INNOVATIVE HEALTH CARE MODELS
Paradigm shifting moments often occur when industries are faced with unthinkable events. These events can widen the cracks of an already broken system, challenge long taken-for-granted operating routines, and shift the priorities and perspectives of workers and consumers. As health care emerges from the COVID-19 pandemic, the industry sits on the cusp of such a paradigm shift. Workforce shortages, service disruptions, widespread burnout, lost revenue, and evolving care and educational needs all represent the fissures in the system in need of innovative solutions.
In this edition of Nursing Administration Quarterly, we explore some of the innovative care models, organizational structures, and education initiatives that are emerging and propelling us into a new paradigm of health care. With the nursing workforce shortage and burnout as a top issue facing nursing leaders, Betty Jo Roccio explores a model that combines retention and gig economy principles to better staff a multihospital system and Diane Drexler shares lessons learned from a project supporting the mental and emotional health of our teams.
Educating, recruiting, and retaining new talent into our profession are more important (and complex) than ever before. Fadumo Robinson and her colleagues present new models of partnership between postsecondary and practice settings including the creation of new hybrid student/employee roles. In a 2-part article, Judy Boychuk Duchscher shares the creation and lessons learned from the Nursing the Future project aimed at building capacity in new graduates.
Leaders are also rethinking clinical teams, the role of the nurse, and the way we provide career growth and satisfaction. Lee Galuska explores a model of nursing role enrichment as a way to retain nurses and support them throughout their careers.
Finally, with paradigm shifting change comes the need for evidence-based models of innovation leadership. Josh Wymer discusses how building trust can drive a culture of change and lower the time needed to implement innovation in systems, and Tracy Wasylak and colleagues share their experiences and the outcomes of applying a learning health systems model to clinical networks.
As editors of this issue, we have been provided a glimpse of the possible future. The projects, innovations, and models contained in this issue represent a sampling of the work of so many innovative and dedicated nurse leaders across the
health care landscape. We hope you are as inspired by this issue as we are.
-Sandra Davidson, PhD, MSN, RN, FAAN, FCAN
-Dan Weberg, PhD, RN
Guest Editors