ONE PAGE ONLY The Institute of Medicine’s report, , addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video to see what some nurses have done to improve healthcare in their facilities. Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

Title: Improving Nursing Leadership: A Critical Catalyst for Healthcare Redesign


The Institute of Medicine’s report, “The Future of Nursing: Leading Change, Advancing Health,” emphasizes the indispensable role of nursing leadership in transforming and enhancing healthcare delivery. This report underlines the need for nursing professionals to take charge, innovate, and drive positive changes within healthcare systems. In this context, drawing upon my nursing experience, I propose a change that aims to improve care. Specifically, I will outline the steps in implementing an organizational culture shift towards interprofessional collaboration, emphasizing the key role of nursing leadership in this transformative process.

The Change: Cultivating Interprofessional Collaboration

Interprofessional collaboration, defined as the active and coordinated involvement of individuals from different professions, is crucial in delivering patient-centered care, improving health outcomes, and effectuating system-wide changes (Barr et al., 2013). By fostering interprofessional collaboration, healthcare institutions can effectively tap into the collective expertise, perspectives, and resources of various healthcare professionals, thereby enhancing patient safety, satisfaction, and overall quality of care. Furthermore, optimal interprofessional collaboration can nurture a culture of shared accountability, effective communication, and mutual respect among healthcare professionals.

First Steps in Implementing the Change

To implement the change of cultivating interprofessional collaboration, the following initial steps can be adopted:

1. Assess the Current Organizational Culture: Thoroughly assess the present state of the organizational culture, paying special attention to the existing dynamics between healthcare professionals. Identify both strengths and areas for improvement related to collaboration and teamwork.

2. Develop Clear Communication Channels: Establish clear and efficient communication channels that encourage interdisciplinary dialogue, exchange of information, and active participation. Implement mechanisms for regular communication such as interprofessional meetings, shared electronic platforms, and interdisciplinary rounding.

3. Identify and Address Barriers to Collaboration: Identify potential barriers to collaborative practice and address them proactively. Common barriers may include professional hierarchies, lack of understanding of each profession’s roles and responsibilities, and limited opportunities for interprofessional learning. Cultivate a culture of openness and ongoing education to minimize these challenges.

4. Enhance Education and Training: Promote interprofessional education and training opportunities for all healthcare professionals. Collaborate with academic institutions to incorporate interprofessional education into nursing and other healthcare programs, fostering a shared understanding of roles, skills, and values among professionals.

5. Create Incentives and Rewards: Develop an incentive structure that recognizes and rewards effective interprofessional collaboration. This could include performance-based rewards, professional development opportunities, and recognition programs that acknowledge exceptional teamwork and collaborative efforts.

6. Foster Leadership Development: Recognize the pivotal role of nursing leadership in driving interprofessional collaboration. Provide leadership development programs that equip nurse leaders with the necessary skills, knowledge, and competencies to facilitate and sustain collaborative practice. Support ongoing mentorship and coaching opportunities to enable nurses to effectively lead interprofessional teams and influence system-wide change.

7. Emphasize Teamwork and Collaboration in Performance Evaluations: Incorporate collaborative behaviors and contributions as key performance indicators in individual evaluations. Promote a culture where collaborative skills are valued, recognized, and considered essential for professional growth and advancement.

8. Promote Continuous Quality Improvement: Establish mechanisms for continuous quality improvement (CQI) that encourage interdisciplinary input and participation. Create opportunities where healthcare professionals can collaborate on quality improvement initiatives, addressing patient safety, workflow optimization, and evidence-based practice.


Implementing a culture shift towards interprofessional collaboration is a pivotal change that can positively impact healthcare delivery. By prioritizing nursing leadership and taking these initial steps, healthcare institutions can foster an environment conducive to effective interprofessional collaboration. Moreover, such a transformation will ultimately lead to improved patient outcomes, enhanced quality of care, and a healthcare system that is better equipped to adapt and thrive in the face of constantly evolving challenges. Embracing interprofessional collaboration is not merely an option but a necessity for nursing professionals to lead the much-needed healthcare redesign.