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Related Concept Videos

Theoretical Foundations of Nursing Practice01:30

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Related Experiment Video

Updated: Feb 6, 2026

Using Practice Testing, Public Speaking, and Source Monitoring to Examine the Influences of Learning Strategies and Stress on Episodic Memory
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Developing a Nursing Practice Framework to Align With Strategy.

Joan Gygax Spicer1, Patricia S A Sparacino, Noris E Larkin

  • 1Author Affiliations: Chief Nursing Officer/Deputy Director (Dr Spicer), Nurse Practice Advisor (Dr Sparacino), and Assistant Chief Nursing Officer, Ambulatory Nursing (Ms Larkin), San Mateo Medical Center and Ambulatory Clinics, California.

The Journal of Nursing Administration
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Summary

Nurse leaders created a nursing practice framework to support a health system

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Area of Science:

  • Healthcare Administration
  • Nursing Leadership
  • Strategic Management

Background:

  • Safety-net health systems face unique challenges.
  • Strategic initiatives are crucial for system improvement.
  • Nurse leaders play a key role in organizational change.

Purpose of the Study:

  • To describe the development and implementation of a nursing practice framework.
  • To highlight the integration of nursing leadership into a health system's strategic plan.
  • To share lessons learned from a system-wide initiative.

Main Methods:

  • Collaborative development by clinical and administrative nurse leaders.
  • Alignment with a 5-year strategic initiative (2015-2020).
  • System-wide implementation approach.

Main Results:

  • Successful creation and rollout of a nursing practice framework.
  • Demonstrated integral contribution of nursing leadership to strategic success.
  • Transition from conceptualization to practical, widespread application.

Conclusions:

  • Nursing practice frameworks are vital for achieving strategic goals in healthcare.
  • Nurse leaders' involvement is essential for successful implementation of system-wide initiatives.
  • The journey highlights the impact of pragmatic, leader-driven change.