Nurses Transform Unwieldy Decision-Making, Go Back to Bedside

Aurora St. Luke's Medical Center, Milwaukee, Wis.

Dates of Project: January to September 2006

Field of Work: Hospital organizational culture.

Synopsis of the Work: Transforming Hospital Culture was a national program of the Robert Wood Johnson Foundation in which 10 hospitals documented their stories of improving their organizational culture, with the goal of helping other hospitals understand how to create and sustain culture change in their institutions.

Aurora St. Luke's Medical Center, part of Aurora Health Care, a five-hospital system in Milwaukee, Wis., was one of the participating hospitals, as described in this sidebar. After a comprehensive assessment, Aurora St. Luke's changed its nursing structure by reducing the number of nurse decision-makers to facilitate decision making, implementing new reward and professional development systems, and creating a nursing research center.