Key points are not available for this paper at this time.
Global economic changes, managed care and insurance issues, media forces, and new career choices for women have impacted the profession of nursing. A loss of trust underscores decreased loyalty to hospital organizations and disillusionment with nursing practice. Nursing shortages have ensued. This article reports data from a grounded theory study of nursing in hospital organizations. Strategies of respecting, communicating, maintaining visibility, and engaging in participative decision making are the transformative processes leading to relational self-organization—a shared, creative response to a continuously changing and interconnected work environment. Organizations that foster ethical choices, respect, and co-creativity rather than focusing only on fiscal and material assets become the successful organizations of the future.
Ray et al. (Tue,) studied this question.