This article challenges the way nurses have thought about the business of nursing practice and education, while exposing emerging innovations that are calling nurses to action. Several quality measurement programs and the Affordable Care Act are discussed in relation to changes in nursing practice that will be required to meet the challenges of an evolving health care system. Using a change theory as the framework to guide both transformational and incremental planned change will increase the chance of success. Selected change theories are considered and one theory is used to illustrate usefulness in facilitating change in nursing practice.
Keywords: Affordable care act; Care coordination; Change; Change theory; Employment; Healthcare outcomes; Hospital readmissions; Institute of Medicine.
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