title: We are better together: nurses' ability to affect change.
abstract: The Institute of Medicine has challenged nurses in recent years to practice to the fullest extent of their training and education. This article demonstrates application of this concept by use of example. It describes the processes that a group of nephrology nurses without graduate education who work in direct patient care followed to decrease the rate of transfusion reactions in clients undergoing apheresis receiving fresh frozen plasma fluid replacement.
authors.affiliation: Kidney Dialysis Unit at Carolinas Medical Center, Charlotte, NC, USA. james.robson@carolinashealthcare.org
authors.forename: James Paul
authors.initials: JP
authors.lastname: Robson
mesh_terms: D009398:Nephrology; D024802:Nurse's Role; D009726:Nurses; D009936:Organizational Innovation; D014481:United States; D000078329:Workforce