Transforming the current health care system to meet the demands for safe, quality, and patient-centered care has demanded a shift in the role of nurse leaders. Historically, “nurses could not participate fully due to a variety of cultural, regulatory, and policy barriers that limited the nurse’s ability to effectively contribute to broad, meaningful change are now being called to lead”. Presently, the health care system is fragmented and inefficient, pointing to the fact that America spends more on health care than any other country in the world. There exists a lack of insurance, inconsistency in quality, and excessive administrative waste. With the advent of the IOM (2011) report, The Future of Nursing: Leading Change, Advancing Health, nurses’ roles and responsibilities have been redefined to meet the needs of an evolving health care system
Nursing leadership emphasizes nursing practice and improvement of health outcomes while ensuring patient safety. The nurse leader as a systems thinker must look beyond the “name, blame, shame “ approach to patient safety and toward focusing on human factors of how care is delivered within a less-threatening environment. Systems thinking looks at large numbers of interactions to gain understanding to help leaders target innovation efforts more effectively. Nurse leaders are stepping up and using knowledge and expertise to contribute new innovative strategies to engage in health care reform.
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