title: Do we need to shift direction?
authors.affiliation: Chief Nurse, Heart of England NHS Foundation Trust.
authors.forename: Sam
authors.initials: S
authors.lastname: Foster
mesh_terms: D009936:Organizational Innovation; D061214:Patient Safety; D010561:Personnel Staffing and Scheduling; D012956:Societies, Nursing; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom; D014940:Work Schedule Tolerance