Promoting innovative nursing practice during radical health system change.

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Between 1995 and 1999, the United States veterans healthcare system underwent a radical transformation. The reinvention effort remains a work in progress, but the results have documented improved access to care, significantly higher service satisfaction, and substantially higher quality of care, while reducing per patient costs by 25%. Although turbulent at times, the changes instituted during this period created a dynamic milieu for nursing that has provided fertile ground for innovation and unprecedented opportunities to improve patient care.

Original languageEnglish (US)
Pages (from-to)429-441
Number of pages13
JournalNursing Clinics of North America
Issue number2
StatePublished - Jun 2000
Externally publishedYes

ASJC Scopus subject areas

  • Nursing(all)


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