Abstract
Change is everywhere. Some is good, some is not. Some is fun, some is not. The original development of primary nursing was a transformational change process that was almost transcendental in nature. The impact of it was so powerful, it informed the rest of my life, my career, and the careers of hundreds of thousands of nurses. From a staff-driven change on a single unit, primary nursing has become a global movement. It is viewed by nurse leaders around the world as a viable means to strengthening the role of the bedside staff nurse. It is a change that can be made from within the profession. One that does not require a doctor's or administrator's permission.