, with a professional compromise and with a capacity to innovate. At the same time, all of these factors should not divert us from our central objective: to generate humane, quality nursing care which allows an individual to utilize his/her energy to reestablish a balance in their health.