Successful Transformation of a Nursing Culture

The nature of the work to transform culture and practice requires a clear vision of today's reality and a clear vision of a desired reality, coupled with a deep understanding of the healthcare system, skills, tools, and resources that bring sustainable outcomes. There is a major effort to bring technology to the healthcare system because of the belief that it can exponentially grow healthcare reform. Regardless of goals—such as implementing point of care (POC) automation; achieving evidence-based, integrated, interdisciplinary care; becoming the best place to give and receive care; or achieving Magnet status—the main lesson is that sustainable outcomes call for a framework-driven model, not just an initiative or project-driven mindset. This article discusses the importance of using a framework to achieve the desired goals in a community-based healthcare system.