title: Effecting change through the stream analysis process.
abstract: The growing nursing shortage requires immediate and compelling changes in the work environment for nurses. The author describes a method for effecting change that nursing administrators can use to plan and implement change within complex health care environments. Stream analysis ensures a comprehensive analysis of many interactive problems and a plan for change that is multidimensional, coordinated, and congruent with the goals of the institution and the professional goals for nursing practice.
authors.affiliation: National Jewish Center for Immunology and Respiratory Medicine, Denver, Colorado.
authors.forename: J
authors.initials: J
authors.lastname: Cashman
mesh_terms: D003120:Colorado; D006801:Humans; D007588:Job Satisfaction; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology / Q000600:supply & distribution; D010561:Personnel Staffing and Scheduling; D012138:Respiratory Therapy; D012189:Retrospective Studies