title: Are staffers headed in the right direction?
abstract: Using total quality management principles within a shared governance framework, this case study discusses how to design and implement a plan to achieve independent nursing practice when an employee has unique needs. This experience demonstrates the importance of looking at root causes, separating ability and compliance issues, using all available resources creatively, and planning for success.
authors.affiliation: Alegent Health Bergan Mercy Medical Center, Omaha, USA.
authors.forename: S
authors.initials: S
authors.lastname: Lawton
authors.forename: D
authors.initials: D
authors.lastname: Ernesti
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003659:Decision Making, Organizational; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D017749:Total Quality Management / Q000458:organization & administration*