Organizational change toward a nursing agenda. A framework from the Strengthening Hospital Nursing Program

Although nursing is central to most efforts aimed at changing U.S. hospitals and care delivery systems, little is known within the profession about initiating or participating in large system--total hospital--change. Using data from the national Strengthening Hospital Nursing Program, a program supported by the Robert Wood Johnson Foundation and The Pew Charitable Trusts, the authors explore what organizational factors are relevant for hospital change that is systemic, ambitious, and favorable to a nursing agenda.