Fewer nurses to answer the buzzer.
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Processes for total quality management, redesigning of patient care delivery and differentiated practice in nursing were developed and implemented simultaneously on two nursing units. This article describes the activities of the steering team and three work groups through the first nine months of implementation.
Rather than take part in realigning the way health care is delivered, organized nursing has opted to stonewall change. But if nurses proactively participate in the process, they can be in on the decisions that will shape our new health care structure.
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