N. Hoffart et al., IMPLEMENTATION OF A PROFESSIONAL PRACTICE MODEL FOR NURSING IN A RURAL HOSPITAL, Health care management review, 20(3), 1995, pp. 43-54
Growing concern about rural hospitals and the health of rural citizens
highlight the need for high quality, progressive nursing care. To add
ress this concern, several program changes to improve patient and orga
nizational outcomes were made in one rural hospital; implementation su
ccess varied. Hospital culture and changes occurring within the health
care environment affected the change process.