1. Toward a New Way of Thinking Christine A. Tanner PhD, RN, FAAN Oregon Health & Science University

2. Partnerships If you want to go quickly, go alone If you want to go far, go together

3. Building Trust

4. Clarity of goals What does alignment mean?What does alignment mean? To what end?To what end? Who are our clients?Who are our clients? What are their health care needs?What are their health care needs? How must the system evolve to meet their needs?How must the system evolve to meet their needs? What competencies must a nurse have to practice in this new world?What competencies must a nurse have to practice in this new world?

5. Clarity of goals Clinically competent, safe nurseClinically competent, safe nurse Prepared for practice – hit the ground runningPrepared for practice – hit the ground running Critically thinkingCritically thinking

6. Challenging Taken for Granted Assumptions & Practices

7. I had an Epiphany!

8. Challenging Assumptions Generalist practiceGeneralist practice Fundamentals of nursingFundamentals of nursing Nursing ProcessNursing Process

9. Challenging Accepted practices

10. Clinical EducationClinical Education

11. Supporting Innovation Its always sit, stay heal! never Think, Innovate, Be Yourself

12. Assessing outcomes My question is Are We Making an Impact?

13. Your Turn What partnerships/alliances do you need to form?What partnerships/alliances do you need to form? What are your goals?What are your goals? What are our assumptions & do they hold up in this new environment?What are our assumptions & do they hold up in this new environment? How will you support innovation while holding to standards?How will you support innovation while holding to standards? What are our educational outcomes and how will we assess them?What are our educational outcomes and how will we assess them?