title: Getting past widgets and digits: the fundamental transformation of the foundations of nursing practice.
abstract: Health reform and transformation now call for the creation of a new landscape for nursing practice based on intentional translation application of value-driven measures of service, quality, and price. Nursing is a central driver in the effective recalibration of health care within the rubric of health transformation under the aegis of the Patient Protection and Affordable Care Act. Increasingly relying on a growing digital infrastructure, the nursing profession must now reframe both its practice foundations and patterns of practice to reflect emerging value-driven, health-grounded service requisites. Specific nursing responses are suggested, which position nursing to best coordinate, integrate, and facilitate health delivery in the emerging value-driven service environment.
authors.affiliation: Tim Porter-O'Grady Associates, Inc; College of Nursing, The Ohio State University, Columbus; and College of Nursing and Health Innovation, Arizona State University, Phoenix.
authors.forename: Tim
authors.initials: T
authors.lastname: Porter-O'Grady
mesh_terms: D017048:Health Care Costs; D018166:Health Care Reform / Q000639:trends*; D006801:Humans; D009729:Nursing / Q000379:methods / Q000639:trends*; D058991:Patient Protection and Affordable Care Act / Q000191:economics* / Q000639:trends; D011634:Public Health; D014481:United States