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Sigma in the news   

How health care organizations implement change is crucial to sustainability

Julie Adams, Director, Marketing and Communications
Honor Society of Nursing, Sigma Theta Tau International

INDIANAPOLIS — Today’s health care environment is constantly evolving to reflect changes in the world around us. When your organization isn’t flexible or responsive enough to incorporate those changes into the current culture, your organization will ultimately suffer. Gwen Sherwood, PhD, RN, FAAN, ANEF, and Sara Horton-Deutsch, PhD, RN, PMHCNS, FAAN, ANEF, want to share the principles and strategies they found beneficial to empower others to successfully affect change and create reflective organizations for the benefit of their patients and staff in their own working or educational environment.

Changing an organizational culture requires more than a simple introduction to new activities or tasks, so these two experts in reflective practice and Quality Safety and Education for Nurses (QSEN), hope to make quality and safety adjustments less complex for nurses with their new book Reflective Organizations: On the Front Lines of QSEN & Reflective Practice Implementation.

“Reflection is the bridge to enacting heart-centered caring and quality nursing practice,” Dr. Horton-Deutsch said. “This book addresses why but, most importantly, how to transform nursing education and practice. Reflective practice is a way of being and a lifelong pursuit that sustains the nursing profession through consciousness, resiliency, and renewal.”

Reflective Organizations: On the Front Lines of QSEN & Reflective Practice Implementation, published by the Honor Society of Nursing, Sigma Theta Tau International (STTI), is a follow-up to the authors’ highly regarded book Reflective Practice: Transforming Education and Improving Outcomes. In this new educational text, Sherwood and Horton-Deutsch guide readers on how to begin, what to expect, and how others have addressed the familiar challenges of the change process so they can easily apply it to their own organizations.

“How a system incorporates change into the organization’s culture affects sustainability,” Dr. Sherwood said. “Systematic change involves a series of carefully crafted steps. Innovation is bumpy, but there are ways to manage the challenges.”

The book is available at
Reflective Organizations; On the Front Lines of QSEN & Reflective Practice Implementation
By Gwen Sherwood, PhD, RN, FAAN, and Sara Horton-Deutsch, PhD, RN, PMHCNS, FAAN
Published by STTI, May 2015
ISBN-13: 9781938835582
EPUB ISBN: 9781938835599
PDF ISBN: 9781938835605
MOBI ISBN: 9781938835612
Price: US $44.95
Trade paperback, 464 pages
Trim size: 73/8 x 91/8

About the authors
Gwen Sherwood, PhD, RN, FAAN, ANEF, is professor and associate dean for academic affairs at the University of North Carolina at Chapel Hill School of Nursing. She is co-investigator for the award-winning QSEN project to transform curricula to prepare nurses for working in and leading quality and safety in redesigned health care.

Sara Horton-Deutsch, PhD, RN, PMHCNS, FAAN, ANEF, is professor and Jean Watson Caring Science Endowed chair at the University of Colorado College of Nursing. Her work with the national quality and safety work of QSEN has had a significant impact on the quality and care of patients in the psychiatric mental health arena.

The Honor Society of Nursing, Sigma Theta Tau International (STTI) is a nonprofit organization whose mission is to support the learning, knowledge, and professional development of nurses committed to making a difference in health worldwide. Founded in 1922, STTI has more than 135,000 members in more than 85 countries. Members include practicing nurses, instructors, researchers, policymakers, entrepreneurs, and others. STTI’s roughly 500 chapters are located at approximately 695 institutions of higher education throughout Armenia, Australia, Botswana, Brazil, Canada, Colombia, England, Ghana, Hong Kong, Japan, Kenya, Lebanon, Malawi, Mexico, the Netherlands, Pakistan, Portugal, Singapore, South Africa, South Korea, Swaziland, Sweden, Taiwan, Tanzania, Thailand, the United States, and Wales. More information about STTI can be found online at


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