title: A holistic model for moving toward excellence in chaotic times.
abstract: BACKGROUND
  Staff development experts in a tertiary-care hospital were searching for a holistic approach to facilitating improved outcomes.
  
  
  METHODS
  Staff development experts, clinical nurse specialists, and clinical managers developed a model that provides a framework for educators to integrate their energies with those of other leaders in order to create a holistic approach to the goal of achieving excellence.
  
  
  RESULTS
  The model that is proposed links strategies for change with outcome evaluation.
  
  
  CONCLUSIONS
  The model provides a conceptual lens that helps nurse leaders focus on organizational assessment, strategies to improve the work environment, and the evaluation of outcomes. The model is useful for guiding practice as well as research.
authors.affiliation: University of New Hampshire, Department of Nursing, School of Health and Human Services, Durham 03824-3563, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Evans
authors.forename: J
authors.initials: J
authors.lastname: Busch
authors.forename: K
authors.initials: K
authors.lastname: Busch
authors.forename: B
authors.initials: B
authors.lastname: Celia
authors.forename: S
authors.initials: S
authors.lastname: Lourie
authors.forename: J M
authors.initials: JM
authors.lastname: Lewis
authors.forename: J
authors.initials: J
authors.lastname: Strickland
mesh_terms: D004509:Education, Nursing, Continuing / Q000379:methods*; D018939:Holistic Nursing / Q000193:education*; D006801:Humans; D016294:Models, Nursing