Assessing the outcomes of professional practice redesign. Impact on staff nurse perceptions.

There are many reports in the literature of management innovations to redesign nursing roles and care delivery systems in response to the dramatic changes taking place in the healthcare environment. Few of these innovations have been evaluated systematically in terms of the dynamics and effects of change at the work group level. The authors present results of a longitudinal study evaluating the work group outcomes of a professional practice model implemented in an academic medical center. The strategy of integrating ongoing data collection and feedback into a process of continuous change also are presented.